Part B helps cover medically-necessary services like doctors' services, outpatient care, and other medical services. Part B also covers some preventive services. You can find out if you have Part B by looking at your Medicare card. For more details: http://www.medicare.gov/Publications/Pubs/pdf/10050.pdf
Medicare is health insurance for persons over age 65 and certain persons who receive Social Security disability payments, who have 40 credits of "covered employment" (i.e., calendar quarters during which they paid into Medicare) and dependents of such persons. Medicare is funded by payroll taxes and administered by the Federal government. Part A covers hospital care and Part B covers services by physicians, surgeons and other providers.
Medicaid provides care for indigent citizens under age 18 and their parents, persons over age 65, and those permanently and totally disabled. Medicaid is supervised by the Federal government, administered by the States, and funded by State and Federal taxes. [N.b., as a result of health insurance reform, by 2014 Medicaid will be available to any indigent citizen, regardless of age or disability.]
Medicaid should pick up anything that Medicare doesn't pay for.
Lyndon B Johnson (1965)
Lyndon B. Johnson
Unless one anticipates becoming ineligible for Medicaid, there is no good reason for a person who has both Medicare A & B and Medicaid to keep a private insurance plan. However, if you choose to do so, please do the taxpayers a favor and let your medical providers and your Medicaid caseworker know about the private plan, so that Medicaid will be billed only after the bill is "adjudicated" by Medicare and/or the private plan.
Medicare and Medicaid are the responsibility of the Center for Medicare and Medicaid, which is part of DHHS. However, Medicaid is administered by the States.
Unless one anticipates becoming ineligible for Medicaid, there is no good reason for a person who has both Medicare A & B and Medicaid to keep a private insurance plan. However, if you choose to do so, please do the taxpayers a favor and let your medical providers and your Medicaid caseworker know about the private plan, so that Medicaid will be billed only after the bill is "adjudicated" by Medicare and/or the private plan.
You submit an EOB from the Medicare HMO with your Medicaid claim.
Both Medicare and Medicaid are government insurance programs.
Yes, Medicare is primary. Medicaid is always the payor of last resort.
True Medicare Part A is free for most persons. Medicaid will cover Medicare A & B premiums, as well as deductibles and copayments, for individuals with little or no income/assets who are Medicare eligible.
Medicaid is the payor of last resort. Therefore, bill Medicare first. Bill Medicaid for any expenses Medicare didn't cover.
You are not required to pay back Medicaid or Medicare.