Medical Billing Forum

General Category => General Questions => Topic started by: t.cassell on January 26, 2016, 03:41:49 PM

Title: Medicare and Medicaid NY
Post by: t.cassell on January 26, 2016, 03:41:49 PM
I am getting conflicting answers. Please help.  Does Medicaid pay for Medicare deductible?  Also, if patient has a PPO/HMO Medicare Policy and Medicaid as a secondary, can you charge them the co-payment on their Medicare card?  Thanks
Title: Re: Medicare and Medicaid NY
Post by: Michele on January 26, 2016, 06:00:03 PM
Medicaid will pay if applied to the Medicare deductible but only up to the Medicaid allowed amount.  You can bill Medicaid for the copay, just not the 20% straight Medicare coinsurance.
Title: Re: Medicare and Medicaid NY
Post by: PMRNC on January 26, 2016, 07:24:31 PM
Agree with Michele also, Medicaid follows Medicare in NY.. so if it's NOT covered by Medicare, Medicaid won't cover either.