Author Topic: Medicare and Medicaid NY  (Read 1105 times)


  • Newbie
  • *
  • Posts: 2
Medicare and Medicaid NY
« 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


  • Global Moderator
  • Hero Member
  • *****
  • Posts: 4946
    • Solutions Medical Billing
Re: Medicare and Medicaid NY
« Reply #1 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.
Sign Up for our FREE Medical Billing Newsletter
Get a 10% discount on Medical Billing Products by using Coupon Code: 10OFF


  • Hero Member
  • *****
  • Posts: 4356
    • One Stop Resources & Networking for Medical Billers
Re: Medicare and Medicaid NY
« Reply #2 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.
Linda Walker
Practice Managers Resource & Networking Community
One Stop Resources, Education and Networking for Medical Billers