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Medicare Secondary to Medicare for Chiropractic

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Steve Verno CMBS, CEMCS:
The following is from Florida Statute 409.908 (13)(b)

Medicaid will pay no portion of Medicare deductibles and coinsurance when payment that Medicare has made for the service equals or exceeds what Medicaid would have paid if it had been the sole payor. It has never been the intent of the Legislature with regard to such services rendered by physicians that Medicaid be required to provide any payment for deductibles, coinsurance, or copayments for Medicare cost sharing, or any expenses incurred relating thereto, in excess of the payment amount provided for under the State Medicaid plan for such service.

Michele:
And from that it appears the patient cannot be billed?

Michele

Pay_My_Claims:

--- Quote from: Steve Verno CMBS, CEMCS on December 28, 2009, 08:46:22 PM ---The following is from Florida Statute 409.908 (13)(b)

Medicaid will pay no portion of Medicare deductibles and coinsurance when payment that Medicare has made for the service equals or exceeds what Medicaid would have paid if it had been the sole payor. It has never been the intent of the Legislature with regard to such services rendered by physicians that Medicaid be required to provide any payment for deductibles, coinsurance, or copayments for Medicare cost sharing, or any expenses incurred relating thereto, in excess of the payment amount provided for under the State Medicaid plan for such service.



--- End quote ---

But that isn't what your reply states. I know that when medicaid is secondary to any policy it will not pay anything that EXCEEDS what it would pay as primary. Your reply implied that if a patient has Medicare & Medicaid in Florida...Medicaid only pays the premiums...therefore I questioned that. What you referenced was equal to NC's QMB Medicaid that pays a recipients Medicare Part B premiums.

Posted by: Steve Verno CMBS, CEMCS
Insert Quote
Each Medicaid is different. In Florida if you have Medicare and Medicaid, Medicaid doesnt pay when secondary to Medicare.  What they pay is the patient's Medicare premiums.


your original post was very confusing

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