Since 2011, we've helped more than 5 million visitors understand Medicare coverage.

Learn about Medicare plans.*

Explore plans from a licensed agency!

cross-over claim

What is a Medicare cross-over claim?

What is a cross-over claim?

A Medicare cross-over is a claim that Medicare sends to another insurer for secondary payment.

When a Medicare beneficiary is a dual eligible – meaning they have Medicare and Medicaid – their Medicare claims should cross-over to Medicaid, which would cover Medicare cost sharing (i.e., deductibles, co-pays and coinsurance).

Claims can also cross-over from Medicare to Medigap plans, which pay for deductibles, co-pays and coinsurance.

 

Find a plan.