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Since 2011, we've helped more than 5 million people understand their Medicare coverage.
A PROPERTY OF HEALTHINSURANCE.ORG, LLC, A NON-GOVERNMENTAL ENTITY
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We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1–800– MEDICARE to get information on all of your options.
Can I be enrolled in Medicare and Medicaid at the same time?
People with Medicare and Medicaid are known as dual eligibles – and account for about 20 percent of Medicare beneficiaries (12.1 million people). Learn how that status affects your coverage.
claim
A claim is an application for benefits provided by your health plan. You must file a claim before funds will be reimbursed to your medical provider. A claim may be denied based on the carrier's assessment of the circumstance.
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.
People with Medicare and Medicaid are known as dual eligibles – and account for about 20 percent of Medicare beneficiaries (12.1 million people). Learn how that status affects your coverage.
A claim is an application for benefits provided by your health plan. You must file a claim before funds will be reimbursed to your medical provider. A claim may be denied based on the carrier's assessment of the circumstance.
People with Medicare and Medicaid are known as dual eligibles – and account for about 20 percent of Medicare beneficiaries (12.1 million people). Learn how that status affects your coverage.
A claim is an application for benefits provided by your health plan. You must file a claim before funds will be reimbursed to your medical provider. A claim may be denied based on the carrier's assessment of the circumstance.
