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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.
cross-over claim
A Medicare cross-over is a claim that is sent from Medicare to a secondary insurer – usually Medicaid or a Medigap plan - for payment of Medicare deductibles, co-pays and coinsurance.
Americans who are enrolled in both Medicaid and Medicare are referred to as dual-eligible beneficiaries, or Medicare dual eligibles, or sometimes simply duals.
Dual-eligibles are enrolled in both programs when a Medicare enrollee’s income and assets are low enough to qualify them for Medicaid help in paying for some of the costs of Medicare – or to qualify them for full coverage under both Medicare and Medicaid.
These enrollees are commonly broken into two groups:
Read more about dual eligibles.