Sooooo anxious!!

prettyinpink766
on 9/17/10 10:01 am - Detroit, MI
I am so lost. We were suppose to submit in August, now my "pic" is telling me that i may need to change insurance plans, like from Total to Omni. Then i find out I now have Medicare as well. Not over 65 but i guess from me working the past 10 years ????? Im not concerned with that, My thing is, is I have medicaid, and now Medicare, will I have both and why does it make a difference which is primary?? She says if the medicare is primary, then im good,

Does anyone have any experience with this. Typically in this situation, is the medicare billed primary? I know I will get no sleep tonite :(
elm62
on 9/17/10 10:18 am - Clarkston, MI
Medicaid is always the last insured, Medicare wants to be, but Medicaid will always be 2nd to Medicare. 

Good luck,

Edie

You don't have to have a lump to have breast cancer!
Inflammatory Breast Cancer

www.ibcresearch.org

gemini73j
on 9/17/10 11:22 pm - Baraga, MI
I had medicare/medicaid and medicare is billed first.  I hope that helps.

Jimi
 
           
prettyinpink766
on 9/18/10 1:47 am - Detroit, MI
Oh thank you thank you for responding ladies!! I know its not definate yet, but i was just curious and guess what?? I did get some sleep last nite,lol :)  Well, guess ill be waiting til Monday to see what happens next. My "pic" said if I have Medicare, im good, theyll pay 80% is that where Medicaid comes in??

elm62
on 9/18/10 4:54 am - Clarkston, MI
Yes, Medicare always pays 80% for covered charges after your deductible (although I believe your Medicaid would cover that).  Just make sure your provider 'participates' with both Medicare and the Medicaid plan your on. 

Edie

You don't have to have a lump to have breast cancer!
Inflammatory Breast Cancer

www.ibcresearch.org

prettyinpink766
on 9/18/10 11:28 am - Detroit, MI
On September 18, 2010 at 11:54 AM Pacific Time, elm62 wrote:
Yes, Medicare always pays 80% for covered charges after your deductible (although I believe your Medicaid would cover that).  Just make sure your provider 'participates' with both Medicare and the Medicaid plan your on. 

Edie

thanks for the response, "provider" do you mean the surgeon or the clinic/hospital?? I just wanna be clear, cause i thaught the provider was the insurance??

elm62
on 9/18/10 11:42 pm - Clarkston, MI
The provider I'm speaking of is the physician and the hospital....in other words the one's providing services.

Edie

You don't have to have a lump to have breast cancer!
Inflammatory Breast Cancer

www.ibcresearch.org

prettyinpink766
on 9/19/10 7:04 am - Detroit, MI
On September 19, 2010 at 6:42 AM Pacific Time, elm62 wrote:
The provider I'm speaking of is the physician and the hospital....in other words the one's providing services.

Edie
thanks Edie :)  They are the ones handling everything so im good on that note Yay!!
Most Active
Recent Topics
×