Question

Mr. Cole has been a Medicaid beneficiary for some time, and recently qualified for Medicare as well. He is concerned about changes in his cost-sharing. What should you tell him?

Answer 1

Answer:

He should know that Medicaid will pay cost sharing only for services provided by Medicaid participating providers.

Explanation:

People who qualify for both Medicare and Medicaid are dual eligible. Mr. Cole is eligible to full Medicaid coverage benefits along with Medicare. It is possible that Medicaid is not covering the healthcare cost fully such as long-term care services because of low-income sharing. Hence, the patient can take advantage of Medicare which covers the long-term treatment and care services cost for older people.

Answer 2

He should know that Medicaid will pay cost sharing only for services provided by Medicaid participating providers.