Medicare-Related Programs

Medicaid’s Third Party Division is responsible for maximizing Medicare coverage through establishment and monitoring of Medicare claims processing edits and by the purchase of Medicare Parts A and B coverage for eligible individuals.

Medicaid pays the Part B premium for recipients covered by certain Medicare Savings Programs (QMBs, SLMBs, & QI-1). Newly enrolled recipients should be aware that it takes approximately 8-12 weeks for the Social Security Administration to update its files so the Part B premium is no longer deducted from the monthly Social Security Check.

If you have any questions regarding Medicare Part B premiums or need to report a conflict in Medicare eligibility information between Medicaid and Social Security Email Medicaid.

The following are descriptions of Medicare programs available to certain individuals:

Medicare Part A - Provides services associated with hospital, hospice, skilled nursing care and home healthcare.

Medicare Part B - Covers physicians, outpatient hospital care and many other services typlically covered under health insurance plans.

Medicare Part C - Often referred to as "Medicare Advantage," this plan replaces Medicare A & B. 

Medicare Part D - This is prescription drug coverage.

 

Resources