Question

instructions: select the most appropriate response.

services provided to dual eligibles that are covered by both programs are paid:
o a. 70 percent by medicaid and 30 percent by medicare
o b. first by medicaid and the difference by medicare
o c. first by medicare and the difference by medicaid
o d. 50 percent by medicare and 50 percent by medicaid

Explanation:

When services are covered by both Medicare and Medicaid for dual eligibles, Medicare is the primary payer. After Medicare pays its portion, Medicaid pays the difference (co - payments, deductibles, etc.).

Answer:

c. first by Medicare and the difference by Medicaid