Dual Eligibles


Medicare with Medicaid: Maximizing Health Coverage for Dual Eligibles
December 1, 2009
This outline will help you find ways to get the best coverage for people eligible for both Medicare and Medicaid. Read More

Medicaid/Medicare Dual Eligibles: Who Pays the Piper?
Cost Sharing Confusion for Clients in the QMB Program
November 2, 2009
Joe Client is disabled and lives only on SSI and SSD. His health care is covered by Medicare, and Medicaid’s Qualified Medicare Beneficiary (QMB) program picks up his cost-sharing obligations. He went to the doctor recently and, as with any other Medicare beneficiary, the doctor handed him a bill for his co-pay. Now Joe has a bill that he can’t pay. Can you help him? Does he have to pay? Read More

Dual Eligibles Participating in Medicare Advantage Plans
December 1, 2007
MA plans must offer all the services that traditional or original Medicare provides, but are not required to offer the same level of cost-sharing. MA plans may offer additional services not provided by original Medicare, such as routine dental or vision coverage. However, MA plans may limit their services to a fixed provider network and/or subject their participants to HMO-type or other additional requirements.  Read More