Having Medicaid Secondary Insurance Shouldn’t be a Barrier to Access Care

Families are finding that even if they have private insurance coverage as their primary coverage, if they have Medicaid as secondary coverage, some providers are turning their children away.

BY Lauren Agoratus, M.A. | November 2018 | Category: Financial Planning

Having Medicaid Secondary Insurance Shouldn’t be a Barrier to Access Care

This is due to a misunderstanding on how Medicaid can be billed. If providers accept children with disabilities who have both private and public coverage, this is mutually beneficial.

According to Medicaid.gov, 27 million children under age 18 are covered by Medicaid. Half of children with special health care needs are covered by Medicaid.1 Medicaid often offers more benefits than employer plans. This is due to the EPDST (Early and Periodic Screening, Diagnostic, and Treatment) provision.

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