What does Dual Eligibility mean? | Understood Care
Transcript
Auto-generated from the video, lightly edited for readability.
Hi, it's Debbie from Understood Care. I wanted to come on because we've had a lot of people that have dual plans and may not understand exactly what that means.
What it means if you have a Medicare Advantage plan and it says, you know, United Healthcare Dual or Aetna Dual or Humana Dual, what that means is that you have both Medicare and Medicaid. Under your Medicare Advantage plan, what that does is just change it to the same kind of concept where your Medicare plan is primary and then your Medicaid is secondary.
But what it really means in reality is that your co-pays for doctors or specialists for their medical equipment, for home healthcare, for whatever it may be, is zero. The Medicaid picks up any co-insurance and/or co-pay you may have based on those plans. Pretty much if you have a dual plan, that means you have Medicare and Medicaid eligibility and you should not be paying anything if you go to a doctor.
If you are, please give us a call and we'll make sure that we can get your doctors, your specialists, your companies, whatever companies you work with. We can make sure they have the correct plan selected for you so that you're not being charged for services when they're being rendered and you're not receiving any bills.
