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I qualified for Medicaid retroactive through Mar/2007 and I paid copays to Dr office due to another insurance I had at the time. I have already gotten refunds back on perscriptions I paid during that time does it work the same way with copays paid to the DR. as well?How does one file for these refunds if the DR's office does not take medicaid or file for you?

2007-08-11 02:26:46 · 6 answers · asked by TY 2 in Business & Finance Insurance

For the sake of judgemental people....I have 2 special needs children (1 has autism,1 has brain damage from a birth injury)they require constant care and daycares will not take them(ages 14&16)I left my husband who was getting physical with us and I have no income other than child support to live on...In my circumstance wouldn't you look for every way to get reimbursed for money you paid out of your pocket?

2007-08-13 03:23:52 · update #1

So as you can see...I have a life...want to trade?

2007-08-13 03:24:53 · update #2

6 answers

Your best bet is to ask your caseworker. Sometimes they do refund the money directly to you, as long as you provide reciepts, otherwise, they pay the doctor's office and the doctor's office refunds you the money. In New York, doctors can file medicaid claims online - even for secondaries.

As some one previously posted about the claim forms - copays do not go on the claim forms, because they're not billed to the insurance.

2007-08-11 04:25:06 · answer #1 · answered by zippythejessi 7 · 0 0

Normally what would happen would be that Medicaid would pay the doctor for the copays after receiving claims, and the doctor would refund the money to you.

I'm not sure how the process would work if your doctor's office does not accept Medicaid and won't file claims on your behalf.

Most likely, you'll have to file the claim forms (HCFA 1500 is the name of the claim form for a doctor visit), with copies of your receipts showing that you actually paid the money.

2007-08-11 03:11:21 · answer #2 · answered by sarah314 6 · 2 1

straightforward - if the two insurances in basic terms have a copay for the bypass to, you in basic terms pay the only for the well-known service. if it is properly the case, it somewhat is a waste of money to have 2 insurances. edit - medicaid would not disguise copays.

2016-12-30 09:20:23 · answer #3 · answered by viands 3 · 0 0

If that particular doctor doesn't TAKE Medicaid, Medicaid can't reimburse you for the deductible.

2007-08-11 14:07:45 · answer #4 · answered by Anonymous 7 · 2 0

I hope you get back your money and refund me and the other taxpayers for the medicaid benefits we paid in your behalf. Get a life.

2007-08-12 15:20:10 · answer #5 · answered by Anonymous · 1 2

No

2007-08-11 17:37:55 · answer #6 · answered by Insurance 3 · 0 0

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