If you have Medicare and other insurance coverage, each type of coverage is called a “payer.” When there’s more than one potential payer, there are coordination rules to decide who pays first.
The first or “primary payer” pays what it owes on your bills, and then the remainder of the bill is sent to the second or “secondary payer.” In some cases, there may also be a third payer.
Medicare may pay secondary to no-fault insurance, liability insurance or workers’ compensation.
Please see the “No-Fault and Liability Insurance” and “Workers’ Compensation” sections below for additional information.
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Medicaid in the United States is a social health care program for families and individuals with limited resources.
The Health Insurance Association of America describes Medicaid as a "government insurance program for persons of all ages whose income and resources are insufficient to pay for health care".
States are not required to participate in the program, although all have since 1982. Poverty alone does not necessarily qualify someone for Medicaid. citizens and legal residents with income up to 133% of the poverty line, including adults without dependent children, would qualify for coverage in any state that participated in the Medicaid program.
The Patient Protection and Affordable Care Act ("Obamacare") significantly expanded both eligibility for and federal funding of Medicaid. However, the United States Supreme Court ruled in National Federation of Independent Business v.