A Medicare cross-over is a claim that Medicare sends to another insurer for secondary payment.
When a Medicare beneficiary is a dual eligible – meaning they have Medicare and Medicaid – their Medicare claims should cross-over to Medicaid, which would cover Medicare cost sharing (i.e., deductibles, co-pays and coinsurance).
Claims can also cross-over from Medicare to Medigap plans, which pay for deductibles, co-pays and coinsurance.
People with Medicare and Medicaid are known as dual eligibles – and account for about 20 percent of Medicare beneficiaries (12.1 million people). Learn how that status affects your coverage.
A claim is an application for benefits provided by your health plan. You must file a claim before funds will be reimbursed to your medical provider. A claim may be denied based on the carrier's assessment of the circumstance.
People with Medicare and Medicaid are known as dual eligibles – and account for about 20 percent of Medicare beneficiaries (12.1 million people). Learn how that status affects your coverage.
A claim is an application for benefits provided by your health plan. You must file a claim before funds will be reimbursed to your medical provider. A claim may be denied based on the carrier's assessment of the circumstance.
The medicareresources.org website is owned and operated by Healthinsurance.org, LLC (HIO). Medicareresources.org contains links to third-party marketing content that may constitute a solicitation of insurance by any person on whose behalf the content is posted. HIO may receive compensation if you make a purchase from a third-party advertiser or engage with the advertiser's content. HIO and its websites, healthinsurance.org and medicareresources.org, are not connected with or endorsed by the federal Medicare program.
* By shopping with independent third-party insurance agencies, you may be contacted by a licensed insurance agent. The agent may not be connected with or endorsed by the federal Medicare program. These agents/agencies do not offer every plan available in your area. Please contact Medicare.gov or 1–800– MEDICARE to get information on all of your options.
