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Why isn Medi-Cal reimbursing the 20 percent after Medicare pays?

April 26, 2017Medi-Cal medicare pays reimbursing

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Why isn Medi-Cal reimbursing the 20 percent after Medicare pays?

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Medi-Cal only pays for Part B services minus what Medicare or any other insurance pays. Medi-Cal reimburses up to our maximum allowable. If Medicare reimburses more than the maximum allowable, Medi-Cal will not reimburse the 20 percent.

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A. Medi-Cal only pays for Part B services minus what Medicare or any other insurance pays. Medi-Cal reimburses up to our maximum allowable. If Medicare reimburses more than the maximum allowable, Medi-Cal will not reimburse the 20 percent.