Why won’t HIPP pay for tertiary coverage, if the patient is eligible for Medicaid?
AKF will not pay for duplicative tertiary coverage. HIPP’s purpose is to ensure that eligible dialysis patients have a mechanism for paying for their dialysis treatment. Eligibility for Medicaid usually means that patients have a mechanism for paying the Medicare allowable balance due of 20% when Medicare is their primary insurer. In circumstances where this is not the case, AKF will request additional documentation to explain a patient’s individual Medicaid benefits.
