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VA Medicaid and Other Medical Insurance

You may have medical insurance in addition to Virginia Medicaid. If you have other medical insurance, claims are filed first with those insurers. After other insurance companies have paid, the provider sends the claim to Medicaid for any additional payment that may be due.

When Medicaid has paid claims for covered services and it is later found that another payment source was available, Medicaid will try to recover the money from the other source, whether it is commercial insurance, Medicare, Workers' Compensation, or liability insurance (if the claim is for an accident).

Applicants for Medicaid must sign a statement called "Assignment of Rights to Medical Support and Third-Party Payments." If your insurance company pays you after Medicaid has paid the same bill, you must send that money to the Department of Medical Assistance Services (DMAS).

If you drop private health insurance coverage or you enroll in a private health insurance plan, tell your eligibility worker at the local Department of Social Services; otherwise, payment of your bills could be delayed.

If you have a Medicare supplemental policy, you can suspend your policy for up to 24 months while you have Medicaid without penalty from your insurance company. You must notify the insurance company within 90 days of the end of your Medicaid coverage to reinstate your supplemental insurance.

See Also:

VA Medicaid Income Limits

VA Medicaid Resource Limits

Back to:

VA Medicaid Eligibility

VA Medicaid Covered Groups

VA Medicaid Overview

VA Benefit Information System Welcome and Introduction

Source:

Information for this topic was drawn from the Department of Medical Assistance Services (DMAS) Medicaid Handbook.

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