Medicare dual eligible
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2008-04-06T18:32:57Z
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Add references section and/or general fixes.
'''Medicare dual eligibles''', in the [[Medicare (United States)|Medicare]] system of the [[United States]], are Medicare Part A and/or B recipients who either [1] qualify for a [[Medicare Savings Program]]s (MSP) ''or'' [2] qualify for [[Medicaid]] benefits. Dual eligibles generally qualify for the QMB benefits, in which the beneficiary's non-Medicare coverage is covered by Medicaid, effectively providing full health care coverage. With the advent of the [[Medicare Prescription Drug, Improvement, and Modernization Act]] of 2003, these dual eligibles have automatically been enrolled to a random [[Medicare Part D]] plan, effective January 1 of 2006. As a result of this auto assignment, participants who were already enrolled in a [[Medicare Advantage]] [[HMO]], may have been automatically disenrolled from their medical plan to allow for part D enrollment. Medicaid will still cover drugs for dual-eligible patients that are not covered by Medicare Part D, including certain controlled substances. Pharmacies know by automation who these patients are. Individuals that qualify for dual eligibility will be paid first by Medicare and the remainder will be paid by Medicaid. <ref>[http://www.cms.hhs.gov/DualEligible/ Overview<!-- Bot generated title -->]</ref>
==References==
<references />
==External links==
* [http://www.medicare.gov/Glossary/search.asp?SelectAlphabet=D&Language=English#Content Dual eligibles] entry on Medicare.gov glossary of terms page
* [http://www.medicare.gov/Publications/Pubs/pdf/10050.pdf Medicare & You handbook] (PDF) on Medicare.gov — see pages '''49''' (59 of 104) and '''58''' (68 of 104) for more complete information
* [http://www.cms.hhs.gov/DualEligible/#jump_content Medicare / Medicaid Dual Eligibles] information from cms.hhs.gov
* [http://www.cms.hhs.gov/PrescriptionDrugCovGenIn/Downloads/WhatIfOnePager.pdf Dual Eligible FAQ] for claims processing by pharmacist (PDF) from cms.hhs.gov
[[Category:Medicare and Medicaid (United States)|Dual eligible]]
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