Frequently Asked Questions

Other Insurance

Many people on Medicaid also have other insurance.  Here are some questions people often ask. Click on the questions to see the answers:

Yes. Medicaid eligibility is based on income and other factors. You are required to tell us if you have other insurance. If you have other insurance, it, in most cases, must pay first. Medicaid pays after any other insurance has paid.
You will need to contact Medicaid's Third Party Division to update your information. You can do this by phone or email. For details, go to Medicaid's website and click on the "Recipients" tab. Click on "Update Health Insurance Information" at the bottom of the drop down menu. Look for the phone number that handles the letter of the alphabet that starts your last name for the correct number to call.
Yes. Alabama Medicaid has several programs for people who also have Medicare coverage: The Qualified Medicare Beneficiary (QMB) program, the Specified Low-Income Medicare Beneficiary (SLMB) program, the Qualifying Individual (QI-1) program, and one for “dual eligibles” with full Medicaid coverage. The services you get depend on how much income you have. These programs pay Medicare premiums, and in some cases, Medicare deductibles and co-insurance. People called “dual eligibles” receive full coverage under both programs. For details, go to Medicaid's website and click on the “Apply for Medicaid” tab. Click on “Help Paying Medicare Premiums” in the drop down menu, under “Qualifying for Medicaid.”
If a recipient has other insurance, the recipient must go to a provider who accepts that insurance or they maybe responsible for payment..
Once the Third Party Insurance matter has been resolved, the recipient should ask the pharmacy to resubmit the claim to Medicaid so that the recipient can be reimbursed by the pharmacy.
Yes, it is a possibility that the child has been insured by the biological father. Federal law does not permit us to remove these active policies from our database. The mother, as the custodial parent, may be provided with a telephone number for the insurance company so that she can request a card for the child if she is unable to obtain one from the father.
Yes. We do add cancer policies when there is a provision in the policy to assign benefits to providers.
You will need to contact Medicaid's Third Party Division to update your health insurance information. You can do this by phone or email. For details, go to Medicaid's website and click on the "Recipients" tab. Click on "Update Health Insurance Information" at the bottom of the drop down menu. Look for the phone number that handles the letter of the alphabet that your last name starts with to add or delete other insurance from your Medicaid file.
You will need to contact Medicaid's Third Party Division to update your information. You can do this by phone or email. For details, go to Medicaid's website and click on the "Recipients" tab. Click on "Update Health Insurance Information" at the bottom of the drop down menu. Look for the phone number that handles the letter of the alphabet that starts your last name for the correct number to call.