Medicare Primary, Medicaid Secondary Tools > Insurance Verification Type > Medicare Primary, Medicaid Secondary "*" indicates required fields Today's Date* MM slash DD slash YYYY Patient Name* First Last HiddenPhone*HiddenEmail* Clinic*Choose a ClinicBalanced Living ChiropracticCoulee HealthErickson ChiropracticHendricks ChiropracticHome Team ChiropracticHonchel ChiropracticKaizen ChiropracticModern Spine Health (Richard Wilson)Nemitz ChiropracticRestore Spine and Wellness (Mequon)Revive ChiropracticTruhlsen ChiropracticTruhlsen Chiropractic-HendricksWeber ChiropracticWW AppletonWW BeavertonWW BismarckWW BloomingtonWW Burr RidgeWW Eau ClaireWW FitchburgWW Flathead ValleyWW Fort MillWW Grand RapidsWW Grass ValleyWW Green BayWW JacksonvilleWW LargoWW Lake MaryWW LouisvilleWW MariettaWW North PhoenixWW PensacolaWW RaleighWW South JordanWW SpringWW SteubenvilleWW St CloudWW St PetersWW WaukeshaWW Wesley ChapelWW Woodbury (Empower Health)StateChoose OneWisconsinMinnesotaMichiganImportant Information Medicare Deductible - If any Medicare deductible is left to meet for the year, Medicaid will cover it for spinal manipulations. Co-pay for spinal manipulation - Zero. Exams/re-exams - Medicaid will cover exams on the first visit of diagnosis. No copay. X-rays - Medicaid will cover up to 3 x-rays on the first visit of diagnosis. No copay. Therapies - Not covered by Medicare or Medicaid. Patient responsibility. Chiropractic Maximum - 20 visits per diagnosis with Medicaid. A new diagnosis can be done after 20 visits if more care is needed. When a new diagnosis is done, an exam and x-rays can be charged if they are performed on that initial visit of diagnosis. To note: No chiropractic maximum per year with Medicare, but has to be medically necessary. Medicare can do a records review if care goes on too long. Pre-authorization - Not required. Important Information Medicare Deductible - If any Medicare deductible is left to meet for the year, Medicaid will cover it for spinal manipulations. Co-pay for spinal manipulation - Zero. Exams/re-exams - Medicaid will cover 1 exam per year. It has to be on the first visit of diagnosis. X-rays - Medicaid will cover up 1 x-ray per year. It has to be on the first visit of diagnosis. Therapies - Not covered by Medicare or Medicaid. Patient responsibility. Chiropractic Maximum - 24 visits per year with Medicaid (no more than 6 visits per month). To note: No chiropractic maximum per year with Medicare, but has to be medically necessary. Medicare can do a records review if care goes on too long. Pre-authorization - Not required. Important Information Medicare Deductible - If any Medicare deductible is left to meet for the year, Medicaid will cover it for spinal manipulations. Co-pay for spinal manipulation - Zero. Exams/re-exams - Medicaid does not cover exams. We cannot charge patient for exams if they have Medicaid. X-rays - Medicaid will cover up 1 x-ray per year. It has to be on the first visit of diagnosis. Therapies - Not covered by Medicare or Medicaid. Patient responsibility. Chiropractic Maximum - 18 visits per year with Medicaid. To note: No chiropractic maximum per year with Medicare, but has to be medically necessary. Medicare can do a records review if care goes on too long. Pre-authorization - Not required. Additional CommentsDisclaimer When we call on a patient's insurance and verify benefits, it is not a guarantee of payment by the insurance company and may vary according to the patient's individual plan when the actual claim is submitted. Payment of benefits are subject to all terms, conditions, limitations, and exclusions of the member's contract at time of service. The patient responsibility amount provided is an estimate of cost. The patient must understand that their health insurance company may deny payment for the services received. The patient must understand that it is ultimately the patient's responsibility to contact their insurance if they want to know exact chiropractic benefits.Need help understanding this document? Watch this short video on Medicare Primary, Medicaid Secondary! Δ
