Presenter explains MassHealth interactions and why some providers decline it as secondary

Katie Wadland explained how Medicare and MassHealth interact for dual-eligible beneficiaries: Medicare pays first and MassHealth may cover the remainder of coinsurance or deductibles under Medicare Savings Programs. She said it is illegal for a provider to bill a beneficiary for cost-sharing when MassHealth is the responsible payer, and urged people who receive such bills to contact the provider’s billing department and MassHealth.