No
The Coordination of Benefits (COB) program gathers, verifies, and maintains the health insurance information of Medicaid-eligible individuals. With this information, Medicaid determines what claims it pays.
Frequently Asked Questions
If you are covered by Nebraska Medicaid and have other health insurance, you must report insurance policy information and any changes to your other insurance such as:
- Termination of insurance
- Changes to coverage type, insurance company, or policyholder
- Lapses in coverage
COB information can be reported by clients, DHHS staff, providers, or the Managed Care Organizations.
- Employer-sponsored health insurance
- Insurance purchased through an insurance company or agent, including Medicare supplements and Medicare Advantage plans indemnity or confinement policies and long-term care policies, etc.
- Student insurance
- Insurance provided by someone who does not live in the same household as the Nebraska Medicaid client
- Insurance that could pay a medical expense for any insured or provider (e.g. AFLAC, United Commercial Travelers, Washington National, etc.)
With questions, please contact:
Long-Term Care Insurance
Long-term care (LTC) insurance covers services like nursing home, assisted living and/or in-home care not usually covered by regular health insurance or Medicare. This coverage is private insurance separate from Medicaid and each policy is unique.
When a Medicaid eligible client has LTC insurance and is eligible to receive payment from their LTC policy or enters an LTC facility; the funds paid by the LTC insurance must be assigned to the State to help cover the clients' LTC services.
Frequently Asked Questions
Medicaid clients must report LTC insurance at the time of application for Medicaid services or at the time of purchase of a new LTC policy. Clients must also report any changes to the policy, like a changed Power of Attorney (POA), change in policy number or policyholder, policy termination or lapses in coverage.
The reimbursement from the long-term care insurance company will be included as income for the Medicaid-eligible client, which in turn may increase their share of cost.
If you have any further questions, please feel free to contact Medicaid using any of the contact information listed below:
Recovery and Cost Avoidance (RCA)