How Does Medicare Work When Patient Move To A Different State?



Medicare, the federal government program that provides health insurance for people who are 65 or older and certain younger people with disabilities. Medicare has some standard billing codes for many treatments and services. Medical billing and coding are important facets to the health care industry. Regulatory changes happen frequently based on input and suggestions from payers, physicians.

Parts of Medicare:

The different parts of Medicare help cover specific services:

Medicare Part A (Hospital Insurance)

Part A covers inpatient hospital stays, care in a skilled nursing facility, hospice care, and some home health care.

Medicare Part B (Medical Insurance)

Part B covers certain doctors’ services, outpatient care, medical supplies, and preventive services.

Medicare Part D (Prescription drug coverage)

Helps cover the cost of prescription drugs (including many recommended shots or vaccines).

Moving to New State?

Original Medicare can be used anywhere in the country. That includes all 50 states and several U.S. territories, including:

  • American Samoa

  • Guam

  • Northern Mariana Islands

  • Puerto Rico

  • S. Virgin Islands

You can receive Medicare Part A and Part B benefits irrespective of your state. It means basic your basic inpatient and outpatient care will be paid through the original Medicare program.


Original Medicare pays for much, but not all, of the cost for covered health care services and supplies. A Medicare Supplement Insurance (Medigap) policy can help pay some of the remaining health care costs, like copayments, coinsurance, and deductibles. Some Medigap policies also cover services that Original Medicare doesn’t cover, like medical care when you travel outside the U.S.


Your coverage for Medicare Part A and Part B will not change though you move out of state. Just make sure that the physician you choose after you move participate in the Medicare Program.

Medigap Coverage

As said above that patient need supplement insurance that is Medigap coverage to original Medicare to help cover your share of medical costs.


If patient have Medigap and plan to move out of state then he can keep his policy no matter where he is living, as long as he remains on original Medicare and do not switch to a Medicare Advantage Plan.


If patient decide to change Medigap policy once he moved to a new state, he may have to pay more for the new policy. The cost difference depends on some factors, such as:

  • eligibility for the new policy

  • the plan options chosen

  • the rates in new area of residence

If someone move from one state to another and has original Medicare, benefits will not change. Just need to check for new physician who participate in Medicare. If someone has Medicare Advantage or Medicare Part D plan then he may need to find new plan. This is totally depending on whether your plan is available in new location.


For physicians, billing and coding Medicare and Medicaid is very crucial and complex task, particularly with new medical codes and revised regulatory revisions. Outsourcing medical billing and coding is the best solution to increase practice collection.


Are You Ready to Get Billing?

Want to have an error-free billing and coding expert at your work? You are at the right place, what you need now is a partner who can finish out the rest of the work and make the technology and implementation just as simple. That’s what the best medical billing company like Medisys Data Solutions Inc can do. If you’re ready to get started, schedule a meeting with our medical billing manager from filling out enquiry form from our website.

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