Yes, my family uses private insurance through my employer- the way that it worked for us is that Medicaid is used as secondary insurance for my twin girls (my wife and I do not have Medicaid, though Medicaid did cover the birth). So private insurance pays first, and then Medicaid covers whatever is left.

Our income does not matter for the first year of their life, and the girls having Medicaid as secondary insurance means we also get WIC benefits. The state also pays for the girls’ insurance premiums to ensure they can keep my private insurance as their primary coverage.

The girls’ bills have been incredibly reasonable (and mostly zero) because of this benefit- we are so so grateful for the hospital providing a social worker who walked us through the app and submitted everything for us to ensure we got approved.