Medicare. Medicaid.
Most of us have heard these programs mentioned before.
But they also are two names that bring a lot of confusion.
Let’s fix that.
Medicare:
Medicare is a federal program. It uses standardized plans that are nationwide, with only a few State exceptions.
Medicare coverage is available to people who are:
– 65 years or older
– Some people under age 65 with qualifying disabilities or particular medical circumstances, such as End-Stage Renal Disease (ESRD)
Medicare is a fee-for-service health care plan where patients pay small monthly premiums and are generally asked to make co-payments, partial payments, and meet deductibles. Medicare is available to anyone who meets the above requirements, regardless of their income.
Medicaid:
Unlike Medicare, which has standardized plans nationwide, Medicaid coverage varies in all 50 States. Medicaid is a joint federal-state program run by local government branches that follow federal policies and guidelines.
Medicaid coverage helps people with:
– Limited income, including children, pregnant women, parents, seniors, and patients with disabilities
Medicaid is known as an assistance service. Patients generally are not asked to pay the costs of covered medical expenses, though patients may pay a small co-payment for some services.
To determine eligibility, individuals will need to check with local Medicaid requirements for their State.
Can You Be Eligible For Medicaid AND Medicare?
Yes! You absolutely can have both and be eligible for both Medicaid and Medicare. People who qualify for Medicaid and Medicare are dually eligible. Since Medicare and Medicaid have differences in cost-sharing and services, dual eligibility can help cover even more costs for the patient.
Final Takeaway At a Glance:
Medicaid and Medicare are both programs used by millions of Americans to help with their medical needs.
– Medicare is the primary government insurance provider for seniors or those who have specific disabilities
– Medicaid is the primary government insurance provider helping low-income individuals and families
– Individuals can be dually eligible and be on both Medicare and Medicaid.