The Difference Between Medicare And Medicaid
Medicare and Medicaid are two government-run health insurance programs in the United States. However, there are some key differences between the two programs, including who is eligible, what services are covered, and how much they cost.
Medicare
Medicare is a federal health insurance program for people aged 65 and older, as well as some people under 65 with certain disabilities or medical conditions. Medicare is funded by payroll taxes paid by workers and their employers, as well as by general tax revenue.
Medicare is divided into four parts:
- Part A covers hospital stays, skilled nursing facility care, and home health care.
- Part B covers doctor visits, outpatient services, and medical equipment.
- Part C (Medicare Advantage) is a private-sector alternative to traditional Medicare. Medicare Advantage plans provide all of the benefits of Part A and Part B, as well as additional benefits such as prescription drug coverage.
- Part D covers prescription drugs.
Medicaid
Medicaid is a joint federal and state health insurance program for low-income individuals and families. Each state sets its own eligibility requirements and benefits, but the federal government provides funding and sets general guidelines that all state Medicaid programs must follow.
Medicaid covers a wide range of health services, including doctor visits, hospital stays, prescription drugs, and long-term care. Medicaid also covers some services that Medicare does not, such as dental care and vision care.
Eligibility
The main difference between Medicare and Medicaid is eligibility. Medicare is available to people aged 65 and older, as well as some people under 65 with certain disabilities or medical conditions. Medicaid is available to people with low incomes and resources.
Benefits
Medicare and Medicaid cover a similar range of health services, but there are some differences. For example, Medicare does not cover long-term care, while Medicaid does. Medicaid also covers some services that Medicare does not, such as dental care and vision care.
Medicare and Medicaid cost structures
Medicare and Medicaid have different cost structures. Medicare beneficiaries typically pay premiums, deductibles, copays, and coinsurance. Medicaid beneficiaries typically do not pay premiums, and their deductibles, copays, and coinsurance are usually very low.
Dually eligible individuals
Some people are eligible for both Medicare and Medicaid. These individuals are known as dually eligible. Dually eligible individuals can benefit from both programs, as Medicare and Medicaid work together to provide them with comprehensive health coverage.
How to apply for Medicare and Medicaid
To apply for Medicare, you can go to the Social Security website or call 1-800-MEDICARE. To apply for Medicaid, you should contact your state Medicaid office.
Medicare and Medicaid are two important health insurance programs
Medicare and Medicaid are two important government-run health insurance programs in the United States. Medicare is available to people aged 65 and older, as well as some people under 65 with certain disabilities or medical conditions. Medicaid is available to people with low incomes and resources.
Medicare and Medicaid cover a similar range of health services, but there are some differences. For example, Medicare does not cover long-term care, while Medicaid does. Medicaid also covers some services that Medicare does not, such as dental care and vision care.
If you are unsure whether you are eligible for Medicare or Medicaid, you can contact your local Social Security office or Medicaid office for assistance.