What’s the difference Between Medicare and Medicaid, what is covered and who all are eligible?

Medicare vs. Medicaid – What’s the difference, what is covered and who all are eligible?

Medicare and Medicaid, though they sound are two different programs. Medicare is an age-based federal health insurance program that provides coverage to individuals aged 65 and above and other people with certain disabilities, while Medicaid is a public assistance program for the needy Americans, irrespective of their age.

Here’s how to tell them apart Medicare It’s an entitlement which is not income-based. Medicare taxes are usually taken out from your monthly paycheck while you are earning, and you become eligible for it at age 65.

It has four parts: Part A: It covers the cost of being in a medical facility.

Part B: Covers fees of doctors, procedures and medical tests. There is a monthly premium for Part B coverage.

Part C: Also known as Medicare Advantage, this alternative to traditional Medicare coverage is provided by private insurance companies.

Part D: Also known as Prescription Drug Coverage, you are required to have it unless you have coverage from another source.

Remember that Medicare isn’t a comprehensive health insurance plan. It doesn’t cover long-term care unless you have a Medicare Advantage or Medigap policy.

Medicaid It’s a public assistance program based primarily on the financial needs of low-income Americans. Both federal and state governments fund Medicaid.

Following groups of people are eligible for Medicaid: Pregnant women: You and your child will be covered, no matter whether you are married or single.

Parent of a minor or a teenager living alone: You can apply for Medicaid if you have a minor child and in need of help. It also covers teenagers living on their own.

Aged, disabled or visually impaired: Disabled and blind people are eligible for Medicaid regardless of their age. If you are above 65 and can’t afford healthcare coverage, you can apply for Medicaid.

No disabilities and no minor child: As per the Affordable Care Act, low-income individuals below the age of 65 with no disability and no minor children are also eligible for Medicaid. You need to check with your state government for more information on this.

Additionally, Medicaid also offers below care benefits that are not provided by Medicare.

Custodial care: It covers eating, bathing, dressing and access to a bathroom, and can be provided at home or a nursing facility.

Nursing home care: Long-term nursing home care is covered under Medicaid but you may have to pay a part of the cost, depending on your income and tax deductions.

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