Key Differences Between Medicare and Medicaid

Many people often get confused what the two programs entail because their names are so similar.  Although both programs provide health coverage, the two are very different. 

Medicare is a federal program that is offered to everyone 65 and over who is entitled to receive Social Security or people of any age with a permanent disability.  The four part program includes: hospitalization coverage, medical insurance, privately purchased supplemental insurance, and prescription drug coverage.

Medicaid on the other hand, is a joint state-federal public assistance program that helps individuals with limited income and assets pay for medical costs and long-term custodial care.  To be eligible for Medicaid, you must meet the program’s income and asset guidelines.  Each state has its own Medicaid program and therefore, these guidelines differ depending where you live.

Just because you are part of one program does not mean you cannot take part in the other.  People named “dual eligibles” are Medicare beneficiaries who have limited income and resources.  In this instance, qualified people receive resources to help pay their out-of-pocket medical expenses by their state Medicaid program.

One difference to remember is that Medicare does not cover long term care and Medicaid does.

If you would like to speak with an experienced elder law attorney regarding your situation or have questions about something you have read, please do not hesitate to contact our office at 1 (800) 680-1717. We look forward to the opportunity to work with you.

Disclaimer: The information provided above is for general informational purposes only and is not legal advice.