| Medicare | Medicaid | |
|---|---|---|
| Eligibility | Age 65 or older, younger people with disabilities | Based on income and asset requirements |
| or certain medical conditions | ||
| Coverage | Hospital insurance (Part A), medical insurance (Part | Varies by state, but typically includes hospital |
| B), Medicare Advantage plans (Part C), prescription | services, doctor visits, prescription drugs, | |
| drug coverage (Part D) | long-term care, and more | |
| Cost | Monthly premiums, deductibles, copays | Varies by state and individual circumstances, |
| may include premiums, copays, and deductibles | ||
| Funding | Funded by payroll taxes, premiums, and government | Funded jointly by federal and state governments, |
| subsidies | with some funding coming from taxes and other sources | |
| Administration | Administered by the federal government | Administered by state governments, following |
| federal guidelines and regulations | ||
| Scope | Nationwide coverage | Varies by state, with different eligibility criteria |
Note that this chart is just a brief overview, and there may be additional details or variations in coverage depending on individual circumstances and the state in which you live. It’s always a good idea to consult with a healthcare provider or insurance specialist for more specific information.
Who is eligible for both medicare and medicaid?
There are some individuals who are eligible for both Medicare and Medicaid, and they are known as “dual-eligible” beneficiaries. Dual-eligibles are typically people who are elderly or have disabilities, and who also have low incomes and limited assets.
In general, to be eligible for Medicare, you must be aged 65 or older, or have certain disabilities or medical conditions. To be eligible for Medicaid, you must meet certain income and asset requirements, which vary by state. Some states have expanded Medicaid eligibility under the Affordable Care Act (ACA) to cover more low-income individuals and families.
Dual-eligible beneficiaries may receive a range of benefits from both programs, including hospital and medical coverage, prescription drug coverage, and long-term care services. In some cases, Medicaid may help pay for Medicare premiums and cost-sharing, such as deductibles and copays, for dual-eligible beneficiaries.
It’s worth noting that eligibility and benefits for dual-eligible beneficiaries can be complex, and may vary depending on individual circumstances and the state in which you live. If you think you may be eligible for both Medicare and Medicaid, or if you have questions about your coverage, it’s a good idea to speak with a healthcare provider or insurance specialist who can help guide you through the process.