Medicaid/Medical care Flashcards
Medicaid Overview
Health care assistance program
Covers medical costs of low- to no-income families and their children
Medicare Overview
Health insurance program
Covers seniors ages 65 and older and disabled individuals who qualify for Social Security
Covers those with endstage renal disease (any age)
How is Medicaid funded?
Jointly funded by both the federal government and states
How is Medicare funded?
Federally funded
Medicaid’s Eligibility Requirements
Strict income requirements related to Federal Poverty Level (FPL)
Medicare’s Eligibility Requirements
Anyone 65 and older can enroll in Medicare, so long as they paid for Medicare / Social Security Funds, regardless of income
People of any age with severe disabilities and endstage renal disease
Medicaid: Services covered
Routine medical and emergency care Family planning Hospice Some substance and smoking cessation programs Limited dental and vision
Medicare: Services covered
Part A: Hospital insurance
Part B: Medical insurance and eligible home health services
Part C (Advantage Plans): Additional benefits: vision, dental and hearing
Part D: prescription drug coverage
Medicaid: Cost to enrollees
Varies by state, with some imposing deductibles. Usually low, but much may depend on what little income the person has.
Medicare: Cost to enrollees
Part A: No cost for those who pay Medicare for 10 years or more, or had a spouse who did
Part B, C, D: Vary in costs