Medicare and Medicaid are part of the social safety net that keeps elderly Americans healthy and prosperous. Without these entitlement programs, the life expectancy in this country would be significantly worse.
In fact, there are more than 7.2 million low-income seniors that qualify for Medicaid. These same people have dual eligibility for Medicare as well.
Read on to explore the question, can I qualify for both Medicare and Medicaid? Learn more about health insurance for the most vulnerable Americans.
What Is Medicare?
Before we dive into dual-eligibility, let’s start off by defining each program. In order to qualify for Medicare, the requirements are straightforward.
This federal entitlement program is for Americans age 65 or older. It is possible for younger people to be eligible with certain qualifying disabilities. Lastly, Americans with End-Stage Renal Disease (ESRD) also qualify.
There are different parts to the Medicare program. Medicare Part A covers hospital expenses. Most workers pay into Medicare Part A throughout their careers. Typically, there is no premium for Part A as a result.
Medicare Part B is your medical insurance which covers doctor’s visits, preventative and outpatient care, and medical supplies. There is a monthly premium of $148.50 for Part B. A combination of Part A and B covers your in-home nursing care.
Part D covers prescription drugs that include generic and brand-name products. Part C is referred to as Medicare Advantage and is supplemental coverage you can purchase to enhance your insurance.
What Is Medicaid?
Medicaid is administered by state governments. This is unlike Medicare, which is a federal program.
While each state administers its Medicaid program in a different way, they are required to follow federal rules and regulations. The program is funded by both state and federal governments.
The general concept is that Medicaid is designed to provide health insurance for the most vulnerable people. This includes the elderly, low-income adults, children, and more. There are nearly 76 million people covered by Medicaid.
Can I Qualify for Both Medicare and Medicaid?
Millions of people qualify for both entitlement programs. This is a good thing because Medicare does not cover all medical expenses. Medicare enrollees are often left with bills for deductibles, copayments, and coinsurance.
There are two types of Medicaid coverage; partial and full benefits. Medicaid recipients with full benefits are going to see most of their medical bills covered. Those with partial benefits see their Medicare premiums and additional charges covered by Medicaid.
It is important for people to understand that they must apply for each program separately. Medicaid eligibility varies depending on the state that you live in.
The income thresholds for qualifying are different depending on where you live. In order to qualify, you need to provide proof of income, the number of dependents, and any other government assistance that you receive.
Your Guide to Medicare and Medicaid Benefits
If you qualify for both, it is highly recommended to apply. Dual-eligibility is going to ensure the lowest possible cost to your family. Health care that Medicare does not cover is often picked up by Medicaid.
For those asking, “can I qualify for both Medicare and Medicaid,” send us a request for assistance to speak with an expert.
