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Medicaid is a program that provides medical assistance to needy persons. It is not a program directed primarily to the elderly, but rather to the poor. It depends on financial need, low income and low assets. Medicaid is a state administered program and each state sets its own guidelines regarding eligibility and services.
Medicaid is not available to seniors under 65 unless they are blind or disabled.
If someone over 65 lives with an adult child, the child's income and assets do not count in determining eligibility. Only the seniors income assets are counted.
Remember, Medicaid helps needy people pay for medical care. In determining your eligibility for Medicaid they do not look at how much your rent, car payments or food costs. They only look at medical expenses.
Medical expenses include:
At the present time, there are TWO ways to receive Medicaid:
Spend-down is similar to a deductible or co-pay amount you must pay before you can receive Medicaid. You must meet the spend-down every month. Once you meet your spend-down you are eligible for Medicaid for the remainder of the month.
To qualify for Medicaid a person must pass FOUR eligibility tests:
Medicare is health insurance for the following:
People age 65 or older, people under age 65 with certain disabilities; people of any age with End-Stage Renal Disease (ESRD) (permanent kidney failure requiring dialysis or a kidney transplant).
The Different Parts of Medicare: The different parts of Mediare help cover specific services. Medicare has the following parts:
Medicare Part A (Hospital Insurance)
Medicare Part B (Medical Insurance)
Medicare Part C (Medicare Advantage Plans) (like and HMO or PPO)
Medicare Part D (Medicare Prescription Drug Coverage)
Medicare is the federally administered health insurance program for people sixty-five years of age and older, certain disabled people under sixty-five years of age, and people with end-stage renal disease. Medicare is divided into four parts, known simply as Part A, Part B, Part C and Part D. The benefits associated with Part A are free and automatic once an individual turns sixty-five. Part B is an add-on that requires a monthly premium. Below are the benefits associated with each plan.
Part A - Hospital Insurance
Part B - Medical Insurance
Part C - Medicare Advantage
Part D - Prescription Drug Coverage
Eligibility and Qualifications
Medicare is provided when Social Security benefits begin, unless the individual is under sixty-five years of age and disabled or has end-stage renal disease, in which case it is provided at that time. Individuals who are entitled to Part A and enrolled in Part B are eligible to switch to Part C.