What Is Medicare vs Medicaid?

Medicare and Medicaid are the two services rendered by the US government to their citizens. Since Medicaid and Medicare sound similar, people often confuse these terms and definitions. These two services, Medicare and Medicaid, provide different medical coverage to their buyers. Wondering, “What is Medicare vs Medicaid? Let’s find it out!

If we precisely discuss the two terms, Medicare renders its services to individuals aged 65 or above or disabled. The Medicaid program is designed for limited-income individuals who cannot afford medical bills. Furthermore, Medicare is available to those who cannot access specific resources.

Here, we discuss Medicare and Medicaid in-depth and determine their differences.

What Is Medicare vs Medicaid?

Medicare

The Medicare insurance program aims to cover medical expenses for older adults aged 65 or above. Medicare is responsible for all bill payments if one reaches 65 or above.

Moreover, individuals with specific disabilities can also avail of Medicare services. The Medicare program includes four parts, which are as follows:

  • Hospitalization coverage – Part A
  • Medical Insurance – Part B 
  • Medicare Advantage plans – Part C 
  • Prescription drug coverage – Part D 

Hospitalization Coverage (Part A)

Medicare Part A is responsible for the hospital expenses of individuals aged 65 or above. To be eligible for Medicare, you or your partner should have worked and paid the Medicare fees for at least ten years.

Medical Insurance (Part B)

Those eligible for Part A also have authority over Part B services. The Part B services of Medicare include:

  • The doctor’s visit fees.
  • Medical tests.
  • Wheelchair expenses.
  • Outpatient surgeries.
  • Prevention measures, such as tests, screening, and flu shots.

Medicare Advantage Plans (Part C)

The leading private companies provide coverage for Part C services of Medicare. Likewise, Part A and Part B services also benefit from Part C. Part C services include hearing, vision, and dental services to which Medicare gives its coverage.

Coverage of Medical Prescriptions (Part D)

For individuals who have the facility of Part D services of Medicare, Medicare covers the expenses for the prescribed drugs. Also, they must pay the premiums and other payments necessary by Medicare. People with Part A, B, and C would go for Part D only when they are not given medical drug coverage.

Medicaid

Medicaid is an assistance program designed for individuals with limited employment and who cannot afford the heavy hospital bills. This program is eligible for individuals of every age. People don’t have to pay even one cent for the covered medical services. Sometimes, you must make necessary payments, or everything is Medicare’s responsibility. Since Medicare is a federal-state program, so it varies from state to state. The state and the local government manage it. You can prove Medicaid eligibility if your employment is extremely low.

Many people still do not see the difference between Medicare and Medicaid. So, this whole article will steer clear of your confusion.

Bottom Line

To conclude, there are situations where people get a chance and become eligible for Medicare and Medicaid Services. Specific individuals have income streams even at the age of 65 or above, and in that way, they enjoy dual coverage. In double coverage, Medicaid is always a secondary coverage, and Medicare acquires the primary position.

Furthermore, one must prove Medicaid eligibility to get the facility of Medicaid. Only then can he qualify for it.

Reach out Today at NewMedicare.

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Elaine Whitmore
About Elaine Whitmore

Navigating the complex landscape of Medicare plans requires a guide who understands both the national framework and the critical local nuances that affect your coverage. My career is dedicated to providing that clarity, with a deep, actionable expertise in the most sought-after Medicare Advantage plans and state-specific regulations. I have spent years analyzing plan benefits, provider networks, and prescription drug formularies to help individuals, particularly in states like Florida, California, Arizona, and Colorado, find the optimal balance of cost and care. My writing and advisory work focus on translating intricate policy details into clear, actionable guidance, whether you're comparing the best Medicare Advantage plans in Connecticut or understanding the unique options available in Alabama and Arkansas. This specialization ensures I can highlight the critical factors that matter most in your region, from the competitive market in Florida to the specific healthcare networks in Texas. My goal is to empower you with the knowledge to make confident, informed decisions about your healthcare coverage, ensuring your plan aligns perfectly with your medical needs and financial situation. I am committed to being your trusted resource in a field where the right information is the key to security and peace of mind.

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