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Medicare and Medicaid are government-run well being care applications meant to serve totally different populations:

Medicare is an insurance coverage program that primarily serves folks 65 and older, no matter earnings.
Medicaid is an help program that gives medical health insurance to low-income folks of all ages.

Some folks get each Medicare and Medicaid. Medicaid will help pay Medicare premiums, deductibles and copays for impoverished folks. Medicaid additionally will pay for nursing house and different long-term care, bills that aren’t sometimes coated by Medicare.


Key issues to find out about Medicare:

Medicare protection isn’t based mostly on earnings

You’re eligible when you flip 65, so long as you’re a U.S. citizen or authorized everlasting resident. Medicare additionally covers youthful folks with disabilities and sure ailments, together with finish stage renal illness (kidney failure) and Lou Gehrig’s illness or amyotrophic lateral sclerosis (ALS). Folks with larger incomes pay bigger premiums for sure components of Medicare, however eligibility isn’t restricted by earnings.

Medicare isn’t free

Individuals who have labored 40 qualifying quarters (10 years), and their spouses or qualifying ex-spouses, pay no premiums for Medicare Half A, which covers hospitalization. However Medicare recipients sometimes do have out-of-pocket prices, together with deductibles and copays. Medicare Half B, which covers physician’s visits, and Half D, which covers prescriptions, additionally require paying premiums.

Medicare is a federal program

What’s coated and what folks pay is mostly the identical in each state.

Medicare often doesn’t cowl dependents

The partner or ex-spouse of somebody who’s eligible for protection may also be coated by Medicare. However different dependents, together with kids, often aren’t coated. There are exceptions: Folks, together with kids, with end-stage renal illness or Lou Gehrig’s illness could qualify by way of the work historical past of a partner or guardian.


Key issues to find out about Medicaid:

Medicaid protection relies on earnings

Medicaid is on the market in each state to these with incomes beneath the poverty line. Underneath the Inexpensive Care Act, most states have expanded Medicare eligibility to folks with incomes as much as 138% of the federal poverty line.

Medicaid is often free

Some folks could should pay small copays. Medicaid can even make a declare in opposition to folks’s belongings after they die, however most individuals receiving Medicaid have few or no belongings.

Medicaid is a state and federal program

The federal authorities makes the rules, however this system is run by states so eligibility necessities fluctuate.

Medicaid covers dependents

Medicaid and the associated Youngsters’s Well being Insurance coverage Program present medical health insurance to greater than 35 million kids.


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