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My understanding is that Medicare is a program developed by LBJ for medical care for certain senior citizens who have made FICA payroll deductions during their employment. My understanding of Medicaid is that it covers health care for indigents and their dependents, regardless of age. More Detail: Medicare is an insurance program. Bills are paid from trust funds which those covered have paid into. It serves people over 65 primarily, whatever their income; and serves younger disabled people and dialysis patients. Patients pay part of costs through deductibles for hospital and other costs. Small monthly premiums are required for non-hospital coverage. Medicare is a federal program. It is basically the same everywhere in the United States and is run by the Centers for Medicare & Medicaid Services, an agency of the federal government.
Medicaid is an assistance program. Medical bills are paid from federal, state and local tax funds. It serves low-income people of every age. Patients usually pay no part of costs for covered medical expenses. A small co-payment is sometimes required. Medicaid is a federal-state program. It varies from state to state. It is run by state and local governments within federal guidelines.
MEDICARE is US government health insurance that reduces costs for people who are older than 64 or who have disabilities. When a person becomes qualified, MEDICARE notifies him or her.
MEDICAID is a US government program managed by each state separately. It pays for certain health care needs for people with incomes below a certain level. A person has to apply for this to find out if he or she is qualified. In most states, this is handled at the same time that the person applies for "food stamps" or "welfare".
Neither program pays the doctor or the hospital as much as a regular insurance company would pay. Both programs require extra paperwork and long waiting periods before the doctor or hospital gets their money from the government. These are the main reasons that many health professionals will not accept MEDICARE or MEDICAID. It's not that they don't like poor people or older people. They just need to earn enough to cover their expenses and stay in business.
Wiki User
∙ 7y ago
Wiki User
∙ 12y agoMedicare is health insurance for persons over age 65, persons with end state renal disease and persons who receive Social Security disability payments. The individual must have 40 credits of "covered employment" (i.e., calendar quarters during which they paid into Medicare), or be the spouse or dependent of such individual. Medicare is funded by payroll taxes and administered by the Federal government.
Medicaid provides care for indigent citizens under age 18 and their parents, persons over age 65, and those permanently and totally disabled. Medicaid is supervised by the Federal government, administered by the States, and funded by State and Federal taxes. [N.b., as a result of health insurance reform, by 2014 Medicaid will be available to any indigent citizen, regardless of age or disability.]
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What is the difference between Medicare and Medicaid in New York?
The biggest difference is that Medicare is for the elderly (age 65 or older) while Medicaid is for people with a low income (any age).
What is the difference between medicaid and Medicare d?
Medicaid is a program for persons with limited resources. It covers various sorts of medical care including prescriptions. Medicare Part D covers prescription costs only, for persons over age 65. One does not have to be poor to qualify for Medicare Part D.
Is medicare and medicate part of department of health and human services?
Medicare and Medicaid are the responsibility of the Center for Medicare and Medicaid, which is part of DHHS. However, Medicaid is administered by the States.
Are Medicare and Medicaid private insurance groups?
Both Medicare and Medicaid are government insurance programs.
How do you bill secondary Medicaid when Medicare is with an HMO?
You submit an EOB from the Medicare HMO with your Medicaid claim.
If you are over 65 and have Medicare and medicaid is Medicare always primary?
Yes, Medicare is primary. Medicaid is always the payor of last resort.
How does the company deal with patients who also have medicaid and medicare?
Medicaid is the payor of last resort. Therefore, bill Medicare first. Bill Medicaid for any expenses Medicare didn't cover.
What is the difference between Medicaid and pregnant Medicaid?
Medicaid based on pregnancy has eligibility rules that are slightly more generous. There is no difference between the two in terms of medical care.
If you qualify for medicaid will you get back money taken out of medicare before qualification?
You are not required to pay back Medicaid or Medicare.
What does Medicare pay that Medicaid does not pay?
Medicare and Medicaid coverage is virtually identical. The two principal things to remember are: Medicaid is always the payor of last resort (i.e., bill Medicare and/or private insurance first); and, Medicare does not pay for long term custodial care, such as a nursing home (Medicaid does).
Can you get a tubal reversal on Medicare?
I have Medicare and Medicaid can I get a tubal reversal with them.
Can a medicare or Medicaid beneficary join a hmo?
Certainly altho I see no benefit for a Medicaid recipient. The HMO would be the primary insurer and Medicare secondary. Medicaid is always the payor of last resort. However, there shouldn't be any expenses for Medicare or Medicaid to pay.
