medicaid and medicare: do you know the difference
TRANSCRIPT
7616 LBJ Freeway #120, Dallas, TX 75251Phone: (972) 386-4560
MEDICAID AND MEDICARE
Do You Know the Difference?
7616 LBJ Freeway #120, Dallas, TX 75251Phone: (972) 386-4560
MEDICAID AND MEDICARE
7616 LBJ Freeway #120, Dallas, TX 75251Phone: (972) 386-4560
Medicaid and Medicare are two government healthcare assistance programs that are commonly confused with one another.
7616 LBJ Freeway #120, Dallas, TX 75251Phone: (972) 386-4560
Medicaid and Medicare are two government healthcare assistance
programs that are commonly confused with one another. Both were created as part of the Social
Security Act.
7616 LBJ Freeway #120, Dallas, TX 75251Phone: (972) 386-4560
They are alike in many ways, but the benefits they offer and the
eligibility requirements for each are different. Here's what you need to know about these two beneficial
programs and their requirements.
7616 LBJ Freeway #120, Dallas, TX 75251Phone: (972) 386-4560
WHAT IS MEDICAID?
7616 LBJ Freeway #120, Dallas, TX 75251Phone: (972) 386-4560
Medicaid is a government healthcare assistance program that is made available to low income
individuals, regardless of age or disability.
7616 LBJ Freeway #120, Dallas, TX 75251Phone: (972) 386-4560
Patients with Medicaid normally pay a small co-pay, if anything at all. Through this program, health
care expenses are paid with federal, state and local tax funds.
7616 LBJ Freeway #120, Dallas, TX 75251Phone: (972) 386-4560
Since Medicaid is administered by each state, the eligibility
requirements and available benefits may be different from one state to
the next.
7616 LBJ Freeway #120, Dallas, TX 75251Phone: (972) 386-4560
GENERAL ELIGIBILITY REQUIREMENTS FOR MEDICAID
7616 LBJ Freeway #120, Dallas, TX 75251Phone: (972) 386-4560
The Affordable Care Act of 2010 established a national Medicaid minimum eligibility level of
133% of the federal poverty level.
7616 LBJ Freeway #120, Dallas, TX 75251Phone: (972) 386-4560
In 2016, that would be $ 15,654 for an individual or $32,252 for a
family of four.
7616 LBJ Freeway #120, Dallas, TX 75251Phone: (972) 386-4560
In addition to the financial criteria, eligible individuals need to satisfy
federal and state requirements regarding residency, immigration
status, or U.S. citizenship.
7616 LBJ Freeway #120, Dallas, TX 75251Phone: (972) 386-4560
MINIMUM BENEFITS PROVIDED BY MEDICAID
7616 LBJ Freeway #120, Dallas, TX 75251Phone: (972) 386-4560
7616 LBJ Freeway #120, Dallas, TX 75251Phone: (972) 386-4560
Although Medicaid is state-run, there are basic benefits that the federal government
requires each state to provide.
7616 LBJ Freeway #120, Dallas, TX 75251Phone: (972) 386-4560
Here are some examples of required benefits:
7616 LBJ Freeway #120, Dallas, TX 75251Phone: (972) 386-4560
Here are some examples of required benefits:
7616 LBJ Freeway #120, Dallas, TX 75251Phone: (972) 386-4560
Here are some examples of required benefits:
7616 LBJ Freeway #120, Dallas, TX 75251Phone: (972) 386-4560
MINIMUM BENEFITS PROVIDED BY MEDICAID
7616 LBJ Freeway #120, Dallas, TX 75251Phone: (972) 386-4560
7616 LBJ Freeway #120, Dallas, TX 75251Phone: (972) 386-4560
7616 LBJ Freeway #120, Dallas, TX 75251Phone: (972) 386-4560
HOW IS MEDICAID DIFFERENT FROM MEDICARE?
7616 LBJ Freeway #120, Dallas, TX 75251Phone: (972) 386-4560
Medicare is more of a health insurance program.
7616 LBJ Freeway #120, Dallas, TX 75251Phone: (972) 386-4560
Here are some examples of required benefits:
7616 LBJ Freeway #120, Dallas, TX 75251Phone: (972) 386-4560
Patients who receive Medicare pay only portion of their medical care
costs through deductibles and monthly premiums.
7616 LBJ Freeway #120, Dallas, TX 75251Phone: (972) 386-4560
Medicare benefits are generally provided by private companies who have contracts with the government
to provide care. Since Medicare is federally-run, the requirements for
coverage are more uniform.
7616 LBJ Freeway #120, Dallas, TX 75251Phone: (972) 386-4560
WHAT ARE THE ELIGIBILITY REQUIREMENTS FOR MEDICARE
COVERAGE?
7616 LBJ Freeway #120, Dallas, TX 75251Phone: (972) 386-4560
In order to receive Medicare coverage, either you or your spouse must have worked
at a Medicare-covered job for at least 10 years.
7616 LBJ Freeway #120, Dallas, TX 75251Phone: (972) 386-4560
You can qualify for Medicare based on your spouse's work record if he or she is at least age 62 and you are
at least age 65.
7616 LBJ Freeway #120, Dallas, TX 75251Phone: (972) 386-4560
That includes a divorced or deceased spouse. Medicare coverage
also requires United States citizenship or permanent residency.
7616 LBJ Freeway #120, Dallas, TX 75251Phone: (972) 386-4560
FOUR AVAILABLE MEDICARE PLANS
7616 LBJ Freeway #120, Dallas, TX 75251Phone: (972) 386-4560
Medicare benefits plans are divided into four “Parts,” each designed to provide a
different type of service.
7616 LBJ Freeway #120, Dallas, TX 75251Phone: (972) 386-4560
Medicare Part A provides hospital coverage.
Medicare Part B provides other
medical coverage.
7616 LBJ Freeway #120, Dallas, TX 75251Phone: (972) 386-4560
Medicare Part C includes “Medicare Advantage Plans” and
Medicare Part D is prescription
drug coverage.
7616 LBJ Freeway #120, Dallas, TX 75251Phone: (972) 386-4560
Consult with an attorney to determine which program(s) to
enroll in depending on your needs.
7616 LBJ Freeway #120, Dallas, TX 75251Phone: (972) 386-4560
Even with Medicare Parts A, B, C, and D, you may still have gaps in your overall healthcare coverage.
If so, you can enroll in the Medicare Supplement Insurance Plan, known
as a “Medigap” policy.
7616 LBJ Freeway #120, Dallas, TX 75251Phone: (972) 386-4560
MEDICARE PART A AND PART B
7616 LBJ Freeway #120, Dallas, TX 75251Phone: (972) 386-4560
7616 LBJ Freeway #120, Dallas, TX 75251Phone: (972) 386-4560
7616 LBJ Freeway #120, Dallas, TX 75251Phone: (972) 386-4560
CONTACT US!
7616 LBJ Freeway #120, Dallas, TX 75251Phone: (972) 386-4560
If you have questions regarding Medicaid, or any other elder law
needs, please contact The Vermillion Law Firm, LLC for a
consultation either online.
7616 LBJ Freeway #120, Dallas, TX 75251Phone: (972) 386-4560
LEARN MORE ABOUT MEDICAID AND MEDICARE IN TEXAS
7616 LBJ Freeway #120, Dallas, TX 75251Phone: (972) 386-4560
(972)386-4560 www.VermillionLawFirm.com
The Vermillion Law Firm, LLC