By Shawn Kelley and Juli Pack
If you find the difference between Medicaid and Medicare confusing, you’re not alone.
Medicare is a federal program administered through Social Security based on what an individual has paid into Medicare Tax. Employers withhold the tax from your gross earnings. An individual becomes eligible for Medicare at age 65 or two years and five months after being found
disabled by Social Security.
Medicare is divided into four different parts: A, B, C & D. Most Medicare recipients choose to enroll in parts A, B and D. Part A covers hospital services and hospice, part B covers doctor visits, medical equipment, home health and outpatient services. Part D is the prescription plan. Some people choose Part C which is similar to an HMO and replaces parts A, B and possibly D.
Medicaid, on the other hand, is a state program administered through the Department of Human Services.In order to qualify for Medicaid, income and resource standards must be met. Medicaid is very similar to an insurance plan; however, in order to be eligible an individual must fall into one of the following categories: age 65 or older, blind, disabled by Social Security standards, be pregnant or be a child 18 or younger. The benefits include doctor visits, prescriptions, hospitalization, outpatient services and more. Some copays may apply.
If you have questions about Medicare or Medicaid, please call Shawn Kelley or Juli Pack at (580) 213-3333.