Understanding Medicaid and Its Connection to Medicare

Quick Overview

Medicaid, often intertwined with the world of Medicare, serves as a vital lifeline for many. Dive deep into understanding its fundamentals, its connection to Medicare advantage plans and Original Medicare, and how to leverage it for comprehensive health coverage.

The Basics of Medicaid

Medicaid is a state and federally funded program designed to provide health coverage for people with limited income. While often mistaken for Medicare, Medicaid has distinct eligibility criteria and coverage provisions, primarily based on income and family size.

Medicaid vs. Original Medicare

Original Medicare, comprising Part A Medicare and Part B, is a federal program that primarily covers seniors aged 65 and older, as well as certain younger individuals with disabilities. On the other hand, Medicaid aims to support low-income individuals and families, irrespective of their age. Sometimes, individuals can be eligible for both, referred to as 'dual eligibles'.

Medicaid and Medicare Advantage Plans

Some might wonder how Medicaid relates to Medicare Advantage Plans or Part C Medicare. These are private health plans, like HMOs and PPOs, contracted by the CMS to provide Medicare benefits. Certain Advantage Plans might coordinate with Medicaid benefits for those who are dual eligible, providing comprehensive coverage that caters to a broader range of health needs.

Supplemental Insurance & Medicaid

For those considering Supplemental Insurance or Medigap, it's essential to know that while Medigap works with Original Medicare, it doesn't work with Medicaid. Medicaid, in some situations, can serve as a form of supplemental insurance by covering costs that Medicare doesn't, such as long-term care or certain prescription drugs under Part D Medicare.

Seeking Guidance on Medicaid & Medicare

With the myriad of options, terms like PFFS, POS, HMO, and PPO floating around, it's not uncommon to feel overwhelmed. Seeking help from trusted sources, like Truth Medicare and its partnership with leading private insurance companies, can offer clarity. Whether it's understanding the nuances of Medicare, its supplements, or how Medicaid can provide additional support, expert guidance can make the journey simpler and more informed.