Medicare vs. Medicaid: The Difference

​Although both Medicare and Medicaid are forms of medical insurance, there are significant distinctions between the two in terms of qualifications and coverage that should be understood. Most notably, Medicare is restricted to people over 65, while Medicaid is limited to low-income households.

Know the Differences
When compared to other health insurance options, Medicaid provides higher coverage overall. Medicaid covers oral and eye care for adults in several states. All hospital stays, doctor appointments, and both Medicaid and Medicare pay for original Medicare premiums. 

Medicare: What Is It?
Insurance is what Medicare is all about. It is expected that those who have contributed to the trust fund would foot the bill for any necessary medical care. All income levels are accommodated. However, the program's primary beneficiaries are those 65 and older.

Patients often contribute to healthcare expenses through premiums. Non-hospital coverage is available for a nominal monthly cost. A person's financial situation does not determine Medicare coverage.

Medicaid: What Is It?
When you qualify for Medicaid, you receive financial aid. All age groups of low-income people can benefit from its services. Patients often have to pay nothing out of pocket for insured medical care. Occasionally, a little copayment is needed. The Medicaid system is a joint federal-state initiative. It's different in some states.

Medicare and Medicaid Coverage
Medicare and Medicaid recipients might overlap in several cases. Being "dually qualified" is a term used in the healthcare industry. People in this situation usually have both Original Medicare and Medicaid coverage through Medicare Advantage Programs like:

• Program for Medicare Beneficiaries Who Are Eligible
• Program for Medicare Beneficiaries With Low Incomes
• Program for Eligible Disabled Employees

Extra assistance for Medicare costs, including premiums, procedures, and participation, would be provided by all of these programs.

Acquire Medical Insurance Now
A state may elect to provide coverage for pharmaceutical medication insurance, ophthalmology services, eyeglasses, healthcare transportation, physiotherapy, medical implants, oral treatments, and much more.

At Arnold, Bruce & Doerfler Insurance, we put our clients first by offering them policies that they can afford. Having insurance is a necessity nowadays and we're here to help you out. Learn more about our products and services by calling our agency at (503) 222-1951. You can also request a free quote by CLICKING HERE. Topics and coverage discussed in this article are not guaranteed, consult with your agents to determine what your policy does and does not cover. We are more than happy to help!