Medicare/Medicaid Benefits

Medicare
Medicare is a national health insurance program for people age 65 or older, individuals with disabilities who are under 65 and collecting Social Security Disability Income (SSDI), and people who have End Stage Renal Disease (ESRD).  Medicare is managed by the Center for Medicare and Medicaid Services but the Social Security Administration manages the enrollment into the Medicare system.

Traditional Medicare: Part A & Part B
There are two parts to Traditional Medicare, Part A which is hospital insurance, and Part B which is medical insurance.  Part A is free for most people.  Part B has a monthly premium that adjusts each year.  This monthly premium can be deducted from a Social Security Retirement or Social Security Disability Income check, or individuals can choose to self-pay monthly premiums in 3-month installments.

Enrollment into Medicare Part A and Part B is automatic for some individuals.  However, there are circumstances when individuals may choose to defer Medicare or enroll in Medicare on their own.  For additional information on Medicare enrollment and on Part A and Part B Medicare, visit the Medicare website.

Part D - Prescription Drug Coverage
Everyone needs to make a decision about prescription drug coverage. This coverage is offered through private insurance plans that contract with Medicare. Visit the Medicare website for information on Part D Prescription Drug coverage.

Part C - Medicare Advantage Plans
Medicare Advantage Plans, sometimes called Part C, are plans offered by private companies and approved by Medicare to cover Medicare Part A and Part B benefits. They may include prescription drug coverage. Visit the Medicare website for more information on Medicare Advantage plans.

Medicaid
Medicaid is a state-run program designed primarily to help those with low income and little to no resources. While the federal government helps to pay for Medicaid, each state has its own rules on eligibility and what is covered under Medicaid. Visit the Medicaid website for more information on eligibility.

Medicare Savings Programs
Medicare beneficiaries who have low income and limited resources may receive help paying for their out-of-pocket medical expenses from their state Medicaid program. There are various benefits available to individuals who are entitled to Medicare and are also eligible for some type of Medicaid benefit. It is important to know the difference between Medicare and Medicaid and what each will and will not pay for. For more information on these programs and to find out if you are eligible for assistance, visit www.Medicare.gov or www.Medicaid.gov.