With Medicare, income and assets aren’t considerations in determining eligibility or benefit payments as long as a person is 65 or older or permanently disabled, they qualify. About 1 in 5 people in the United States access health insurance through Medicaid services, according to the Kaiser Family Foundation. Medicaid is a public health insurance program for low-income individuals of any age. While it can be easy to confuse Medicare and Medicaid, they aren’t the same thing. What’s the Difference Between Medicare and Medicaid? There are four parts to the Medicare program: Part A covers hospital services, Part B covers physician services, Part C covers managed care programs (called Medicare Advantage), and Part D covers pharmaceuticals.Įach part has its own rules about what will or won’t be covered and what the out-of-pocket costs are for the beneficiary (the person with Medicare coverage), says Gerard Anderson, PhD, a professor at the Johns Hopkins Bloomberg School of Public Health in Baltimore, who works with policymakers to manage healthcare spending. Keep reading to find out what you need to know, especially if you’re enrolling for the first time or are considering changing plans. Understanding the basics can help you get started making the choices that are best for you. In the simplest terms, Medicare is the federal health insurance program for people ages 65 and older, certain individuals under 65 with disabilities, and anyone of any age with end-stage renal disease (ESRD).īeyond that, the program - and all the options - can get a little complicated.
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