Medicare and Medicaid are two types of government insurance assistance that were put into place in order to give those that fall into certain categories receive medical care and have basic insurance. Although they are two separate programs, both managed by the Centers for Medicare and Medicaid Services, which is found under U.S. Department of Health and Human Services. Medicare was first brought into action in 1965 to help elderly people and those with certain disabilities receive medical care. In order to be eligible to enroll, you must be 65 years or older, have end stage renal failure, a disability, and you must be a U.S. citizen.
Medicare is provided by the government as a means of offering health insurance to those 65 years and older. If you have a Medicare plan, yours will be one of various plans offered that will cover certain things. Below is basic information on the four main plans and what they cover, so you know what you can expect to get.
Specific groups of people who are not 65 are also eligible for Medicare. Adults under the age of 65 with permanent disabilities are eligible for Medicare after receiving Social Security Disability Income (SSDI) for 2 years. Adults with End-Stage Renal Disease (ESRD) or Lou Gehrig’s (ALS) disease are likewise eligible for Medicare benefits. Coverage
Medicare has gone through many changes through the years since President Johnson signed the programs, including Medicaid into law in 1965. Almost ¾ of the senior population, over 65 were uninsured. Even before that President Truman was eager to start a national health insurance plan, in 1945. In 2003, President GW Bush added a prescription drug plan to Medicare. Even President Teddy Roosevelt proposed a national health insurance plan when he was running in 1912. In 1972, President Nixon signed a bill allowing people with long-term disabilities under the age of 65 and patients with ESRD (End Stage Renal Disease), to be covered. Over the years more services were accepted for Medicare coverage, including hospice and home health. 2010 brought good
Medicare qualifications are for people who are 65 or older and are U.S Citizens or a permeant legal resident; you or your spouse has worked long enough to be eligible for Social Security or railroad retirement benefits, you or your spouse is a government employee or retiree who has not paid into Social Security but has paid Medicare payroll taxes while working. People who are under 65 may qualify if they have been entitled to Social Security disability benefits for at least 24 months, receive a disability pension from the Railroad Retirement Board and meet certain conditions, have Lou Gehrig's disease; which qualifies
Person eligible for Medicare include individuals ages sixty-five and over, those with disabilities, and those with end-stage renal disease (Hammaker, 2011). here are three basic entitlement categories: persons 65 years of age or over who are eligible for retirement under Social Security or the railroad retirement system, persons under 65 years of age who have been entitled for at least 2 years to disability benefits under Social Security or the railroad retirement system, and persons with ESRD who do not otherwise meet the age or disability requirements. The latter two groups together are known as the "under 65" enrollees (Petrie, 1992).
Medicare constitutes a federal health program of the U.S government that is intended to subsidies to individuals who are eligible for the following criteria (Medicare, 2014). Individuals above 65 years with permanent U.S. citizenship or legal residency for five years. Individuals with a disability who has gathered a two year Social Security. Individuals with kidney failure currently receiving dialysis or who requires a kidney transplant. As well as those who are suffering from Lou Gehrig's disease (Medicare, 2014).
The Medicaid program is jointly financed by the federal government and states. The federal government pays states for a specific proportion of program expenses, called the Federal Medical Assistance Percentage (FMAP). FMAP varies by state based upon criteria such as per capita income. There are no intermediary like Medicare’s HMO and PPO, so payments are made directly to providers. Medicaid covers health insurance up to 400% of Federal Poverty Line for those who are under age 65 and poor and/or disabled through income and excise taxes. Elderly over age 65 who are poor are dual eligible for Medicare and Medicaid. There is an employer-based insurance (EBI) and cost share is between employees and employers.
According to Barton (2010) Long-term Care “emphasized continuous care over a period of at least 90 days for a range of acute and chronic conditions. Regardless of the length of time (i.e., from weeks to years), LTC is an array of services provided in a range of settings to people who have lost some capacity for independence because of an injury, a chronic illness, or a condition” (pg. 349). This is the description of someone who may have been in a debilitating car accident, an elderly person with Alzheimer’s and dementia, a person diagnosed with chronic mental illness, and individuals who are developmentally delayed or “disabled.” People who are placed in these type of long-term care facilities are usually screened using two different
The differences between Medicare and Medicaid are that Medicare is a federal program that provides health coverage for people that are sixty five year of age or older. Also, if the person has a severe disability , no matter what your income may be. For example, my mother has Rheumatoid Arthritis and Fibromyalgia, because her Rheumatoid Arthritis is very aggressive she is not able to work so she qualifies for social security therefore qualifying for medicare.
Medicare is a federally governed insurance program, primarily serving Americans over the age of 65, younger disabled meeting specific disability criteria, and dialysis
Medicare and Medicaid are both health programs provided by the government and state. They help with financial need for a person’s health. They may sound similar but is different from one another. Medicare is a public health insurance program for people in the U.S. who are 65 or older. They help cover payments for certain treatments. Medicaid is a health care program ran by the state, funded by federal and state governments. It is based off of financial need. As you can see they both provide aid to the people but in their own way.
Medicaid and Medicare are two different government programs. Both programs were created in 1965 to help older and low-income families be able to buy their own private health insurance. These programs were part of President Lyndon Johnson’s “Great Society” plan, a commitment to helping meet the needs of individual health care. They are social insurance programs, which allow the financial load of patient’s illnesses to be shared by other healthy, sick, wealthy, and lower income individuals and families.
Medicare is a government funded program within the United States that provides health insurance to individuals who are sixty five years and older, regardless of income or medical history, those that have end-stage renal disease, and/or individuals who are under sixty five years old and have disabilities for which they are entitled to Social Security benefits. The Center for Medicare and Medicaid Services (2015), which operates both Medicare and Medicaid, states that Medicare provides coverage for over 55 million
Medicare and Medicaid are two of the United States largest broken systems, which must sustain themselves in order to provide care to their beneficiaries. Both Medicare and Medicaid are funding by a joint effort between the federal government and the local state government. If and when these governments choose to cut funding or reduce spending, Medicare and Medicaid take the biggest hit. Most people see these two benefits as one in the same, two benefits the government takes out of their pay check to help fund health care. While the government does deduct a sum from paychecks everywhere, Medicare and Medicaid are very two very different programs.
One of the biggest differences is Medicaid is a state governed program and Medicare is a federal governed program. Here are some other differences: