Benefits Of Medicare And Medicaid Essay

Adults, 65 years old and older and people with disabilities are eligible for Medicare and Medicaid. Physician services and hospitalizations are covered by medicare. An additional supplemental program may be purchased to cover prescription drugs. Low income families and children may qualify for Medicaid and Children’s Health Insurance Program (CHIP). Medicaid has significantly lower copays and out of pocket expenses compared to private insurance. Unemployed individuals may qualify for Medicaid depending on the state.

Compare and contrast two Medicaid plans from different states. Discuss your opinions regarding each state being able to choose how they administer the Medicaid program for their state. Does this leave some Americans at a disadvantage? Explain.

Compare and contrast Medicare and Medicaid; including funding sources, fraud and/or abuse, and eligibility requirements for recipients

Medicare and Medicaid are programs that have been developed to assist Americans in attainment of quality health care. Both programs were established in 1965 and are federally supported to provide health care coverage to vulnerable populations such as the elderly, the disabled, and people with low incomes. Both Medicare and Medicaid are federally mandated and determine coverage under each program; both are run by the Centers for Medicare & Medicaid Services, a federal agency ("What is Medicare? What is Medicaid?” 2008).

The Medicare and Medicaid federal programs were put in place as a way to help the less fortunate. Individuals with severe disabilities or over the age of 65 qualify for Medicare. This program helps them with health coverage, so the disabled and elderly who have Medicare do not have to worry about their medical bills and not going to the hospital when they are sick. Medicaid is a similar program, however, it only applies to low income families who cannot provide for their children. Similar to Medicare, this program covers any health related problems and takes away the worry and troubles that come with hospital bills.

The purpose of this paper is to give an overview of two federally and/or state funded programs. The programs that will be discussed are Medicare and Medicaid. In this paper will be information about who receives Medicaid/Medicare, the services offered by these programs, and those long term services that are not.

So why isn’t insurance for those sixty-five and older the biggest payer of long-term care? This contradiction to what you would think is a result of the restrictions put on long-term care by both types of insurance. Medicaid only sets the restriction that the person must be over twenty-one, have a medical need (verified by a doctor) for help with their daily living, and the care be given in a Medicaid certified facility. If these requirements are met Medicaid will cover nursing facilities, home health, and some day care facilities. However, each state set their own services so the Medicaid eligible services may be different from state to state (Meedicaid.gov, n.d). Medicare on the other hand does not cover long-term care that helps with the functioning of everyday life. Medicare only covers subacute care weather in your home or a facility. With the requirements being that the facility must be at a Medicare licensed facility, the patient has to be transferred from an acute hospital, the transfer must be prescribed by a doctor, and or the patient must have been released from a hospital stay within the last sixty days (CMS, 2014). Medicaid pays for long-term care users who have difficulty living everyday life, performing everyday activities, and have a lifelong medical disorder needing assistance to function at just about any age. While, Medicare pays for

Medicare is an insurance program. Medical bills are paid from trust funds in which deposited money people covered. It helps mainly people over 65, no matter what their income, younger people with disabilities and dialysis patients. The patients pay part of the costs through deductibles for hospital costs, among others.

The difference between them was that the Medicaid program guarantee some health insurance for the poor and the Medicare program guarantee health insurance for the elderly. Even with

Medicaid and Medicare are two programs that are very different but share the same instance of being federally run programs. Both Medicaid and Medicare were created in 1965 in response to the fact that older and lower income people could not buy private insurance. Medicaid is dispersed individually by each state in which is primary role is to cover low income people who do not have the financial means to purchase healthcare on their own. On the other hand Medicare is paid into by everyone that works a legal job where taxes are deducted. Medicare was created to address the issues of elderly; typically people 65 years or older; having extremely high healthcare bills but limited personal funding. These people will typically pay part of the cost

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 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.

Variability: First, Medicare is more or less the same in every state, but Medicaid rules vary widely state

Medicare and Medicaid are both governmental programs that provide health care services to specific groups of Americans. Although these programs are different, they both are managed by CMS. Medicaid provide health care to individuals with low income and few resources. While, Medicare provide health care to the elderly and certain disabled Americans (MediLexicon International Ltd, 2015).

Medicaid is for low income: pregnant women, children under the age of 19, people 65 and over, people who