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Medicare and Medicaid are two separate programs that provide Americans with access to health insurance through the government. Typically, Medicare provides health insurance to seniors whereas Medicaid targets low income individuals. It is possible to qualify for both programs at the same time.

Who Is Eligible For Medicare And Medicaid?

If you’re wondering who is eligible for Medicare and Medicaid, the answer may vary based on where you live and other factors, including whether you’re retired or disabled. 

For Medicare, it is a federal program with the same eligibility guidelines for everyone, regardless of what state you live in. It is available if you are 65 years or older. Some people who have disabilities and receive social security income may also qualify. 

However, Medicaid is different. It is a program that is administered at a state level, so eligibility for the program depends on the state that you live in. As an income-based program designed for very low income people, your annual or monthly income will need to be less than the amount designated as the maximum allowed by the program. 

What Age Am I Eligible For Medicare?

All Americans are eligible for Medicare when they turn 65 years of age. There are certain instances, such as permanent disability, that enable people who are younger to qualify for the program. This includes end-stage kidney disease and ALS. Other disabilities require you to receive 24 months of Social Security Disability first before qualifying for Medicare.

Different Types of Coverage

There are four types of Medicare Savings Programs. Each offers a different level of coverage. 

Qualified Medicare Beneficiary

This type of coverage means that the government may also cover your premiums, deductibles, and copays. This is the highest level of coverage.

Specified Low-Income Medicare Beneficiary

This type of coverage helps to cover some of the Medicare Part B premiums for low-income individuals enrolled in Medicare Part A.

Qualifying Individual

This program enables your state to pay your Medicare Part B premiums, though you may not be able to also be enrolled in Medicaid.

Qualified Disabled Working Individual

This type of coverage is reserved for disabled people who still work.

If you have questions about your eligibility for any of these programs, it is best to talk with a program representative or with a qualified insurance professional. The programs can change and may vary based on your state.

Eligibility Can Change

Over the course of a person’s lifetime, their eligibility can change. This happens frequently when the Medicaid eligibility threshold is raised or for seniors who have high medical bills and diminishing assets. Just because someone isn’t eligible for both programs initially doesn’t mean that they cannot re-apply later.
The Norgard Insurance Group can help answer any questions you have about Medicare. You can reach our team at (813) 454-5072. For Medicaid, please visit https://www.medicaid.gov/ for more information. In the event that you don’t qualify for either program, we can provide more information about other insurance options available to you.

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