Medicaid planning is used to prepare for or deal with the end of Medicare benefits. The
information provided below will help you determine when or if your Medicare benefits will end and when you may need to look
into the need for Medicaid coverage to help pay for the high cost of long term care.
***Note: When a person is recieving Medicaid benefits, they continue to be covered by Medicare - however, Medicaid
becomes "secondary" health insurance.
is the health insurance program administered by the federal government. It permits you to see any doctor who will
accept you as a patient. It provides hospital and medical insurance for:
- People 65 years
- Disabled individuals (24 consecutive months)
- People with End-Stage Renal Disease (ESRD)
of eligible workers, certain divorced persons, widows and widowers, and dependents
Medicare consists of two parts:
- Part A - hospital insurance
- helps pay for inpatient hospital, skilled nursing facility rehabilitation care and some home health care.
- Part B - medical insurance - covers physician services, outpatient
hospital care, durable medical equipment, ambulance service and lab tests.
A and Part B have deductibles and coinsurance (see below)
is automatic if you are collecting Social Security retirement benefits. Part A is free if you have worked at least 10
years (40 quarters of Medicare-covered employment). Part B has a monthly premium.
If you have not worked at least 10 years, you may be eligible to buy Part A coverage: In 2016, for people having
30-39 quarters of Medicare-covered employment, the monthly premium is $226. For people having less than 30 quarters of Medicare-covered
employment, the monthly premium is $411.
Part A - Medicare and Inpatient
costs 2017 (Acute hospital care; limited coverage for skilled nursing home, hospice and home care.
No private duty nursing, no TV and no telephone; private room only if medically necessary)