What is the Difference between Medicare vs Medicaid


Medicaid and Medicare both sound alike but both offer different services. The rules and structure of both Medicaid and Medicare services programs are also different from each other. It is important to understand the difference between the two to enroll in Medicate and Medicare programs.

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Medicaid and Medicare are federal government programs. Both programs serve the nation but both offer different services. The eligibility criteria for both are also different. Medicaid vs. Medicare.


Medicare is a major federal health insurance plan which was made to serve the nation. The Medicare Health Insurance Program was started in 1965 for old Americans. Medicare program was designed to provide health care services to people 65 and older. U.S federal government funded the Medicare program.

Medicare program was further expanded in 1972 for those who were under the age of 65 and suffering from a particular disease. Medicare eligibility criteria in 1972:

  • People with disabilities under the age of 65 who are receiving Social Security.
  • People who are suffering from End-Stage Renal Disease.
  • People who work on the railroad can get Medicare Railroad Retirement Benefits. Their Medicare enrollment will be from RRB (Railroad Retirement Board).

Today, Medicare health insurance is very important in the lives of older Americans because of financial security and health care. The Medicare Health Insurance Program is different from other traditional health insurance programs. Medicare covers all health care situations in different parts.

  • Medicare Part A:

Medicare Part A includes hospitalization services with skilled and professional nurses, as well as it also includes some home visits and hospice care. This part is also called hospital insurance.

  • Medicare Part B:

Medicare Part B includes the services of doctors, medical equipment, and patient care. This part also covers some home health visits, ambulance services, and some prescription drugs. This part is also called medical insurance.

  • Medicare Part C:

Medicare Part C is also named as Medicare Advantage. Medicare part C includes all benefits of Medicare Part A (Hospital Insurance) and B (Medical Insurance) and maybe more benefits. Private insurance companies manage Part C after the contract with Medicare that is why the cost of part C may be different for inpatient and outpatient services from original Medicare. Part C also includes Part D services. In 2018, 20 million Americans enrolled in the Medicare Advantage plan.

  • Medicare Part D:

Medicare Part D offers prescription drugs for outpatients. Part D helps beneficiaries to pay for expensive drugs and also offers financial support for beneficiaries.


Medicaid is the federal and state government program administered by the states. Medicaid is the largest U.S. center for health and medicine funding. According to the report of 2017, Medicaid is providing free health insurance to 75 million low-income Americans.

Medicaid was created to help Americans with very low income and those who could not afford the cost of medicines. Medicaid helps people of all ages to pay for medicines and also provides a free Health Insurance Plan for low income and disabled people.  Medicaid offers more health care services than Medicare. It also offers Medicaid services for children, pregnant women’s, and skilled nurses for home care of old peoples

Medicated is administered by each state and each state’s Medicaid eligibility criteria are also different. . American’s need to understand Medicaid coverage before Medicaid enrollment.

CMS (Centers for Medicare and Medicaid Services) has created specific rules for the Medicaid that follows each state. As each state has different eligibility criteria but each state follows a basic framework of Medicaid.

Medicate services:

  • Inpatient and outpatient hospital services
  • Medicaid home health care services
  • Skilled nurses facility
  • Doctor’s services
  • X-RAY and laboratory services
  • Prescription drugs
  • Physical therapy
  • Family planning services
  • Case management

Dually eligible:

Most Americans are enrolled in both programs also called “dually eligible”. People who participate in Medicare, Medicaid help them to pay Medicare premiums. If you are eligible to enroll in both programs, then you can get the services of both. Medicaid offers more services than Medicare as facilitates skilled nurses for 100 days.

To know more about Medicate and Medicare costs and benefits you can contact Medicate and Medicare Phone Number or medicate helpline 800-335-8957. You can contact 1-800-MEDICARE or visit your nearest Medicaid office.

Related Questions:

  • When did Medicare start and why?

Medicare program was started in July 1965 by President Lyndon Johnson. The purpose of the Medicare program was to help older and disable American’s.  This program also helps with financial security.

  • What is the average monthly cost of a Medicare Advantage plan?

The monthly average premium for Medicare Advantage Plan is 36 dollars. Some monthly premium plans cost can be 0 dollars and some Medicare advantage premium plans cost can be more than 100 dollars per month.

Some Medicare advantage premium plans are free but some Medicare advantage premium plans cost much more than average.

  • What is CHIP?

In 1997, families that could not afford to pay for the care of their children’s health and those who were also not eligible for Medicaid. They can apply for CHIP (Children Health Insurance Program) for their children.

CHIP helps families to afford the health care cost of their children’s. Each state manages its own CHIP program. It offers affordable insurance plans for children’s and in some states; it even offers insurance plans to pregnant women.

  • What are the income eligibility criteria for Medicaid?

According to the report of 2020, Americans with a monthly income is less than $2,349. Age does not matter in the Medicaid plan. For married couples, the income of both will count individually.

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