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How Does Medicaid Work With Medicare to Cover My Health Care Costs & What Service Are Available

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Medicaid with medicare is a medical assistance program for the underprivileged and this service currently benefits approximately more than 58 million people in the United States. So we decided to break down how this service can cover your health care costs.

Medicaid with Medicare is a medical services program in which the federal government sets guidelines on who should benefit from it and each of the states runs the various within its territory, with their own variations. This can actually be an advantage because some may be able to be eligible for the service in their state but other states may not have the same rule.

Who Can Benefit From Medicaid With Medicare: On the federal level, a decision was made that anyone that is looking for medical assistance with these services and wants to be covered by Medicaid and medicare, they must be citizens and legal permanent residents who are in one of the following groups:

  • Children six years and under whose family’s income does not exceed 133% in revenue from the federal poverty line
  • Children aged between seven and 19 years old from family’s with incomes below 100% of the poverty line
  • In the case of minors, it is sufficient that they themselves, are US citizens or legal permanent residents, regardless of the immigration status of the parents
  • Parents of children with few resources
  • Pregnant women with family incomes below 133% of the poverty line
  • Very poor elderly (senior citizens)
  • People with disabilities, such as blindness
  • In the case of permanent residents that are older, it is generally the requirement that they have served five years as residents
  • Individual State Requirements

But each state can decide if you will receive any help if you are outside of the requirements, this can be very helpful because it allows you to explain your situation and you may be able to receive the help even if you don’t meet any of the federal requirements.

Raised Minimum Family Income: Thus it is common to raise the minimum family income so that more people receive Medicaid benefits. For example, in the state of New York, you can apply for Medicaid if you are pregnant and your family income does not exceed 200% of the poverty line. As a result of this rule, more women can benefit in the NY state compared to those states that apply the 133% federal rule.

States Cannot Create New Requirements: It is not permissible for states to create new categories for persons who are not eligible for Medicaid with Medicare. Thus, no state can provide these benefits to middle-aged people who are not parents or are pregnant or suffer from any disability, however poor they may be.

What is the Poverty Line: It is an amount set by the Department of Health and Human Services to determine which people have access to various federal programs. The figure for the poverty line is the same for the 48 contiguous states and the District of Columbia, but the amount is superior for Hawaii and Alaska.

Benefits Available For Medicaid With Medicare: Each of the 50 states of the American Union and the District of Columbia must meet the minimum services established by the federal government. But they can also provide extra benefits, if they so choose. Here are some of the benefits that are available to you if you qualify for medicaid with medicare:

  • Care services with a doctor, nurse and midwife
  • Periodic checkups if you are under 21
  • Hospitalization
  • Laboratory tests
  • X-rays
  • Medical care in community clinics and rural areas
  • Family planning and delivery of contraceptives such as birth control
  • Medicine prescriptions
  • Visits to the dentist and eye doctor, as well as full or partial payment of lenses
  • Physiotherapy
  • Mental health consultation
  • Medical care in hospices and at home
  • In some cases a shuttle service is also offered to attend medical appointments, provided upon request
  • Things to Keep in Mind

Medicaid and Medicare are great services by themselves, so using them together can really be great option for many people. So you should keep in mind that there are many options if you don’t initially meet the requirements, you can keep trying and you may be able to eventually receive either one or both of these services.