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The difference between Medicaid and Medicare is that Medicaid is managed by states and is based on income. Medicaid is designed for people with limited income and is often a program of last resort for those without access to other resources. Medicare is managed by the federal government and is mainly based on age 65. President Johnson signed Medicare into law in 1965. But there are special circumstances, like certain disabilities, that may allow younger people to get Medicare.
Who is eligible for both Medicare and Medicaid?
As long as you meet the federal qualifications for Medicare eligibility and the state-specific qualifications for Medicaid eligibility, you will qualify as a dual eligible.
To qualify for Medicare, individuals generally need to be 65 or older or have a qualifying disability and had been on Social Security Disability for two years.
Is Medicare a free?
Most people get Part A for free, but some have to pay a premium for this coverage. To be eligible for premium-free Part A, an individual must be entitled to receive Medicare based on their own earnings or those of a spouse, parent, or child.
How Medicaid works with Medicare?
Who pays first—Medicaid or Medicare? Medicare pays first, and Medicaid pays second. Medicaid never pays first for services covered by Medicare. It only pays after Medicare, and/or Medicare Supplement (Medigap) Insurance have paid.
