Medicare is our country's health insurance program for people age 65 or
older. Certain people younger than age 65 can qualify for Medicare, too,
including those who have disabilities and those who have permanent
kidney failure or amyotrophic lateral sclerosis (Lou Gehrig's disease).
The program helps with the cost of health care, but it does not cover
all medical expenses or the cost of most long-term care.
Medicare is financed by a portion of the payroll taxes paid by workers
and their employers. It also is financed in part by monthly premiums
deducted from Social Security checks.
* Hospital insurance (Part A) that helps pay for inpatient care in a
hospital or skilled nursing facility
(following a hospital stay), some home health care and hospice care.
* Medical insurance (Part B) that helps pay for doctor's services and
many other medical services and
supplies that are not covered by hospital insurance.
* Medicare Advantage (Part C) plans are available in many areas. People
with Medicare Parts A and B can
choose to receive all of their health care services through one of these
provider organizations under Part C.
* Prescription drug coverage (Part D) that helps pay for medications
doctors prescribe for treatment.
You may think that Medicaid and Medicare are the same. Actually, they
are two different programs. Medicaid is a state-run program that
provides hospital and medical coverage for people with low income and
little or no resources. Each state has its own rules about who is
eligible and what is covered under Medicaid. Some people qualify for
both Medicare and Medicaid. For more information about the Medicaid
program, contact your local medical assistance agency, social services
or welfare office.