Medicare is a federal health plan that is usually offered to people sixty-five or older who live in the United States, or who are permanent legal residents of the state. They must also have twenty-four months of disability benefits through social security, or Railroad Retirement Board. Including having permanent kidney failure or Lou Gehrig’s disease in order to qualify for Medicare. Depending on what Medicare plan either A, B, C, or D prescription drugs could be covered.
Medicaid is another type of health plan that is federal funded and state funded. It is available to low-income families, or individuals with medical care needs. It usually has mandatory services that are required to be covered by Medicaid such as hospital care, and out patient services. Just to name a few periodic screening, home health services, nursing home, x-ray and laboratory services are some mandatory services. Depending on which …show more content…
state the individual lives Medicaid rules and coverage can different from state to state.
Since Medicaid is offered in each state there are certain services that are required and some that are added.
According to eHealth Medicare (2016), “However, depending on the state, Medicaid may also offer coverage that is not included under Original Medicare, such as personal care, optometry service, and dental services.” Since each state is different they are allowed to have their own rules and services when it comes to the Medicaid plan. For example some states will allow certain deductible or copayments to be added. While some states will allow help with perception drugs. Each state has their own rules and services that they add to the health plan depending on their people’s medical
needs.
When it comes to state-oriented system there are advantages and disadvantages. Some advantages are that people who need health care but cannot afford it will be allowed to get the medical care they need. Including prescription drugs and in and out patient services. The disadvantages are that not everyone qualifies for Medicare and Medicaid. If they do qualify then their benefits may be limited to only the mandatory services, and not the extra medical services that they may need.
Conclusion
Since each state has their own rules and regulations it would be difficult for each state to follow the same rules when it come to Medicare and Medicaid. It’s important for individuals, and families to pay attention to each health plan, and what it has to offer when it comes to choosing the right plan. This can make a difference when it comes to getting the right medical care.