Published Jul 18, 2009
Hi nurses! I am a new nurse and I am having a hard time with medicare and medical. Can somebody explain to me the difference of Medicare and Medicaid? and examples would be great...thanks! :wink2:
Medicare is an insurance program for senior citizens. It is a national program that you pay for with every paycheck. You become eligible at 65. Medicaid is a need based medical program for all ages. It is a state run program that receives federal funding. It is based on income, lack of insurance, dependents and medical condition.
Examples: John Doe retires at 67 and goes on Medicare.
Jane Doe is pregnant and has no insurance and is at the poverty level. She gets state medicaid to pay for her prenatal care, delivery and the babies neonatal care.
Now I got it. Thanks for the explanation!
Daytonite, BSN, RN
here are the definitions from my him textbook, health information management of a strategic resource, 2nd edition by mervat abdelhat, sara grostick, mary alice hanken and ellen jacobs:
[*]medicaid - "jointly funded program between the state and federal governments to provide health care to welfare recipients in the different states; originally titled the medical assistance program; established by title xix of the social security act; entitlement program (title xix) that provides health care for low-income people." according to their website (http://www.cms.hhs.gov/medicaidgeninfo/):
you can learn about either program and specific eligibility requirements by going onto their website and finding information about both programs. the above information came from: http://www.cms.hhs.gov/ - centers for medicare and medicaid services. the medicaid program is different in every state. there are some things that each state must follow that the federal government demands they must comply with, but because each state contributes half the funding each state is allowed to decide how the money can be distributed among the poor. medicare, on the other hand, is strictly controlled by the social security administration of the federal government with very few exceptions as to what is covered from state to state.
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