When it comes to healthcare coverage, the terms Medicare and Medicaid are often confused—and for good reason. They sound similar, they’re both government programs, and they help people with medical costs. But understanding the differences between them (and how they might work together) can be a game changer when planning your health and financial future.
At Zinn Insurance, we believe informed clients make empowered choices. So, let’s break down the key differences—and find out if you (or a loved one) might qualify for one, the other, or even both.
Who qualifies?
Medicare is primarily for people age 65 and older, but it also covers younger individuals with certain disabilities or End-Stage Renal Disease (ESRD).
What does it cover?
Medicare comes in four parts:
Fun Fact: Even if you’re still working past 65, you may still be eligible and benefit from enrolling in Medicare.
Who qualifies?
Medicaid is designed for low-income individuals and families of all ages. Eligibility is based on income, household size, and sometimes medical need. Each state runs its own program, so rules may vary.
What does it cover?
Medicaid provides a broad range of services, often with little to no cost to the individual. This includes:
Yes! If you qualify for both programs, you’re considered “dual eligible.”
This powerful combo can help cover costs that one program alone might not—such as premiums, co-pays, and long-term care services. It’s one of the best-kept secrets in healthcare planning!
Let’s be real: insurance can be complicated. That’s why we’re here to simplify it.
Whether you’re approaching retirement, managing a disability, or exploring coverage options for a loved one, Zinn Insurance can help you understand your options and make confident decisions.