Medicare vs. Medicaid

Medicare and Medicaid are terms you often hear together. That’s because both are government programs. However, they work differently. Dual Special Needs Plans include Medicare and Medicaid benefits. People may qualify for Medicare, Medicaid or both, depending on their situation. Let’s go over how each of these plans work.

What is the difference between Medicare and Medicaid?

Here's how to help understand the difference between these two government programs.

Medicare

Medicare yog ib qho kev pov hwm kev noj qab haus huv hauv teb chaws uas tswj hwm los ntawm tsoom fwv. Medicare covers people age 65 and older and some people under age 65 who may qualify due to a disability or another special situation. There are 4 different parts to Medicare. Qhov no pab muab cov kev xaiv kev kho mob rau sawv daws ntau ntxiv, yog li lawv tuaj yeem xaiv tau daim phiaj tuav pov hwm kho mob uas ua tau zoo raws li lawv cov kev xav tau tshaj plaws.

Medicaid

Medicaid yog ib txoj hauv kev txhawm rau kom tau txais kev kho mob tus nqi qis los sis qee zaum tsis muaj nqi rau koj them li. Medicaid yog tswj hwm los ntawm txhua txhua lub xeev, yog li ntawd cov cai siv rau qhov muaj feem tau txais kev pab rau qhov no tuaj yeem hloov tau los ntawm ib lub xeev mus rau ib lub xeev. Koj lub xeev los tej zaum twb muaj nws lub npe ntawm nws uas txawv dua li lwm lub xeev rau qhov khoos kas pab Medicaid.

Eligible for both Medicare and Medicaid?

Dual Special Needs Plans (D-SNP) are for people who could use some extra help. Qhov ntawd tej zaum yuav yog vim cov nyiaj khwv tau los, cov kev xiam oob qhab, hnub nyoog thiab/los sis tej kev mob nkeeg. Dual eligible health plans are a special type of Medicare Part C (Medicare Advantage) plan. Koj yuav ceev tag nrho koj cov kev pab Medicaid cia. Dua li no lawm, koj tseem yuav tau txais cov nyiaj pab ntau tshaj thaum muaj Original Medicare. And you could get it all for a $0 plan premium.

Explore more health insurance plans

If you’re looking for other types of coverage, we offer a wide range of health insurance plans made to fit a variety of budgets and needs.

Puas xav tau kev pab nrhiav daim phiaj?

Teb ob peb nqe lus nug txhawm rau saib tias seb cov hauv kev xaiv is saws las tuav pov hwm twg thiaj tuaj yeem muaj siv rau koj.

Find short term health insurance

During times of transition, short term health insurance can help you fill a gap in coverage from 1 month to just under a year.1