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  4. What’s the difference between Medicare and Medicaid?
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What’s the difference between Medicare and Medicaid?

Medicare

Medicare is federal health insurance for people 65 or older, and some people under 65 with certain disabilities or conditions. A federal agency called the Centers for Medicare & Medicaid Services runs Medicare. Because it’s a federal program, Medicare has set standards for costs and coverage. This means a person’s Medicare coverage will be the same no matter what state they live in.

Medicare-related bills are paid from two trust funds held by the U.S. Treasury. Different sources (including payroll taxes and funds that Congress authorizes) fund the trust funds. People with Medicare pay part of the costs through things like monthly premiums for medical and drug coverage, deductibles and coinsurance.

For more information, visit Medicare.gov.

Medicaid

Medicaid is a joint federal and state program that helps cover medical costs for some people with limited income and resources. The federal government has general rules that all state Medicaid programs must follow, but each state runs its own program. This means eligibility requirements and benefits can vary from state to state.

Medicaid offers benefits that Medicare doesn’t normally cover, like nursing home care and personal care services. People with Medicaid usually don’t pay anything for covered medical expenses but may owe a small co-payment for some items or services. Find out if you qualify for your state's Medicaid program.

For more information, visit Medicaid.gov.

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Related Questions

What is the Medicaid program?
Who’s eligible for Medicaid?
Who’s eligible for Medicare?
How do I enroll in Medicare?
What are the Medicare premiums and coinsurance rates?

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Content last reviewed December 8, 2022
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