Go to the Centers for Medicare & Medicaid Services at the...

Go to the Centers for Medicare \& Medicaid Services at the Department of Health and Human Services Web site at http 3 www cris, hhs, gov. Use the information on this Web site to understand the differences between Medicare and Medicaid.

Key Concepts

Program Administration and Funding

Understanding the administrative and funding structures is key to distinguishing between these programs. Medicare is funded primarily through federal sources like payroll taxes and administered at the national level, whereas Medicaid is jointly funded by federal and state governments, with states playing a significant role in determining eligibility and managing benefits.

Differences in Eligibility and Coverage

The differences between Medicare and Medicaid extend to eligibility and coverage. Medicare is largely age-based and disability-based with uniform national standards, while Medicaid is income-based and state-specific, offering a broader range of services to a diverse group of low-income populations.

Medicare

Medicare is a federal health insurance program primarily designed for people aged 65 and older, as well as certain younger individuals with disabilities. It covers hospital care, medical services, and prescription drugs, and its eligibility, benefits, and funding are established and managed at the national level.

Medicaid

Medicaid is a joint federal and state program that provides healthcare coverage for low-income individuals and families. It includes services for children, pregnant women, elderly adults, and people with disabilities, with eligibility and benefits varying by state due to shared governance and funding responsibilities.

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