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Can I be enrolled in Medicare and Medicaid at the same time?

Q: Can I be enrolled in Medicare and Medicaid at the same time?

A: In many cases, yes. Some Americans qualify for both Medicare and Medicaid, and when this happens, it usually means they don’t have any out-of-pocket healthcare costs.

Beneficiaries with Medicare and Medicaid are known as dual eligibles – and account for about 20 percent of Medicare beneficiaries (12.1 million people). Dual eligibles are categorized based on whether they receive partial or full Medicaid benefits. Full benefit dual eligibles have comprehensive Medicaid coverage, while partial benefit dual eligibles receive help with Medicare’s premiums and cost sharing through a Medicare Savings Program (MSP). (Some beneficiaries have Medicare, Medicaid and an MSP.)

How well are you prepared to enroll in Medicare? Take the Medicare Smarts quiz.

How well are you prepared to enroll in Medicare? Click the graphic to take our brief quiz.

The federal government oversees Medicare eligibility – meaning it is the same in each state. But states set their own eligibility rules for Medicaid and the MSPs (within federal guidelines) – and income limits for these programs vary widely.

How are my health care costs reimbursed if I have Medicare and Medicaid?

When dual eligible beneficiaries have healthcare expenses, Medicare pays first and Medicaid pays last. But this is not the case for things Medicare doesn’t cover, like long-term care. If Medicaid is covering a beneficiary’s long-term care, Medicare will still be the primary payer for any Medicare-covered services – like skilled nursing care or physical therapy.

Although it is less common, if a dual eligible individual has additional coverage (such as a Medigap plan) then Medicare pays first, Medigap will pay second, and Medicaid is the last payer for their claims (for expenses covered by all three).

How do I know if I should be dual eligible?

Beneficiaries can find out if they’re eligible for Medicaid by contacting their Medicaid office. An Internet search for Medicaid offices in a beneficiary’s state should provide the number to call – but beneficiaries should make sure they are contacting a government office before sharing any personal information.

The Centers for Medicare and Medicaid Services (CMS) also maintains a list of state agencies that oversee Medicaid. Beneficiaries can see if they already have Medicaid by contacting 1-800-MEDICARE and asking whether they receive “Extra Help” with their prescription drug costs (beneficiaries with Medicaid are automatically enrolled in this program).

What is the income range for beneficiaries who are dual eligibles?

Generally, beneficiaries earning less than 135 percent of the federal poverty level are eligible for the MSP if they also have limited savings (although some states don’t require beneficiaries to have low assets). This equates to $17,226 annually for single beneficiaries and $23,274 for married couples. Beneficiaries qualify for full Medicaid benefits if their incomes and assets are even lower (but the exact amounts vary by state).

Many seniors who live in nursing homes are dual eligible – qualifying for Medicare based on their age, and Medicaid because of their financial circumstances. It is also common for Medicare beneficiaries who are under 65 and live on Social Security Disability Insurance (SSDI) to have Medicaid or an MSP.

Many low-income beneficiaries are enrolled in Medicaid but don’t know it – so it never hurts to ask about these benefits.

Can I select an insurance plan for my Medicare and Medicaid benefits?

If you are dual eligible, you are can enroll in a duals special needs plan (D-SNP) that includes Medicare and Medicaid benefits. These plans may pay for expenses the two types of coverage don’t cover individually – including some over-the-counter items – and could have extra coverage for things like hearing aids, vision and dental care.  Beneficiaries who are dual eligible can change between Original Medicare and Medicare Advantage or switch Part D plans at anytime.


Josh Schultz has a strong background in Medicare and the Affordable Care Act. He coordinated a Medicare ombudsman contract at the Medicare Rights Center in New York City, and represented clients in extensive Medicare claims and appeals. In addition to advocacy work, Josh helped implement federal and state health insurance exchanges at the technology firm hCentive.

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Mary Ann Shawmeker
Mary Ann Shawmeker
8 months ago

My 40 yr daughter has MS and receives Medicaid and Medicare. She also is a uterine cancer survivor. She works a few hours a week delivering after school meals. Because of expenses associated with MS she needs to be sure that she remains eligible but not sure what she can make and still qualify for both programs. Can you shed any additional guidance on this topic?Thank you.

Josh Schultz
Josh Schultz
8 months ago

You can find more information about income limits for Social Security Disability recipients on the following page: https://www.ssa.gov/oact/cola/sga.html

Josh Schultz
Josh Schultz
8 months ago

You can also read about Medicare eligibility rules here: https://www.medicareresources.org/medicare-eligibility-and-enrollment/am-i-eligible/. Rules for your daughter will vary based on the state she lives in. It may be best to contact her local Medicaid office, or an Aging and Disability Resource Center for more information about Medicaid eligibility in her state.

Lisa Whitehall
Lisa Whitehall
8 months ago

I need help with my FEDERAL DEEMED DUAL benefits/my state refuses that I have federal match numbers and have been denied Medicaid, and status.., since my deemed award, I am also partially blind.
CMS has repeatedly sent the purple letter.. Stating all about it.

Josh Schultz
Josh Schultz
8 months ago
Reply to  Lisa Whitehall

It sounds like you have a lot going on. You may want to start by clarifying which state-run benefits you have by contacting your Medicaid office. Also, you may be referring to the Part D Extra Help program. You can inform Medicare (1-800-Medicare) that you’re having issues accessing those benefits.

Janet K Davis
Janet K Davis
8 months ago

I have medicare now. I am 68 years old. Can I also have medicaid along with medicare?

Steve Anderson
Admin
8 months ago
Reply to  Janet K Davis

Yes, Janet. Here’s an article that explains how you can have both.

Elizabeth Menefee
Elizabeth Menefee
4 months ago
Reply to  Janet K Davis

I am 68 and need a supplement. I am low income ,do I qualify for Medicaid also.

Steve Anderson
Admin
3 months ago

Elizabeth, this article explains how you might be eligible for both Medicare and Medicaid:
https://www.medicareresources.org/faqs/can-i-be-enrolled-in-medicare-and-medicaid-at-the-same-time/

Eileen
Eileen
8 months ago

My brother has stage 4 rectal cancer he’s on disability. After being on Medicaid for 2 years was moved to Medicare which means he lost his pharmacy benefits and has to get a supplement which he can’t afford he doesn’t have money to get by every month now. Can he get both Medicare and Medicaid?

Josh Schultz
Josh Schultz
6 months ago
Reply to  Eileen

He should now have prescription drug coverage through Medicare Part D. If he has questions about this coverage, he should call 1-800-Medicare.

Josh Schultz
Josh Schultz
6 months ago
Reply to  Eileen

Medicaid eligibility rules are different — and usually more restrictive — once a person qualifies for Medicare. Your brother might still be able to qualify for Medicaid under these new limits if his only income is from Social Security Disability Insurance (SSDI). He could try contacting his Medicaid office for more information about the rules in his state. Even if he doesn’t currently qualify for Medicaid, he could be eligible for a Medicare Savings Program to help with his premiums, or for Extra Help, which assists with drug costs: https://www.medicareresources.org/faqs/is-there-help-for-me-if-i-cant-afford-medicares-premiums/ https://www.medicareresources.org/faqs/how-do-i-qualify-for-medicares-extra-help-program/

Fern
Fern
7 months ago

Thanks for the info on medicare and medicaid, i learn more on this single page, than having called Horizon 20 times thanks so much

Lori kay Nail
Lori kay Nail
7 months ago

my spouse is 61 and 2 years ago became disabled , he was receiving caresource and medicare then medicare started deducting payment for parts of medicare and he received medicaid , now welfare of ohio has stopped his payment for medicare and also stopped medicaid he receives 1245 monthly he need his medicaid for dr. appts

Josh Schultz
Admin
Josh Schultz
7 months ago
Reply to  Lori kay Nail

You could try contacting you local Medicaid office and ask if your husband is still receiving Medicaid. It sounds like he needs to reapply for the Medicare Savings Program, which pays for premiums for eligible enrollees.

Susan Bibula
Susan Bibula
7 months ago

Hello! I am trying to find out which states require (by law) that you have a dual advantage plan. I am on SSDI, and also have Medicaid. I was told yesterday by someone at HRA that it is the law to have an HMO or PPO attached to my Medicare. I asked her if she was referring to Part C, and she said no. It sounds like it is to me, but no one has ever advised me of this. My Medicare only began 12/1/19, so I’m still finding new info all the time. Help would be appreciated. Thank you!

Louise Norris
7 months ago
Reply to  Susan Bibula

Hi Susan,
It’s possible that you’re in an area where a Medicare-Medicaid Plan has a contract to handle all dual-eligible enrollees. There aren’t very many of these plans (much fewer than Medicare Advantage plans) and they’re in specific counties in 11 states: https://innovation.cms.gov/initiatives/Financial-Alignment/

Susan Bibula
Susan Bibula
7 months ago
Reply to  Louise Norris

Thank you, Louise. I am in NY (for now) and I was taken aback because in all the conversations I’d had with all these agencies, no one mentioned that until this week! There has been an astounding lack of information given. I have spent too many hours on the phone since October trying to sort this all out. Just when it was all coming together, this news was thrown at me quite suddenly. It has also made things complicated because I had surgery in January, so I can’t even switch yet until some claim issues are resolved. It shouldn’t be a nightmare to be disabled in this country, but it is. I thank you sincerely for that info. I’m checking out that website now!

Susan

Josh Schultz
Admin
Josh Schultz
7 months ago
Reply to  Susan Bibula

States can’t require you to receive the Medicare portion of your benefits through a managed care plan, but they can make you receive your Medicaid coverage through a managed care organization.

Susan Bibula
Susan Bibula
7 months ago
Reply to  Josh Schultz

Thanks, Josh. Yes, it seems I was, but because I received it so late, I was confused. It seems to me that if this were legally necessary, I would have been notified sooner, and not by a sort of accident! It’s been a very, very rough and stressful road. I thank you for you comment and info!

Susan

Sharon Andrade
Sharon Andrade
7 months ago

My mom, 95, in a nursing home. Has MassHealth and Medicare. Is that enough or does she need a supplement like BCBS?

Josh Schultz
Admin
Josh Schultz
7 months ago
Reply to  Sharon Andrade

It sounds like your mom has both Medicare and Medicaid (or MassHealth in Massachusetts). She should probably be covered for her medical needs, unless she has specific Medicare providers who do not also take Medicaid. In that case, she can consider purchasing additional coverage. Please note, however, that it is unlawful for an insurer to sell you a Medigap/supplemental plan if you already have Medicaid/MassHealth coverage.

Elizabeth Ramesdorfer
Elizabeth Ramesdorfer
7 months ago

My husband and I are on Medicare and live on Soc Sec .
I had a bad accident 2017, I’m in physical therapy yet and I had an attack in October and a few there problems! Can we apply for extra help like Medicaid. Would appreciate your guidance. My husband got Disability before MEDICARE and still has same diagnosis.

Josh Schultz
Admin
Josh Schultz
7 months ago

Hi Gloria, Medicare will cover your doctor’s visits once you’re enrolled in April. You should look into enrolling in a Medicare Savings Program to help with your Medicare out-of-pocket expenses. Depending on your income, this could take the form that Medicaid has by paying your co-pays and other costs. More information is here: https://www.medicareresources.org/faqs/is-there-help-for-me-if-i-cant-afford-medicares-premiums/.

If you’re in need of dental or vision care, you might consider a Medicare Advantage plan. But beware they have restrictions on the doctors and hospitals you can access. https://www.medicareresources.org/medicare-benefits/medicare-advantage/

Camille
Camille
7 months ago

I am 55 years old I am currently on medi cal how can I get Medicare too

Josh Schultz
Admin
Josh Schultz
7 months ago
Reply to  Camille

You’ll qualify for Medicare if you’re receiving Social Security Disability Insurance (SSDI) for more than 24 months. Otherwise, it is unlikely you’ll be able to qualify for Medicare until you turn 65.

Ted Jendry
7 months ago

My ex wife has bad vertigo, ear ringing, sciatic and nerve problems due to bulging discs, she was turned down for SS and to file again is a long road. She has no income and does not work as she never knows when a vertigo attack comes. I help out as much as I can and it is financially draining as I was paying $1000. for insurance for her but had to drop it. She is 54 years old. Are there State of Florida programs that may help?

Steve Anderson
Admin
7 months ago
Reply to  Ted Jendry

Ted, I would suggest that you contact a SHIP counselor in Florida for advice about Florida programs that may be of assistance. https://www.seniorsresourceguide.com/directories/National/SHIP/

Kimberly
Kimberly
6 months ago

I receive Medicaid I don’t trust it just goes to show that you shouldn’t trust anybody it just goes to show that you cannot trust anybody Medicare, however these people make it difficult for me to understand. I used to pay $1.25 for my prescriptions and now I just received a past due notice of a past due for over $100. And Humana which I refer to as them, say I have to pay premiums. I’ve been on Humana prescription for over a decade and they just now telling me that I owe this money. I believe that I’m being taken advantage of.

Steve Anderson
Admin
6 months ago
Reply to  Kimberly

I’d suggest you contact your state’s insurance commissioner if you have a complaint about your insurer.

Paul Mielke
Paul Mielke
6 months ago

I receiving medicare for a disability,have been on disability for a little over ten years now,I need surgery from time to time and the twenty percent that I have to pay is a real strain,how do I go about finding out if I can get medicaid to help me out,I’m looking at another surgery in the near future and I don’t think I can afford the twenty percent that I’m required to pay,any help would be appreciated.

Thank you
Paul

Josh Schultz
Josh Schultz
6 months ago
Reply to  Paul Mielke

You may want to consider a Medicare Advantage plan, which can limit your out-of-pocket costs, or a Medigap supplemental plan if one is available to you in your state. With limited SSDI income, you may qualify for Medicaid or the Medicare Savings Program. Contact your local Medicaid office to apply. https://www.medicaid.gov/about-us/contact-us/contact-state-page.html

jerry vehovec
jerry vehovec
6 months ago

I had Medicaid, but when I turned 65, I was told my Social Security income was now over the limit ($799/mth). I make $1151 SS/mth (I retired at 62 1/2) and that was OK, until I got Medicare. Why is that?
and I would still qualify for the following:
2020 Ohio Medicaid Long Term Care Eligibility for Seniors
Type of Medicaid Single Married (both spouses applying)
Income Limit Income Limit
Institutional / Nursing Home Medicaid $2,349 / month $4,698 / month

Josh Schultz
Josh Schultz
6 months ago
Reply to  jerry vehovec

Medicaid eligibility rules change once you qualify for Medicare. States have different rules for people under 65 (not on Medicare) and those 65+. Some people in your situation who age into Medicare may be able to qualify for a Medicaid “spend-down”, where you pay a certain amount of your own costs each month before Medicaid will pay for care.

Luis Robles
Luis Robles
6 months ago

My mother and s 86 years old, she had heart surgery a 1 1/2 years ago. She has problems with right leg from polio. Mom was never given proper care for polio.
Mom has lived with me for the past 6 years , dad passed away. She helps us with rent, pays for her personal and health care needs. She covers her life insurance. She pays for all her handicap equipment
She is on Medicare, can she qualify for Medicaid?
She is on ssi. Thanks

Josh Schultz
Josh Schultz
6 months ago
Reply to  Luis Robles

If she has SSI then she may already have Medicaid. If not, she most likely qualifies. Contact your local Medicaid office to see.

Jeanne Croce
Jeanne Croce
6 months ago

Hello I am currently on medicaid and receive SSD I will turn 65 this June and would like to know if I can keep my medicaid. I have no assets.

Josh Schultz
Josh Schultz
6 months ago
Reply to  Jeanne Croce

Once you’re eligible for Medicare, you have to meet different eligibility limits in order to continue receiving Medicaid. These new income limits are usually lower than limits that applied previously, and in most states you also have to meet an asset test. Even if you don’t still qualify for Medicaid under these rules, you might qualify for a Medicare Savings Program (MSP), which would help with premiums. This article has more information about these MSPs: https://www.medicareresources.org/faqs/is-there-help-for-me-if-i-cant-afford-medicares-premiums/

Vickie Coots
Vickie Coots
6 months ago

I need to know if I have Medicare and Medicaid can I get my incontinence supply’s? Right now Medicaid pays for them

Steve Anderson
Admin
5 months ago
Reply to  Vickie Coots
Joan
Joan
5 months ago

A 54 y/o female with Bipolar Disorder receives Medicare. Is she eligible for Medicaid as well?

Josh Schultz
Admin
Josh Schultz
5 months ago
Reply to  Joan

She may qualify for Medicaid if she has limited income and resources. She should contact her state Medicaid office to apply. She may also qualify for Medicare Savings Programs, which would help her with Medicare premiums, depending on her income: https://www.medicareresources.org/faqs/is-there-help-for-me-if-i-cant-afford-medicares-premiums/

Bernadette Robinson
Bernadette Robinson
5 months ago

I have Medicare but it doesn’t cover everything can I get Medicaid added?

Josh Schultz
Josh Schultz
5 months ago

If you have limited income and resources, you may qualify for Medicaid in addition to your Medicare. You can apply by contacting your Medicaid office: https://www.medicaid.gov/about-us/contact-us/contact-your-state-questions/index.html

Here is more information about the Medicare Savings Program, which is program where the state pays some of your Medicare premiums and other costs: https://www.medicareresources.org/faqs/is-there-help-for-me-if-i-cant-afford-medicares-premiums/

Mitchell Hanson
Mitchell Hanson
5 months ago

My Mom is in a nursing home an just got approved for Medicaid does she still keep Medicare?

Josh Schultz
Josh Schultz
5 months ago

Yes, your mom will keep her Medicare coverage. In some cases, Medicaid will even pay her Medicare premium for her.

Jeanne Sinclair
Jeanne Sinclair
5 months ago

Hi – I am 61 and on Medicare because of disability. How can I get State or Federal Medicaid in addition to my Medicare – I live in Harford County Mary land

Velma Roybal
Velma Roybal
4 months ago

My son will soon be eligible for Medicare but now he has Medicaid can he have both he get SSI and SSDI through me and SSI through his disability

Trini O. Baron
Trini O. Baron
4 months ago

Hello,
My name is Trinidad Baron. I reside in San Diego , Ca. 92117. I am very confused about my Medicare and Medical. I thought my broker sign me up for both so I do not have to pay for the premium. I just recieved a letter from Social Security that they are deducting $144.00 per month for my Part B. I will be 65 in June, I need to know how to qualify for Medicaid. I thought Medical is Medicaid. Please help me on what to do. I took early retirement but I am only getting $764.00 per month. I am considered low income.

Josh Schultz
Admin
Josh Schultz
4 months ago
Reply to  Trini O. Baron

It sounds like you should qualify for the Medicare Savings Program, where Medi-Cal will pay your Part B premium of $144. To clear up the confusion, in the State of California, the name for Medicaid is MEDI-CAL. You should contact your Medi-Cal office to ask why your Part B premium is still being deducted.

Carmen
Carmen
4 months ago

Because of covid-19 income has drop, can I qualify for medical with my Medicare help

Steve Anderson
Admin
4 months ago
Reply to  Carmen

Carmen, you will need to contact Medical to inquire about eligibility, but you can also visit this California Medicaid page and you might also want to read this post about staying covered during the pandemic.

Genie Davis
Genie Davis
4 months ago

Hi. I now have medicare which doesn’t cover dental. Would I be able to receive Medicaid

Steve Anderson
Admin
3 months ago
Reply to  Genie Davis

Genie, this article explains how you might be eligible for both Medicare and Medicaid:
https://www.medicareresources.org/faqs/can-i-be-enrolled-in-medicare-and-medicaid-at-the-same-time/

PBS
PBS
4 months ago

Ok…I have a question for ya. I turn 65 in July and will be required to pay for some medical. However, I had planned and am trying to get two specific things taken care of BEFORE turning 65. Thanks to covid19, they will not take care of my preexisting condition as it is not deemed an emergency. How is that fair? Seems to me that since I can’t get the dental and medical work done that I had planned, why would I not be grandfathered in after turning 65?

Josh Schultz
Josh Schultz
3 months ago
Reply to  PBS

It sounds like you have an issue that needs to be addressed with your health insurer or the insurance regulator in your state.

But because you’re now Medicare-eligible, I recommend signing up for Medicare. Here is more information on how to do that:
https://www.medicareresources.org/medicare-eligibility-and-enrollment/

Suzette Kandil
Suzette Kandil
3 months ago

My husband is 66 he is ss and he receives Medicare. But he doesn’t have dental or good vision plan. I am currently out of work because of the civic 19. But I am self employed and I think my income will be less than 1,000 per month when I return to work. Can my husband apply for Medicaid.

Josh Schultz
Admin
Josh Schultz
3 months ago
Reply to  Suzette Kandil

Based on your income, it sounds like you and your husband may qualify for Medicaid — although he would also need to have limited money in savings in order to be eligible. You should contact your state’s Medicaid office and ask about submitting a Medicaid application: https://www.medicaid.gov/about-us/contact-us/contact-your-state-questions/index.html.

Medicaid’s coverage for vision and dental benefits varies in each state. You can ask about the benefits available in your state when applying. If he’s not eligible for Medicaid coverage, he could purchase a stand-alone dental plan. He could also enroll in Medicare Advantage, which often includes vision and dental coverage. Here is some information about Medicare’s dental benefits: https://www.medicareresources.org/medicare-benefits/dental-coverage-what-to-expect-from-medicare/

Even if your husband doesn’t qualify for Medicaid, be may be eligible for the Medicare Savings Program to help with Medicare’s premiums: https://www.medicareresources.org/faqs/is-there-help-for-me-if-i-cant-afford-medicares-premiums/

Laticia McHenry
Laticia McHenry
3 months ago

Can a someone dual-eligible choose a PPO and medicaid? How does that work? What are the out of pocket costs?

Josh Schultz
Admin
Josh Schultz
3 months ago

Since you’re a Medicare beneficiary, you can choose either Original Medicare or a Medicare Advantage plan (e.g. a PPO or HMO) to go with your Medicaid benefits. Medicaid provides all the supplemental coverage many people need to go with Medicare. It is a good idea to visit doctors who accept Medicare and Medicaid (and your Medicaid plan), which will mean you have lower out-of-pocket expenses.

If you’re enrolling in Medicare Advantage and want to preserve your choice of providers, a Medicare Advantage PPO might be a good option. However, you’d have the largest choice of providers with Original Medicare.

Donald S Monts De Oca
Donald S Monts De Oca
3 months ago

I received a medicare supplement which started on June 1st. 2020 . I been having trouble with the one I signed up for would I be able to change to another plan again.

Josh Schultz
Admin
Josh Schultz
3 months ago

What exactly is the issue you are having?

Tommie Griffin
Tommie Griffin
3 months ago

I am married and not presently working. I am 69 yrs old and have Medicare. My wife is 60 yrs old has no incomeand has no insurance. Is she eligible for Medicare?

Steve Anderson
Admin
3 months ago
Reply to  Tommie Griffin

Tommie,

This article explains eligibility for Medicare: https://www.medicareresources.org/medicare-eligibility-and-enrollment/am-i-eligible/

CA Frazier
CA Frazier
3 months ago

I currently have medicaid. I’m 64 yo. When I turn 65, I’d like to keep my medicaid & add medicare. How can I find out if I’d qualify for both @ the same time??

Steve Anderson
Admin
3 months ago
Reply to  CA Frazier

This is from the paragraph above:

Beneficiaries can find out if they’re eligible for Medicaid by contacting their Medicaid office. An Internet search for Medicaid offices in a beneficiary’s state should provide the number to call – but beneficiaries should make sure they are contacting a government office before sharing any personal information.

The Centers for Medicare and Medicaid Services (CMS) also maintains a list of state agencies that oversee Medicaid. Beneficiaries can see if they already have Medicaid by contacting 1-800-MEDICARE and asking whether they receive “Extra Help” with their prescription drug costs (beneficiaries with Medicaid are automatically enrolled in this program).

Natacha Graham
Natacha Graham
2 months ago

question, if my dad has medicare, and then medicaid, and he lives in North Carolina, his urolift is covered by medicare, but medicaid doesn’t cover it, who is responsible for the cost? Also, is there any out of pocket expenses, and will the hospital have to write off the rest of the procedure.

Josh Schultz
Josh Schultz
1 month ago
Reply to  Natacha Graham

Medicaid usually reimburses for Medicare cost sharing for medical services covered by both Medicare and Medicaid. You are correct that, if Medicaid doesn’t cover your dad’s equipment, he will be responsible for the cost sharing. But his cost sharing will be different depending on whether he has Original Medicare or Medicare Advantage. Here is more information about those programs: https://www.medicareresources.org/medicare-benefits/how-to-choose-between-medicare-advantage-medigap-and-part-d/

Lisa K Morrow
1 month ago

How can I find out if I have Medicare as Primary and Medicaid as a Secondary Insurance ? I recently went on Medicare/Disability and was told I could not get the Insurance Policy because I was on Medicare so I was told I could not get Health Plan of Michigan and I was not able to get Medicaid. Now I see I get it Automatically. Please Advise-I am unable to live on SSI.

MAURIE BACKMAN
MAURIE BACKMAN
1 month ago
Reply to  Lisa K Morrow

Medicaid is the secondary payer and Medicare is the primary when you have both at the same time. This applies to services covered by Medicare.

katherine timms
katherine timms
1 month ago

I am 78, low income and recently received Medicaid as a secondary to Medicare. Do I have any chance of coverage for hearing aids, vision and dental care?

MAURIE BACKMAN
MAURIE BACKMAN
1 month ago

You may be eligible for these services under Medicaid. However, it depends on the state you live in, as Medicaid plans are state-run.

Vickie A Johnson
Vickie A Johnson
1 month ago

I took early retirement and work part time jobs to help with the bills. I already receive Medicaid but will turn 65 in November. Will my medicaid automatically stay intact or will it drop and I need to reapply? Will I still be eligible for it? I am also low income. I have tried to research it but I don’t seem to find any place that tells me how to proceed. Any help would be greatly appriciated.

Louise Norris
1 month ago

Vickie, you’ll need to contact your state Medicaid office for specific guidance (here’s contact info for each state: https://www.medicaid.gov/about-us/contact-us/contact-your-state-questions/index.html )
But in general, you need to know that Medicaid eligibility is stricter once you turn 65. The ACA expanded Medicaid for adults through age 64, allowing people to enroll in Medicaid if their income doesn’t exceed 138% of the poverty level, regardless of their assets (some states haven’t implemented that, but it sounds like you’re in a state that has?) But once you turn 65, there are asset tests as well as income limits. Many Medicare beneficiaries do qualify for dual coverage with Medicaid, or Medicaid-funded assistance with their Medicare costs. Here’s more on how that works: https://www.medicareresources.org/medicare-benefits/how-medicaid-supports-1-in-5-medicare-enrollees/
Your state’s Medicaid office will be able to explain what might be available to you once you turn 65.

Reuben Sironen
Reuben Sironen
1 month ago

August 9, 2020

I am a resident of Colorado. I have an unmarried daughter living in New Mexico. In early May she told me she had not been feeling well and had pain in her legs and difficulty walking. Within 10 days or so she she was diagnosed with the autoimmune disease, CIDP. Days later she had a severe vision problem. Her eye doctor examined her and determined she had detached or detaching retinas and macular degeneration in both eyes. She immediately lost her job and her employer-provided medical insurance. Within 6 weeks of her initial discomforts she was declared legally blind. I spoke with her two days ago and she told me the little vision she had was now totally gone.

I am now inquiring about Medicaid and Medicare help for her. My daughter is 56 years old. I am 88 years old and retired, of course. My daughter is expecting to begin receiving assistance from the state of New Mexico at some point. At the moment I am her only means of support.

Josh Schultz
Josh Schultz
1 month ago
Reply to  Reuben Sironen

I am so sorry to hear about your daughter’s medical situation.

I think she should consider applying for both Medicaid and Social Security Disability Insurance (SSDI). If she’s approved for SSDI, she’d also receive Medicare after two years. Here are links for those programs:

SSDI: https://www.ssa.gov/benefits/disability/ or 1-800-772-1213

Medicaid: https://www.yes.state.nm.us/yesnm/home/index or 1 (800) 283-4465

Dale
Dale
1 month ago

My sister is currently on Medicaid. She will turn 65 in November. I am her general power of atty. What must I do, if anything, regarding her Medicare eligibility since she already received Medicaid?

Josh Schultz
Josh Schultz
1 month ago
Reply to  Dale

It sounds like she’s probably collecting Social Security benefits. If she is, she’ll be automatically enrolled in Medicare. Her Medicaid coverage might change, though, because the eligibility rules are different once a person turns 65.

If she’s not collecting Social Security, you’d need to help her enroll in Medicare (and SS benefits) by contacting the Social Security Administration at 1-800-772-1213.

Cheri
Cheri
1 month ago

I’m 60 have. Medicaid and health partners. I. Pay. No. Money only $1. -3$. For meds. My income. Is around 9;000. Year. VA. Pension from husband …what should I do

Josh Schultz
Admin
Josh Schultz
27 days ago
Reply to  Cheri

You’re paying only $1 to $3 for your prescription drugs, so it sounds like you currently do have Medicaid (Health Partners). If you’re collecting also Social Security Disability Insurance (SSDI), you’ll receive Medicare after two years of SSDI benefits. In that case, you’d be covered under Medicare, Medicaid and VA benefits. Is there a specific issue you’re facing right now?

Prema shivraman
Prema shivraman
1 month ago

I have part A and I cancelled part B 4 years agp.Can I now enroll in B now.. I live in Florida with my son.I am 86 yrs old. I have worked for 32 years in Michiganan and Florida and retired &22 yrs ago.Live with my sis income. Pls reply me.Thanks Shivraman.

Josh Schultz
Admin
Josh Schultz
27 days ago

You likely have to wait for the General Enrollment Period (GEP) from Jan 1 – March 31 of each year, and your Part B coverage would begin that July. However, you can enroll in Part B sooner if you qualify for a Medicare Savings Program: https://www.medicareresources.org/faqs/is-there-help-for-me-if-i-cant-afford-medicares-premiums/

Elizabeth Martinez
Elizabeth Martinez
20 days ago

Hello there: My name is Elizabeth I am turning 65 in October and I am so stressed out about this transition – I currently on Medicaid- will I lose my Medicaid going on Medicare and do I need to go to the Medicaid Office to make changes?

Josh Schultz
Josh Schultz
20 days ago

You can still qualify for Medicaid after you become eligible for Medicare, but you’ll have to meet a different eligibility limit. Asset limits may also apply in your state once you turn 65. Do you mind if I ask where do you live?

Even if you no longer qualify for full Medicaid benefits, you may still be eligible to receive Medicaid payment of your Medicare premiums and reduced prescription drug costs: https://www.medicareresources.org/faqs/is-there-help-for-me-if-i-cant-afford-medicares-premiums/

Chris Goad
Chris Goad
20 days ago

My son has a disease that has no cure. Was in hospital in mississippi. They told him he needs to apply for emergency medicare and nedicaid. I dont know where to start. He is 45 years old. Help!

Josh Schultz
Josh Schultz
20 days ago
Reply to  Chris Goad

I am sorry to hear about your son. His hospital should have a social work department to help him (and you) with this. This is the website for Medicaid in Mississippi: https://medicaid.ms.gov/medicaid-coverage/how-to-apply/

Your son won’t receive Medicare unless he has been receiving Social Security Disability for two years (or if he receives SSDI and has ALS). He can apply for SSDI benefits (and/or for the Supplemental Security Income program, which serves people who have limited work histories, incomes and resources) through the Social Security Administration.

Sue Salmi
Sue Salmi
18 days ago

My mother had Medicare With supplemental insurance. Went into nursing home and now also has Medicaid. Does/should she keep the Medicare supplement plan she had before Medicaid and nursing home? She lives in Texas.

Bev Krucheck
Bev Krucheck
13 days ago

I myself receive social security retirement. 2 days ago my 41 year old disabled daughter received her medicare card in the mail?? She does receive medicaid, and has her whole life. I’m just surprised that her medicare is being activated. I have no knowledge how this works, why it is happening and what steps to take. Who is best to contact to discuss this and what her options may be? She doesn’t work, and we live in WY. Any info will be greatly appreciated. Thanks!

Anthony Memory
Anthony Memory
7 days ago

Hello. I will turn 65 in March 2021. I am currently eligible and receive Medicaid ( Medical) based on income. Will I be eligible for dual coverage based on my income of $ 14.040 annually. The State in which I live is California. many thanks.

Mary
Mary
2 days ago

We live in MS my husband is on a QMB Dual plan. Medicare/Medicaid through UHC Community plan. Is this the only Insurance that has dual in MS ?

Maryo Prince
Maryo Prince
2 days ago

If my mother has Medicare coverage thru Humana and is eligible for Medicaid and gets help with Part B care, can she apply for a Medicaid plan that is full coverages such as Caresource or United health care and still keep her Humana coverage. She is 79 years old with SS, and limited survivor VA beneifts that will soon expire.

Mira Grace
Mira Grace
21 hours ago

Hi, thank you for the information.
My parents immigrated to the US in 2014, they became citizens in November 2019. They live with me and never had an income since they immigrated (they take care of my kids at no cost). My mom had Mass health when we were in MA. Now moved to Ohio. they are both >65 (68 and 66). supposedly they qualify for medicare for age and medicaid for no income/no assets- unless I don’t understand the rules correctly-. Does it make a difference which one they apply to first? is it better to have both coverage than medicaid only?they did not contribute to Social security, and they collect no benefits whatsoever as of now. Any advice would be appreciated.

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