Originally enacted in 1965 as an amendment to the Social Security program, Medicare is America's health insurance for people age 65 and older as well as people under age 65 with certain disabilities and people of all ages with end stage renal disease.
A person is automatically enrolled in the program when they turn 65. Like Social Security, Medicare enrollment is connected to a person’s work history. A person can qualify for Medicare on her own or through a spouse.
Medicare has four parts:
Part A is hospitalization insurance and is provided to every Medicare beneficiary. Part A does not cover long term nursing home care.
Part B covers doctor’s appointments, emergency room visits, and other acute care but not cover preventative care. Unlike Part A, a person is not automatically enrolled in Part B and must apply. Additionally, a penalty is imposed upon the beneficiary if he or she does not enroll in Part B immediately upon eligibility.
Part C Plans, also called Medicare Advantage Plans, combine Parts A and B. These plans are not available in all areas of the country.
Part D is prescription drug coverage and was the product of the Medicare Modernization Act of 2003. Similar to Part B, there is no automatic enrollment in Part D and penalties can b eimposed for failing to enroll in Part D immediately upon eligibility.
Medicare does not cover every medical eventuality so beneficiaries often purchase Medigap policies which vary from state to state.
Medicare Annotated Bibliography
Medicaid is health insurance for low-income individuals and families. It was created in 1965 through Title XIX of the Social Security Act
Medicaid eligibility is based upon a person's total assets. Medicaid is funded by federal and state resources but administered by individual states; program names and eligibility guidelines vary from state to state.
All states are required to provide Medicaid to limited income families with children, Supplemental Security Income recipients, low-income pregnant women and their children, and infants born to Medicaid eligible pregnant women. States also have the option to provide Medicaid coverage for other groups such as the elderly and disabled adults.
Unlike Medicare, Medicaid covers long term care such as nursing home care.
Medical Assistance is Minnesota's version of Medicaid. The Center for medicare and Medicaid services administers the program at the federal level the Minnesota Department of Human Services oversees the program, and individual counties administer it.
Medical Assistance is Minnesota's version of Medicaid. The Center for Medicare and Medicaid Services administers the program at the federal level, the Minnesota Department of Human Services oversees the program, and the individual counties administer it.
Social Security Disability Insurance
Social Security Disability Insurance (SSDI) is a federal insurance program in the United States which is funded by payroll taxes and pays benefits to workers who have become disabled and are unable to work before reaching retirement age.
Benefits are only granted to an applicant after an evaluation to determine disability, and periodic evaluations will be done to determine if the person remains disabled.
Eligibility requirements include:
- Working 5 out of the last 10 years;
- Being under age 65
- Having a physical or mental disability that will last at least 12 months and which prevents the applicant from performing any substantial work.
There is no guarantee that a person’s application will be accepted; an appeals process exists for those applicants who are denied.