This is not in place of or a full representation of the benefits of Medicare.  
    For complete information please call SSA at 800-772-1213 www.ssa.gov
    or 800-Medicare (800-633-4227)  www.medicare.gov


  • Medicare is a medical insurance for those who are 65 or older.  
    It is also a medical insurance for those who are disabled and qualify for
    disability.
  • It is for those who have end stage Renal disease (permanent kidney
    failure requiring dialysis or a kidney transplant)


  • The first part is called Part A.   This part is automatic enrollment if
    you are already receiving social security at age 65.  Part A helps to cover
    the costs of inpatient care at a hospital, and skilled care at a nursing home.
    Part A also helps with the costs of hospice and some home health care that
    meet certain criteria.  

  • Part B is also a medical insurance that helps with the costs of
    outpatient hospital care and doctor appointments. Part B is optional and if
    you sign up the fees are automatically deducted from your social security
    check.  The initial enrollment period is 3 months prior to age 65 and ends 3
    months after age 65.  To apply call Social Security at 800-772-1213.


  • www.cms.gov This site can provide information on Medicare and
    Medicaid
    Medicare prescription drug card Program.  This will assist with the costs of
    some drugs at some pharmacy's

  • Ship (State Health Insurance) refer to the Medicare 2004 booklet for
    each of the states contact numbers

  • Medicare Advantage =This is Medicare plus a Choice plan

  • Medigap (Medicare Supplement Insurance) = Open enrollment lasts
    for 6 months, starting on the 1st day of the month that you turn age 65.

  • PACE programs = (Programs for All-Inclusive Care for the Elderly)  
    Pace combines medical, social and long term care services for frail people.  
    PACE is available only in states that have chosen to offer it under
    Medicaid.  To find out if your state provides such services please visit www.
    medicare.gov/nursing/alternatives/pace.asp


  • Department of Health and Human Services, Office of the Inspector
    General 800-447-8477 = Call regarding any suspected Fraud and Abuse

  • Railroad Retirement Board (RRB)  800-808-0772 Railroad
    Retirement benefits

  • Department of Veterans Affairs  800-827-1000  Veteran’s Benefits

  • Department of Defense  888-363-5433  TriCare for life and eligibility
    for military retiree health benefits

  • Office for Civil Rights  800-368-1019  Call if needing to file a privacy
    complaint
               
    Medical/Medicaid Basics
    This is not in place of or a full representation of the benefits of Medicaid.  
    For complete information please call your local Medicaid office.

  • This is a joint program from the Federal government and the State
    government.  This insurance program is designed to help pay for health
    costs of those who have low income.  This program varies from state to
    state.
  • California calls this program Medi-Cal, Massachusetts refers to this
    program as MassHealth and the rest of the states call it Medicaid.

    .
  • Medicaid is a medical insurance that a person must financially qualify
    for.  If your income and financial resources are limited you may qualify for
    Medicaid.  


  • Medicaid is the only medical insurance that will pay for most of the
    costs at a nursing home.

  • Medicaid is the only medical insurance that will help pay for “custodial care”
    (non skilled care) in a nursing home.  
    Medicaid will help pay for many prescriptions
    Consult with an eldercare attorney who specializes in Medicaid


  • www.cms.gov  This site can walk you through the eligibility list and
    provide information on Medicaid and Medicare.

  • These websites provide Screening Tools to help you see if you may
    be eligible for a variety of governmental programs: www.govbenefits.gov
    and http://www.benefitscheckup.org

  • Apply for Medicaid at your local Medicaid office



Medicare/Medicaid
Basics