Medicare vs Medicaid

Medicare vs. Medicaid

Medicare and Medicaid have similar missions. They both work to extend healthcare and ensure beneficiaries have access to the services they need.

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The main differences

Medicare and Medicaid are both government programs that have related purposes but were created for different groups. Medicare is primarily for senior citizens and provides support for aging needs and medical expenses. Medicaid also provides health insurance, but primarily serves the low-income population. Medicaid is not age exclusive, setting it apart from Medicare.


Many people enrolled in Medicare have deductibles that must be met before they’re fully covered. With Medicare, drug costs may also be paid for out of pocket by the beneficiary.
Through Medicaid, there are many fewer costs to the beneficiary. For some, there may only be a copayment, in which case it would be nominal.

Who is eligible for Medicare and Medicaid?

When determining Medicare eligibility, age, and tax history are the two most important components. Those who have been contributing to the US government through taxes and are 65 will most likely be eligible for Medicare.

Financial situations are the determinant in many Medicaid situations. Other eligibility decisions can be made based on the state and vary on a case by case basis.

Here’s what’s included

Medicare coverage is more standardized than Medicaid coverage is, as the latter is impacted greatly by location. If you’re wondering what’s included within your state, reach out to an insurance agent to have your questions answered. Enrollment can be complicated, so it’s best to have the help of a professional. The professionals at The Fussell Group Insurance Advisors specialize in Medicare and can be reached at 1-877-874-0711.

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