How To Effectively Use Medicaid And Medicare

Medicaid and CHIP are often feel overwhelming. However, with a little help, these programs can make a huge different in older adult’s lives. Here is a simple walk through on how to enroll and how to effectively use your Medicaid, CHIP, and Medicare!

There are two ways to set up Medicaid for your families. Which method you choose to follow is a matter of personal preference.

HEALTH INSURANCE MARKETPLACE

The first way to apply is through the Health Insurance Marketplace.The marketplace is a middle man service where you input your family information. If anyone does qualify for CHIP or Medicaid, their information will be directly sent to the relevant state agency, which will contact you about enrollment.

STATE AGENCY

Another way to apply for CHIP and Medicaid is with directly applying to your state agency. Each state agency has their own application. With Medicare you can apply using an 855i Provider Enrollment form, which can be found in multiple languages. It is important to start the Medicare application for the applicant four months before the person turns 65, during the Medicare general enrollment period.

You also need know how to USE your Medicaid and Medicare! Here are some quick tips on how to effectively find a doctor for your needs.

·         Use search engines provided my Medicare and Medicaid to find doctors who accept your insurance.

·         Call the doctor’s office ahead of time to see if the doctor accepts the insurance and does not require an additional upfront fee.

·         Talk to a pharmacist before finalizing the prescription to see if your insurance pays for the prescription or if there is an alternative that is covered

·         Be on time with your yearly check-ups and shots to avoid any discrepancies in your file.

Medicare and Medicaid have helped millions of people around the nation and it is important to have health care in case of any emergency to occur. Using these quick tips will help you get most out of your Medicare or Medicaid!

When you are ready to take advantage of your Medicaid and Medicare, feel free to contact Gonzaba Medical Groupto set up an appointment.

What is Covered Under Medicare and Medicaid?

Medicare and Medicaid are two topics which are commonly discussed but frequently confused by many Americans. Both of these are run by the government to help people who meet a certain criteriaaccess healthcare and benefits. It is important to know the differences, how they complement one another, and when each one is in action.

Medicaid is a joint federal and state program that helps with medical costs for people with limited income and resources. There are also benefits not covered usually by Medicare, such as nursing home care and personal care!

Medicare is a federal health insurance program for people of different qualifications. Medicare is for those of or over the age of 65, certain younger people with disabilities, and people with other major conditions. The age of Medicare enrollment is very important as most people are not covered for Medicare unless they make a strong case. It is important to start the paperwork at least 9 months prior to turning 65 to help have an easy transition. 

Medicare and Medicare go hand in hand when it comes down to coverage. Medicare serves as a large contributor to a home as it helps with the burden of many costs. Medicare helps throughout the entire process of which a person may experience with medical attention. First, the Medicare coverage helps pay for the hospitalization cost. After those costs have been addressed, Medicare then pays for any additional costs such as medical equipment, physician services, lab and radiology work, and administrative fees.  After those fees have been covered Medicare uses their advantage plan to help pay outstanding fees and assist with the cost of prescription drugs. 

It is important to understand that Medicaid does not require you to be 65 years or older. Three million people in the state of Texas qualify for Medicaid. Medicaid is for those who are Low income, disabled, pregnant women, and children under the age of 18. All Medicaid and Medicare doctors are found on the respected insurance website. The website easy to use and looks at the different criteria’s needed as well so everyone can be given the best treatment needed.