Medicare and Medicaid Essay Example | Topics and Well Written Essays - 500 words

Medicare and Medicaid - Essay Example A state sets its own eligibility standards. Qualifying for eligibility depends upon age, pregnancy and disability status, citizenship, and other assets. The state includes individuals who receive federally assisted income-maintenance payments and who do not receive cash payments. Medicaid focuses on the group who needs the outmost assistance due to financial instability. Federal poverty line level (FDL) determines the families who will receive the Medicaid program. However, not all the poor benefit from or receive the Medicaid program. Among poor groups in America, about 60% are not covered by the Medicaid program. Under the Medicaid, the state makes an agreement with the Health Maintenance Organizations (HMOs) to pay the health care providers and reimbursed Medicaid expenditures from the Federal Government. All Medicaid beneficiaries are exempted from copayments for emergency services and family planning services and exclude pregnant women, children under age 18, and hospital or nur sing home patients. On the other hand, Medicare is a social, health insurance program intended for the elderly and disabled Americans. Medicare has four parts. Part A and B deal with hospital insurance while part C and D deal with prescription drugs.