What are the categories for dually eligible individuals for Medicare and Medicaid?

To apply for the Medicare and Medicaid programs, you must follow a process that depends on your needs. The requirements and applications vary depending on what you are looking for.

In this case, Medicare is the health insurance system istered by the United States government and is divided into 4 components, each focused on covering different types of medical care:

• Part A: Hospitals.
• Part B: Doctors and prevention.
• Part C: Private plans (A + B + supplements).
• Part D: Prescription drugs On the other hand.

Medicaid is a medical assistance program provided through a collaboration between the federal and state governments aimed at helping people with limited income and resources.

Eligibility rules vary from state to state, but generally you can qualify if you meet certain income or age requirements.

Can I apply for both programs?

Yes, but you must be careful because of the following notice:

Dual eligibles qualify for both Medicare and Medicaid. If you have both:

• Medicare is the primary plan and covers most medical services.
• Medicaid is secondary and pays for costs that Medicare does not cover in full or in part, such as co-payments or s.

Categories of Dual Eligibility (Medicare and Medicaid)

Full Beneficiary (FBDE):

• All Medicare (A, B, D) + all Medicaid (doctors, long-term care).

Partial benefits:

• All Medicare + limited Medicaid:
• QMB: Pays A/B s, deductibles, coinsurance.
• SLMB: Pays B .
• QI: Pays B (limited funds).
• QDWI: Pays A (disabled worker).

What are the benefits of being eligible for both programs?

Dual eligibility expands your medical coverage. Medicaid pays for what Medicare does not, such as nursing home care or personal assistance. Other benefits may include:

• Equipment like wheelchairs or walkers.
• Doctor visits.
• Hospitalization (inpatient or outpatient).
• Mental health care.
• Prescriptions.
• Preventive care.
• Dental care.