What is the difference between Medicare and Medicaid in Nevada?

Medicare and Medicaid are two separate government programs. Nevada Medicaid is a state-run program that provides hospital and medical coverage for people with low income. Medicare is a federal program that provides health coverage if you are 65 or older, or under 65 with a disability, regardless of your income.

Can I have both Medicare and Medicaid at the same time?

Yes. If you are eligible for both Medicare and Medicaid, you are considered 'dually eligible.' These programs work together to provide comprehensive health coverage and lower your out-of-pocket costs.

How do Medicare and Medicaid work together?

For dual-eligible individuals, Medicare is the primary payer, meaning it pays for covered services first. Medicaid acts as the secondary payer, covering remaining costs such as premiums, deductibles, and services that Medicare may not cover, like long-term nursing home care.

Does Medicaid help pay for Medicare costs?

Yes, Nevada offers several Medicare Savings Programs that can help low-income individuals pay for their Medicare Part B premiums and other out-of-pocket costs. Additionally, those who qualify for Medicaid automatically qualify for 'Extra Help' to pay for prescription drug (Part D) costs.

Who is eligible for Medicaid in Nevada?

To be eligible for Nevada Medicaid, you generally must be a Nevada resident, a U.S. citizen or legal permanent resident, and meet specific low-income requirements (typically up to 138% of the federal poverty level).

What does Medicaid cover that Medicare does not?

Medicaid often covers services that Original Medicare does not, such as long-term nursing home care, personal care services, and sometimes additional dental or vision benefits depending on the specific Nevada Medicaid plan.

Medicare vs. Medicaid

If you are eligible for both Medicare and Medicaid (dually eligible), you can have both. They will work together to provide you with health coverage and lower your costs. In this case, Medicare is primary and Medicaid is secondary.

Also know that while Medicare and Medicaid are both health insurance programs administered by the government, there are differences in covered services and cost-sharing. Contact us to learn more about Medicare and Medicaid costs and coverage, especially if you are a dual-eligible.

The government has several Savings Programs which you can apply for through Nevada Medicare. These may help you to pay your Part B premiums and out of pocket costs in Medicare. You may also qualify for Extra-Help to pay for your Medicare prescription drug coverage.

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The first step to setting Medicare and Medicaid the right way is knowledge. Let us assist you on your eligibility and basic benefits. Call Us or message us.

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Medicare vs. Medicaid

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