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Understanding Medicaid vs Medicare: What's the Difference?
Medicaid Programs January 6, 2025

Understanding Medicaid vs Medicare: What's the Difference?

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Understanding the difference between Medicaid and Medicare is crucial when exploring family caregiver programs. Many people confuse these two programs, but they serve very different purposes—and only one of them qualifies you for paid family caregiver programs.

See If You Qualify to Get Paid as a Family Caregiver

Eligibility varies by state. Check your options in minutes.

Check Eligibility

Medicare: Federal Health Insurance

Medicare is a federal health insurance program primarily for people 65 and older, regardless of income. It also covers some younger people with disabilities.

Medicare Covers:

  • Hospital stays (Part A)
  • Doctor visits (Part B)
  • Prescription drugs (Part D)
  • Short-term skilled nursing care

Important: Medicare Alone Does NOT Qualify You

Medicare does not cover long-term personal care services. If you only have Medicare, you cannot participate in paid family caregiver programs.

Medicaid: State-Based Assistance

Medicaid is a joint federal and state program that provides health coverage to people with limited income and resources. Each state runs its own Medicaid program within federal guidelines.

Why Medicaid Matters for Family Caregiving

Medicaid is the key to paid family caregiver programs. These programs are funded through Medicaid waivers that allow states to pay family members for providing care.

Key Differences at a Glance

Medicare

  • Federal program
  • Based on age (65+) or disability
  • Not income-based
  • Covers medical care only
  • No family caregiver option

Medicaid

  • State-administered
  • Based on financial need
  • Income and asset limits apply
  • Covers long-term care
  • Enables family caregiver programs

Dual Eligibility: Having Both

Many seniors qualify for both Medicare and Medicaid—this is called "dual eligibility." If you're dual eligible, you get the best of both worlds:

  • Medicare covers your medical and hospital expenses
  • Medicaid covers long-term care and can pay family caregivers
Family discussing care options together
Understanding your coverage options helps you make the best decisions for your family.

How to Check Your Eligibility

1

Check Your Current Coverage

Look at your insurance cards. Medicaid cards are usually issued by your state.

2

Contact Your State Medicaid Office

If you're unsure, your state's Medicaid office can confirm your enrollment status.

3

Apply for Medicaid If Needed

If you don't have Medicaid but think you might qualify, we can help you apply.

See If You Qualify to Get Paid as a Family Caregiver

Eligibility varies by state. Check your options in minutes.

Check Eligibility
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Helping families access Medicaid-funded caregiver programs so loved ones can receive quality care at home. We've helped thousands of families navigate the process and get the support they deserve.

Programs and eligibility vary by state. The information provided is for educational purposes only and does not constitute legal or medical advice. Please consult with appropriate professionals for guidance specific to your situation.