Medicaid and Medicare - Using Both Benefits, A Primer for Dual Eligibles
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- Опубликовано: 22 авг 2024
- Millions of Americans are enrolled in both the Medicare and Medicaid programs and millions more will become eligible over the next few years (possibly someone near and dear to you). These people are referred to as ‘dual eligible.’ The impact of these benefits (for Dual Eligibles) is to significantly reduce or completely eliminate the costs of health care - if you understand how to use them to their greatest effect.
This presentation will:
Examine the characteristics of dual eligibility.
The benefits that each program (Medicare and Medicaid) provides.
How each program coordinates with the other.
The special problems that dual eligibility generates and how to effectively deal with those problems.
Presenter: Bill McKendree
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All I can say is 'wow'. Love the level of detail for such a confusing topic. Very well described and delivered.
Thank you for detailed explanation of a Medicare plans and supplement Medigap, as well as Medicade eligibility.
Such a great source of information on Medicare nd medicaid! Cannot believe it doesn't have 1 million views and 250k likes. Thanks for the thorough discussion on the topics.
Do you have an email for questions for a New Yorker? Thanks
Did they tell you about anything that I could get a hold of in regards for New York?
New York seems to be a whole New World😢
@@nancypocahontas - I’d like to also suggest another quite informative nationwide Medicare insurance agent that I recently became aware of via RUclips- Christopher Westfall. His associates might be able to assist you with NY plans.
There are alot of Americans that befits from the two tier health care system going foward into 2023 and 2024
Thank you for this great wealth of information. I have been dealing with an SNP and it is a total nightmare. Most providers in the SNP network will not accept my medicaid as my secondary payment. So even though to my understanding even as you explained the snp is for dual eligibles I have nothing but problems getting even the simplest things accomplished like an xray or a regular pcp office visit. Keep getting bills in the mail for the part medicaid is suppose to pay and I'm the one that has to track down why. Its ridiculous
Call your insurance and Medicaid each time you get a bill and file an appeal and complain to your Medicaid, as they are the administrator for the program.
Make sure the provider accepts Medicaid (your state should provide you with a list of Medicaid providers) and has a copy of your Medicaid card. If you receive a bill simply call the phone number on the bill and remind them they have to bill Medicaid. If you receive a second bill that does not indicate they have billed Medicaid then contact the agency in your state that handles insurance problems, it might be an ombudsman you can find out the proper agency from Medicaid but Medicaid themselves will not handle these types of billing problems
The dual work great for me very good with no worries received dental and also cataract no money involved
This was exceptional in explaining how Medicaid and Medicare works. I have been on Medicaid the past 2 years. I dont understand how I qualified because every chart I see, my SS check is over. That being said, I don't know if I will remain eligible next year when I turn 65. This was very informative for me as now I can plan both case scenarios. Also, I was shocked to hear that Medicaid would not pick up the prescription portion once Medicaid becomes secondary, so thank you for mentioning that I will need to sign up for Part D
@CrochetforBeginners120 I retired at 62. No one is eligible for Medicare until age 65
@PremiumStar435- Some folks might be dual eligible.
@NoMoreTears64 - Some individuals are eligible for Medicare prior to age 65. If they have been on SSDI (disability) for two years, on their 25th month of SSDI, they become eligible for Medicare. My mother had early Medicare eligibility because she had ALS, so she received Medicare eligibility because of her diagnosis.
@PremiumStar435 depends on age of retirement.
What if you haven’t worked in 2 years and living off your savings till you can find work. Am I eligible for dual coverage when I turn 65. How do I prove it, if I haven’t any Tax info since losing my job due to the Pandemic.
Thanks for the new video! I’m looking forward to seeing what other content you post! Always good to learn as much as you can!
I appriciate these valuable information.🙋💕🙏💕
Thank you! Nobody properly explains this!
I'm glad you clearly explain that an avantage plan may not be good for everyone because of the restrictions. I rather get a medigap, and yes like my friends say they can't accord it...what I can afford is a medicaid "the clawgrab"
You should compare how much you spend on Medigap and would have spent on Dual Complete SNT Advantage Plan for your past 5-10 years. Saving and investing money difference can afford you an occasional splurge on Private Doctors who don't accept Advantage Plan. Having a expensive upfront plan is feeding pockets of insurance company.
Well tell me what is the cutoff limit for medicaid because I'm from Tennessee and they turned me down for medicaid 2-3 times. I do get LSI but that's all
Thanks for u información..Gracias por tu información
Been told, if you have Medicaid, you can't buy a MediGap supplement. If you are not eligible for Medicaid by assests or higher income, your MediGap supplement is available, but premiums might be higher😢.
thank you
great information
Thank you!
I am turning 65 in 2 months so after watching your excellent presentation, I decided to apply for Medicaid also since I am poverty level and will apparently qualify for thos programs that will help me with the $170. a month Medicare program.
My only question is what is the difference between SLMB which I qualify for and the better program QMB ? Id rather apply for QMB but not sure if I can due to low income like the SLMB program.
Thanks for all your help since one friend told me I didnt have to get Medicare but since I worked more than 10 years paying taxes, Medicare contacted me stating I should pick a plan or they will automatically put me in the A&B plan which I cant afford.
One last question is if Medicare automatically puts me in Medicare Savings Plan and LIS plan when my Medicare goes through or do I have to contact the SSA ?
Thanks again Eric
Does this info only work for Pa reside ts?
Thank you
Can I (we) use HMO Avantage Plan while being disabled senior getting disabled senior nursing care in my own home? Or what do I need to apply for to use it?
Call your state Medicaid and ask them for application and then go to a Medicaid Liscenced Helper in your area for help with application.
If you receive care through Medicaid Community Waivers you are not eligible for an HMO Advantage plan or any plan that requires you to be in an HMO or PPO.
I have Medicare, Medicaid and Tricare. Can I still get Dual complete United HealthCare?
Listen back to your vid. At the end you say social security. Which is it?
Dual Eligible
I have Medicaid Turning 65 September Medicare well I’ll keep both
Advantage plans are ok if you are healthy but as you age you’re gonna need more meds , more hospitalization, big ticket items, X-rays, mri, etc - that’s when you can get into big debts cause you pay thru the nose on those items & many times these private insurance companies deny or delay your dr’s treatment plan- with Medicare A& B, & medi gap what the Dr says goes- you get the procedure or surgery or mri paid in full
It’s true - the Medicare advantage plan I signed up for gave me a list of drs who were supposed to be on the plan - half were not taking new patients, 1 had a Dr who quit a year ago & it’s taken me a month or 2 to find a primary care Dr - call first to make sure yr Dr is on the list - it’s been a nightmare - I’m going back to Medicare part A & B ( original) I moved to a more rural area & can’t find a Dr who takes my plan & btw I have to wait a month & 1/2 to get in on the first appointment to meet him - in the meantime I’ve had to go to emergency & urgent care cause I cd not see him right away
Thanks in advance. My question is: If I’m already 77 years old, am I still eligible to apply for SSDI or SSI senior medically disabled?
absolutely and I suggest you find an advocate to help you apply, The application is tricky and whatever you do don't go to an attorney, they do nothing and take a big chunk of your benefits. Make an appointment at your local Social Security office and ask for help. Good luck!
I'm On SSI And Receive Medicaid, Will Be Turning 65 In October,Do I Need To Apply For Medicare.
Yes, you do.
How can I get one
any thing for n y c
Where do I apply for LIS? Thank you
Through your local Social Security Office, Medicaid Office, Department of Children and Families Office.
I disagree with the Dual-Eligible Coverage Option 3 explanation. I was told if I am on Medicaid I cannot purchase a Medigap policy. The way it was explained to me when I tried was that they pretty much cannot legally sell me medigap insurance if I am receiving Medicaid. So that is not a possibility unless you already have the medigap policy when you first start into medicaid.
Specifically how much is the cutting edge of your income to be qualified as low income?
Google it
Hi/Hello.
a lot of n y c drs are opting out
Molina Benefits Card App Employeid Molina ID #
I want to know how balanced Molina card debt
Thank you for this great wealth of information. I have been dealing with an SNP and it is a total nightmare. Most providers in the SNP network will not accept my medicaid as my secondary payment. So even though to my understanding even as you explained the snp is for dual eligibles I have nothing but problems getting even the simplest things accomplished like an xray or a regular pcp office visit. Keep getting bills in the mail for the part medicaid is suppose to pay and I'm the one that has to track down why. Its ridiculous