Medicaid is a federal-state program, which means every state is different. It is a means-tested program intended to be a safety net. It serves low-income older adults, as well as the disabled, and families with children.

Dual Eligibles are people enrolled in Medicare and Medicaid. They can be in Medicare and then qualify for Medicaid, or vice versa. Older low-income people can get help to pay for assisted living and nursing care that doesn’t meet Medicare’s more stringent medically necessary criteria. All states have at least one Medicaid home and community-based service (HCBS) waiver program to help do that.

State Medicaid offices also have other plans which can help pay for Medicare premiums, drugs, and other health plans.

Medicare Savings Programs help low-income Medicare beneficiaries with some or all of their Medicare Parts A and B hospital and medical expenses.

Help to pay Part D Drug premiums, deductibles, coinsurance, and other costs like apart the late enrollment penalty.

Medicare health plans the lower costs. Some states help coordinate Medicare and Medicaid in their own plan.

Special Needs Plans are a type of Medicare Advantage plan that targets groups with specific chronic diseases such as autoimmune disorders, dementia, diabetes, etc.

Program of All-Inclusive Care for the Elderly (PACE) is only available in some states. It brings together Medicare and Medicaid with a team to decide on any other care and support needed to maintain your health, including doctor and hospital visits, transportation, home care, nursing home stays, etc. There is no cost for Medicaid patients. Medicare patients pay for the long-term care part but don’t pay for drugs approved by the PACE team.

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