Medicaid and Medicare are government-sponsored healthcare programs in the U.S. The programs differ in terms of how they are governed and funded, as well as in terms of who they cover.
Medicare is an insurance program that primarily covers seniors ages 65 and older and disabled individuals who qualify for Social Security, while Medicaid is an assistance program that covers low- to no-income families and individuals. Some may be eligible for both Medicaid and Medicare, depending on their circumstances. Under the Affordable Care Act (a.k.a., "Obamacare"), 26 states and the District of Columbia have recently expanded Medicaid, thus enabling many more to enroll in the program.
Comparison chart
Medicaid versus Medicare comparison chart
Medicaid Medicare
Overview Medicaid in the U.S. is an assistance program that covers the medical costs of low- to no-income families and individuals. Children are more likely than adults to be eligible for coverage. Medicare in the U.S. is an insurance program that primarily covers seniors ages 65 and older and disabled individuals of any age who qualify for Social Security. Also covers those of any age with end-stage renal disease.
Eligibility Requirements Strict income requirements related to Federal Poverty Level (FPL). With expansion under the Affordable Care Act, 26 states cover at or below 138% of FPL. States that opted out have a variety of income requirements. Regardless of income, anyone turning 65 can enroll in Medicare so long as they paid into Medicare / Social Security funds. People of any age with severe disabilities and end-stage renal disease are also eligible.
Services Covered Children more likely to have comprehensive coverage in all states than adults. Routine and emergency care, family planning, hospice, some substance and smoking cessation programs. Limited dental and vision. Routine and emergency care, hospice, family planning, some substance and smoking cessation programs. Limited dental and vision.
Cost to Enrollees Varies by state, with some imposing deductibles. Usually low, but much may depend on what little income one has. Part A costs nothing for those who paid Medicare taxes for 10 years or more (or had a spouse who did). Part B in 2014 costs $104.90/mo for most. Part D costs vary, usually around $30/mo. Medicare Advantage costs vary.
Governance Jointly governed by the federal and state governments. Affordable Care Act sought to make more Medicaid rules universal, but the Supreme Court ruled states could opt out. Entirely governed by the federal government.
Funding Variety of taxes, but most funding (~57%) comes from federal government. Sometimes hospitals are taxed at the state level. Along with Medicare, Medicaid accounts for roughly 25% of federal budget. Payroll taxes (namely, Medicare and Social Security taxes), interest earned on trust fund investments, and Medicare premiums. Along with Medicaid, Medicare accounts for roughly 25% of federal budget.
User Satisfaction Relatively high High
Populations Covered All states, D.C., territories, Native American reservations. Around 20% of population on Medicaid. 40% of all childbirths covered by it. Half of all regular AIDS/HIV patients. All states, D.C., U.S. territories, Native American reservations. Around 15% of population on Medicare.
How is Medicare funded?
The Centers for Medicare & Medicaid Services (CMS), a branch of the Department of Health and Human Services (HHS), is the federal agency that runs the Medicare Program and monitors Medicaid programs offered by each state.
In 2011, Medicare covered 48.7 million people. Total expenditures in 2011 were $549.1 billion. This money comes from the Medicare Trust Funds.
Medicare Trust Funds
Medicare is paid for through 2 trust fund accounts held by the U.S. Treasury. These funds can only be used for Medicare.
Hospital Insurance (HI) Trust Fund
How is it funded?
• Payroll taxes paid by most employees, employers, and people who are self-employed
• Other sources, like income taxes paid on Social Security benefits, interest earned on the trust fund investments, and Medicare Part A premiums from people who aren't eligible for premium-free Part A
What does it pay for?
• Medicare Part A (Hospital Insurance) benefits, like inpatient hospital care, skilled nursing facility care, home health care, and hospice care
• Medicare Program administration, like costs for paying benefits, collecting Medicare taxes, and combating fraud and abuse
Supplementary Medical Insurance (SMI) Trust Fund
How is it funded?
• Funds authorized by Congress
• Premiums from people enrolled in Medicare Part B (Medical Insurance) and Medicare prescription ******* coverage (Part D)
• Other sources, like interest earned on the trust fund investments
What does it pay for?
• Part B benefits
• Part D
• Medicare Program administration, like costs for paying benefits and for combating fraud and abuse
Who pays for Medicare?
Medicare is funded by the Social Security Administration. Which means it's funded by taxpayers: We all pay 1.45% of our earnings into FICA - Federal Insurance Contributions Act - which go toward Medicare. Employers pay another 1.45%, bringing the total to 2.9%. (If you're self-employed, you must cough up the entire 2.9%.) The Medicare deduction on your paycheck might say FICA-HI. The HI refers to Health Insurance, and it's your premium cost for all Medicare coverage.
While the portion of our FICA taxes that cover payments into the Social Security system are levied only on the first $118,599 in earnings for 2016, the Medicare tax is levied on every penny you earn.
You will also pay some Medicare costs yourself when you start using the plan.
Just something else Ryan wants to get rid of!
Bottom line is... former presidents used the money we put in to give tax breaks to corps and help fund a broke gov.... and Obama used the money to help fund the ACA..... at least the damned money was going back to the people!
and again it is OUR money..... the gov owes it to the fund and instead of paying it back want to just do away with it!
Medicare is an insurance program that primarily covers seniors ages 65 and older and disabled individuals who qualify for Social Security, while Medicaid is an assistance program that covers low- to no-income families and individuals. Some may be eligible for both Medicaid and Medicare, depending on their circumstances. Under the Affordable Care Act (a.k.a., "Obamacare"), 26 states and the District of Columbia have recently expanded Medicaid, thus enabling many more to enroll in the program.
Comparison chart
Medicaid versus Medicare comparison chart
Medicaid Medicare
Overview Medicaid in the U.S. is an assistance program that covers the medical costs of low- to no-income families and individuals. Children are more likely than adults to be eligible for coverage. Medicare in the U.S. is an insurance program that primarily covers seniors ages 65 and older and disabled individuals of any age who qualify for Social Security. Also covers those of any age with end-stage renal disease.
Eligibility Requirements Strict income requirements related to Federal Poverty Level (FPL). With expansion under the Affordable Care Act, 26 states cover at or below 138% of FPL. States that opted out have a variety of income requirements. Regardless of income, anyone turning 65 can enroll in Medicare so long as they paid into Medicare / Social Security funds. People of any age with severe disabilities and end-stage renal disease are also eligible.
Services Covered Children more likely to have comprehensive coverage in all states than adults. Routine and emergency care, family planning, hospice, some substance and smoking cessation programs. Limited dental and vision. Routine and emergency care, hospice, family planning, some substance and smoking cessation programs. Limited dental and vision.
Cost to Enrollees Varies by state, with some imposing deductibles. Usually low, but much may depend on what little income one has. Part A costs nothing for those who paid Medicare taxes for 10 years or more (or had a spouse who did). Part B in 2014 costs $104.90/mo for most. Part D costs vary, usually around $30/mo. Medicare Advantage costs vary.
Governance Jointly governed by the federal and state governments. Affordable Care Act sought to make more Medicaid rules universal, but the Supreme Court ruled states could opt out. Entirely governed by the federal government.
Funding Variety of taxes, but most funding (~57%) comes from federal government. Sometimes hospitals are taxed at the state level. Along with Medicare, Medicaid accounts for roughly 25% of federal budget. Payroll taxes (namely, Medicare and Social Security taxes), interest earned on trust fund investments, and Medicare premiums. Along with Medicaid, Medicare accounts for roughly 25% of federal budget.
User Satisfaction Relatively high High
Populations Covered All states, D.C., territories, Native American reservations. Around 20% of population on Medicaid. 40% of all childbirths covered by it. Half of all regular AIDS/HIV patients. All states, D.C., U.S. territories, Native American reservations. Around 15% of population on Medicare.
How is Medicare funded?
The Centers for Medicare & Medicaid Services (CMS), a branch of the Department of Health and Human Services (HHS), is the federal agency that runs the Medicare Program and monitors Medicaid programs offered by each state.
In 2011, Medicare covered 48.7 million people. Total expenditures in 2011 were $549.1 billion. This money comes from the Medicare Trust Funds.
Medicare Trust Funds
Medicare is paid for through 2 trust fund accounts held by the U.S. Treasury. These funds can only be used for Medicare.
Hospital Insurance (HI) Trust Fund
How is it funded?
• Payroll taxes paid by most employees, employers, and people who are self-employed
• Other sources, like income taxes paid on Social Security benefits, interest earned on the trust fund investments, and Medicare Part A premiums from people who aren't eligible for premium-free Part A
What does it pay for?
• Medicare Part A (Hospital Insurance) benefits, like inpatient hospital care, skilled nursing facility care, home health care, and hospice care
• Medicare Program administration, like costs for paying benefits, collecting Medicare taxes, and combating fraud and abuse
Supplementary Medical Insurance (SMI) Trust Fund
How is it funded?
• Funds authorized by Congress
• Premiums from people enrolled in Medicare Part B (Medical Insurance) and Medicare prescription ******* coverage (Part D)
• Other sources, like interest earned on the trust fund investments
What does it pay for?
• Part B benefits
• Part D
• Medicare Program administration, like costs for paying benefits and for combating fraud and abuse
Who pays for Medicare?
Medicare is funded by the Social Security Administration. Which means it's funded by taxpayers: We all pay 1.45% of our earnings into FICA - Federal Insurance Contributions Act - which go toward Medicare. Employers pay another 1.45%, bringing the total to 2.9%. (If you're self-employed, you must cough up the entire 2.9%.) The Medicare deduction on your paycheck might say FICA-HI. The HI refers to Health Insurance, and it's your premium cost for all Medicare coverage.
While the portion of our FICA taxes that cover payments into the Social Security system are levied only on the first $118,599 in earnings for 2016, the Medicare tax is levied on every penny you earn.
You will also pay some Medicare costs yourself when you start using the plan.
Just something else Ryan wants to get rid of!
Bottom line is... former presidents used the money we put in to give tax breaks to corps and help fund a broke gov.... and Obama used the money to help fund the ACA..... at least the damned money was going back to the people!
and again it is OUR money..... the gov owes it to the fund and instead of paying it back want to just do away with it!
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