Medicaid is a state and federal program run by the Department of Healthcare and Family Services (HFS) and the Illinois Department of Human Services (DHS). It is only available to individuals and families below a certain amount of income.
Medicare is a health insurance program operated by the federal government through the Social Security Administration. It is generally available only to people over age 65 and to people under age 65 who receive Social Security Disability Insurance (SSDI). Unlike Medicaid, there are no income limitations for Medicare participants. Medicare participants must also pay premiums, deductibles and co-payments.
Dual Eligible Beneficiaries
Some individuals may qualify to receive both Medicaid an Medicare benefits. These individuals may receive Medicare Part A and/or Part B and full Medicaid benefits and/or assitance with Medicare premiums or cost sharing through a Medicaid Savings Program like:
- Qualified Medicare Beneficiary – Helps pay for Part A and/or Part B premiums, deductibles, coinsurance, and copayments;
- Specified Low-Income Medicare Beneficiary – Helps pay for Part B premiums;
- Qualifying Individual – Helps pay for Part B premiums; and •
- Qualified Disabled Working Individual – Pays the Part A premium for certain people who have disabilities and are working.
For more information see Dual eligible beneficiaries under the Medicare and Medicaid programs.