Medicare is the federal government program that gives you health care coverage (health insurance) if you are 65 or older
or under 65 and have a disability
, no matter your income. When you pay taxes on your income, part of the money goes toward Medicare.
To find out if you qualify for Medicare, click on the links in the GO TO box.
The Centers for Medicare and Medicaid Services (CMS) is the federal agency that oversees Medicare.
Medicare is different from Medicaid, which is a state and federal program offering health care coverage to people of most ages in certain groups (children and pregnant women, single parents, people with disabilities, and people 65 and over), but generally only to those with low incomes.
To find out the difference between Medicare and Medicaid, click on the link in the GO TO box.
To learn how Medicare and Medicaid work together, click on the link in the GO TO box.
Medicare has different parts that cover inpatient services, outpatient services and prescription drugs at the pharmacy.
To learn more about the parts of Medicare, click on the link in the GO TO box.
Unless you make another choice for how to get your benefits when you become eligible for Medicare, you will have Original Medicare, the traditional fee-for-service program offered directly through the federal government. In Original Medicare, you are covered to go to just about any doctor or hospital in the country.
People can also choose to get their Medicare benefits instead through a Medicare private health plan (such as an HMO or PPO). These plans, which are also called “Medicare Advantage” plans, must offer at least the same benefits as Original Medicare but can have different rules, costs and coverage restrictions. They can also offer additional benefits. Some people who get health coverage from a union or current or former employer will automatically be enrolled in a Medicare private health plan when they become eligible for Medicare if their employer sponsors one. Everyone has a choice about how to get Medicare health benefits.
It is important to understand your Medicare coverage choices and to pick your coverage carefully. How you choose to get your benefits can affect your quality of care.
For information on your Medicare coverage options, click on the link in the GO TO box.
Everyone who has Medicare receives a “red-white-and-blue” Original Medicare card. If you have Original Medicare, you will show this card when you get services. If you choose to get your health benefits through a Medicare private health plan, you will still get an Original Medicare card but you will show your private plan card when you get services. No matter how your get your Medicare health benefits, keep the Original Medicare card as proof of your Medicare eligibility.
To learn more about the Medicare card, click on “How do I show proof of my Original Medicare coverage? (What card should I show?)” in the GO TO box.