Call Us: 502-265-0906
Home » Medicare

Medicare in La Grange, KY

Medicare is a valuable health care program that covers older adults, individuals with disabilities, and those with specific medical conditions. It is essential to distinguish between Medicare and Medicaid, as they cater to different populations with distinct eligibility criteria.

Contact 314 Insurance Advisors in La Grange, Kentucky, to learn more about your health care options, including Medicare and Medicaid.

Medicare Eligibility

Medicare eligibility is primarily based on age, although some individuals may qualify based on disability or specific medical conditions. The following groups of people may be eligible for Medicare:

  • Individuals aged 65 and older—Most become eligible for Medicare when they turn 65. There are numerous rules and regulations, including those regarding United States Citizenship and Medicare tax payments.
  • Individuals under 65 with disabilities—Those under 65 may qualify for Medicare if they have received Railroad Retirement Board (RRB) disability benefits or Social Security Disability Insurance (SSDI) for at least 24 months.
  • Individuals with End-Stage Renal Disease (ESRD) —Those with ESRD may be eligible for Medicare regardless of age.
  • Individuals with Amyotrophic Lateral Sclerosis (ALS)—Those diagnosed with ALS, also known as Lou Gehrig’s disease, are eligible for Medicare as soon as they receive disability benefits.

Understanding the different parts of Medicare, enrollment windows, and associated costs is crucial to make informed decisions about coverage options. It is important to note that while Medicare coverage is generally available to the eligible groups mentioned above, specific details, such as enrollment periods and premium costs, may vary.

Understanding the Difference Between Medicare and Medicaid

Although Medicare and Medicaid are government-sponsored health care programs, they serve different populations and have other eligibility criteria.

Medicare is a federal health insurance program designed for older adults aged 65 and above. It also covers certain individuals with disabilities or specific medical conditions. Medicare consists of four parts:

  • Part A—Hospital insurance may help cover inpatient hospital care, skilled nursing facility care, hospice care, and home health care services.
  • Part B—Medical Insurance may help cover outpatient services, doctor visits, preventive care and durable medical equipment.
  • Part C—Medicare Advantage provides an optional alternative to Original Medicare (Part A and Part B). It may provide additional benefits such as vision, hearing and dental care through Medicare-approved private insurance companies.
  • Part D—Prescription drug coverage may help pay for prescription medications.

Medicaid is a joint federal and state program that provides health care coverage to low-income individuals and families. Eligibility for Medicaid is based on income and other factors, such as age, disability and family size. Medicaid benefits vary by state, but they generally include doctor visits, hospital stays, preventive care and some long-term care services.

Contact Us

Contact 314 Insurance Advisors today to learn how Medicare and optional health care coverage can help pay for crucial medical care.