Medicare is a huge governmental program that covers over forty million Americans. The program provides several benefits to suit any situation or lifestyle of and individual. In order to efficiently make use of their asset, the company governs the eligibility of the programs offered.
Occasionally an individual may qualify for Dual Eligibility Medicare. What is Dual Eligibility Medicare? When someone is dual eligible, they qualify for both Part A and Part B programs. Also, the person might be entitled to some Medicaid benefits as well.
One eligibility determination is determined by a complicated formula. Here are the basic guidelines considered in the process. Generally, if the individual is of sixty-five years or older and considered to be a United States citizen are usually given Medicare benefits. On the other hand, United States citizens who are younger than the age of sixty-five may or may not qualify for all programs. Disabilities and diseases play a major role in determining their eligibility. More often than not, if a person under the age of sixty-five does not have a disability or life altering disease they will not qualify for Medicare benefits
There are a variety of scenarios that may qualify someone for Dual Eligible benefits. Medicare Part A, Part B, and the Medicaid benefits become interchangeable depending on income level, working ability, and the qualification of Medicaid benefits. Currently there are eight scenarios that act as a sorting board for determining what type of benefits a dual eligible individual will receive. Due to a limitation in funds, an often time there is a cap placed on the amount of dual eligible individuals.