CHIP's, Medicare and Medicaid

CHIP's, Medicare and Medicaid

Cost Medicaid & CHIP:

Medicaid, CHIP, & Medicare Mission

CHIP and Medicaid

MEDICARE

Covers:

• people age 65 or older,
• people under age 65 with certain disabilities
• people of all ages with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a kidney transplant)

Medicaid and CHIP provide free or low-cost health coverage to millions of Americans

• low-income people
• families and children
• pregnant women
• the elderly
• people with disabilities

Both programs are run jointly by federal and state governments

pay for and deliver better care and better health at reduced costs through improvement for all Americans.

• Better care: Improve individual patient experiences of

• Healthier people: Encourage better health for entire populations by addressing underlying causes of poor health

~physical inactivity

~behavioral risk factors

~lack of preventive care

~poor nutrition.

• Smarter spending: Lower the total cost of care resulting in reduced monthly expenditures for each Medicare, Medicaid or CHIP beneficiary by improving care

CHIP

there is no cost for medicaid

Costs for CHIP:

• If the child can get CHIP, co-pays will be based on family income

• Co-pays for doctor visits and prescriptions range from $3 to $5 for lower-income families and $20 to $35 for higher-income families.

Medicaid

• CHIP provides low-cost health coverage to children in families that earn too much money

• CHIP covers parents and pregnant women

• In many cases, if you qualify for Medicaid your children will qualify for either Medicaid or CHIP

Qualifications:

You qualify for these programs based on your household size, income, and other factors, like age and disability

CHIP covers:

• Routine check-ups
• Immunizations
• Doctor visits
• Prescriptions
• Dental and vision care
• Inpatient and outpatient hospital care
• Laboratory and X-ray services
• Emergency services

Medicare Has:

HOW IS IT FUNDED?

Some Medicaid programs pay for your care directly. Others use private insurance companies to provide Medicaid coverage.

• funded by the federal government and states

• Payroll taxes paid by most employees, employers, and people who are self-employed

• Part A Hospital Insurance - Most people don't pay a premium for Part A because they or a spouse already paid for it through their payroll taxes while working
• covers inpatient care in hospitals, including critical access hospitals, and skilled nursing facilities

• Part B Medical Insurance - Most people pay a monthly premium for Part B
• covers doctors' services and outpatient care
• medical services that Part A doesn't cover
• physical and occupational therapists, and some home health care

• In 1965, President Lyndon B. Johnson signed Medicaid and Medicare into law
• Medicare and Medicaid began as basic insurance programs for Americans without health insurance
• becoming the standard bearers for quality and innovation providing even more Americans with quality and affordable care

Citations:

https://www.healthcare.gov/medicaid-chip/childrens-health-insurance-program/

http://innovation.cms.gov/about/Our-Mission/index.html

http://www.medicaid.gov/medicaid-chip-program-information/by-topics/financing-and-reimbursement/financing-and-reimbursement.html