Key Terms / Vocabulary
- Benefit Period
- The length of time during which a benefit is paid.
- Begins the day you’re admitted as an inpatient in a hospital or SNF.
- Ends when you haven’t gotten any inpatient hospital or SNF care for 60 days in a row
- Coinsurance
- Your share of the cost for services after you pay any deductibles, usually %
- Copay
- Your share of the cost for services after you pay any deductibles, usually $
- Cost Share Protected
- State Medicaid office covers remaining balance.
- Can be from either D
- Deductible
- What you pay first, THEN your other insurance begins to pay.
- Inpatient Care
- Medical service that requires admission into a hospital.
- Lifetime Reserve Days
- Extra days that Medicare will pay for when you’re in a hospital for more than 90 days. You have a total of 60 reserve days that can be used during your lifetime.
- Medicare
- Insurance from the Federal Government
- Medicaid
- Insurance from the State Government
- Outpatient Care
- Medical service provided that doesn’t require a prolonged stay at a facility.
- Premium
- Monthly Payment
Medicare vs Medicaid
- Medicare is federal health insurance for
- Anyone age 65 and older
- Some people under 65 with certain disabilities or conditions
- People of any age with End-Stage Renal Disease (ESRD) (permanent kidney failure requiring dialysis or a kidney transplant)
- Medicaid is a joint federal and state program that provides health coverage for some people with limited income and resources.
- Medicaid offers benefits, like nursing home care, personal care services, and assistance paying for Medicare premiums and other costs.