What is the law on Medicare and Medicaid?

The law in North Carolina regarding Medicare and Medicaid follows the overall guidelines set by the Federal Government. Medicare is a government-funded health insurance program that is available to individuals who are 65 or older, certain young people with disabilities, and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant). Medicaid is a government run health insurance program that helps with medical costs for some people with limited income and resources. In North Carolina, Medicare and Medicaid are managed by the Department of Health and Human Services (DHHS). Eligible individuals may receive a range of health care services including hospital care, doctor visits, mental health services, preventive care, prescription drugs, and more. To qualify for Medicaid, individuals must meet the income, residency, and citizenship requirements as well as meet other criteria specified by the DHHS. In addition, many individuals in North Carolina have the option to join Medicare Advantage plans, which are offered by private insurance companies and help cover additional services not typically covered by Medicare. Finally, North Carolina also offers a number of programs to help low-income individuals pay for their Medicare or Medicaid costs. These programs may provide discounts on premiums, co-pays, and deductibles. To see if you are eligible for any of these programs, contact your local DHHS office.

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