What is the law on Medicare and Medicaid?
In South Carolina, Medicare and Medicaid are both administered by the South Carolina Department of Health and Human Services (SCDHHS). Medicare is a federally funded health insurance program for individuals aged 65 and older, those under 65 with certain disabilities, and people with End-Stage Renal Disease. It helps to cover services like hospital stays, doctor visits, and preventive care. Medicaid is a state and federal health insurance program for individuals and families with low income. It covers a wide variety of medical services including doctor visits, hospital stays, lab tests, X-rays, nursing home care, and family planning. In South Carolina, Medicare and Medicaid are both available to eligible individuals and families. To qualify for Medicare, you must be 65 years or older, have a disability, or have End-Stage Renal Disease. To qualify for Medicaid, you must be a resident of the state, have a low income, and meet certain other requirements. Both Medicare and Medicaid are subject to state and federal laws, regulations, and guidelines. In South Carolina, these laws provide important protections to individuals and families who rely on these programs for their healthcare needs. For instance, they protect beneficiaries from medical care that is not medically necessary, or that is not provided in the most appropriate way. They also provide important due process protections, such as the right to appeal decisions and actions related to the provision of the services.
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