Medicare
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Medicare is the federal health insurance program for people who are 65 or older, certain younger people with disabilities and people with End-Stage Renal Disease. |
Medicaid
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Medicaid allows for health insurance coverage through several vehicles and over a continuum of settings, ranging from institutional care to community-based long-term services and supports (LTSS). |
Dual eligibles (DEs)
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People who receive Medicare (based on age or disability) who are also low income and thus eligible for Medicaid |
Full dual eligibles
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The 73% of dual eligibles who meet criteria for both Medicare and Medicaid services and can receive the full range of Medicaid benefits such as long terms services and supports |
Partial dual eligibles
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Partial dual eligibles are low income individuals who are not otherwise eligible for full benefit Medicaid where Medicaid pays their Part A and if needed Part B Medicare premiums |
Home and community-based services (HCBS) |
HCBS provide opportunities for Medicaid beneficiaries to receive services in their own home or community rather than institutions or other isolated settings. |