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The answers above from Eddie and karen are correct but they seem to anticipate why you are asking the question (nursing home?). There are really dozens of differences between Medicare and Medicaid and the answers depend on why you ask. If you could be more specific I am sure someone here can help you,
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Why would you want to pay for your supplemental insurance if your income is low enough for Medicaid?
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Medicare is a federal program while medicaid is a state program. Medicare does not pay for long-term care services, it only pays for rehabilitative care in a skilled care facility but is limited to 100 days only. Medicaid on the other hand helps pay for long-term care expenses but you have to pass eligibility requirements. Their rulings vary depending on which state you are located.
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what changes with Medicaid / instead of medicare?
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Just approved for Medicaid, can I still use my excellent Suppliment ?
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Can I still use my supplement with Medicaid ?
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RLP:

Medicare is Federal, and you're elegible for it at the age of 65. Younger people with AIDS, once considered a terminal illness, used to get it immediately (but that doesn't mean they don't qualify). Others with a specific and serious chronic medical condition also qualify.

Medicaid is State and you get it automatically once SSI and/or SSD is approved. Here in NY, it's part of the welfare or public assistance package. The rules vary from state to state, and so do the medical conditions/services it covers.

Remember, anything you need to know about navigating Medicare/Medicaid is available on the Internet, plus you can check with your local Social Security, public assistance, or Medicaid office just to be sure.

Hope this helps.

-- ED
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