Is County Care Medicaid or Medicare

Is County Care Medicaid or Medicare? This is a question that is commonly asked by individuals in the United States, as both programs provide health insurance coverage to different groups of people. Understanding the differences between the two is essential to determine eligibility and access to healthcare services. County Care is a comprehensive health insurance program that is administered by counties in the state of California, while Medicaid is a federal and state-funded health insurance program that provides coverage to low-income individuals and families. In comparison, Medicare is a federal health insurance program that is available to individuals aged 65 and older, as well as those with certain disabilities or end-stage renal disease.

County Care: Understanding Medicaid and Medicare

County Care is a comprehensive health insurance program that provides coverage to low-income individuals and families in Los Angeles County. Understanding the differences between County Care, Medicaid, and Medicare can help you determine eligibility and available benefits.

Eligibility Requirements for County Care

To be eligible for County Care, individuals must meet certain requirements, including:

  • Residency: Applicants must reside in Los Angeles County.
  • Income: Eligibility is based on household income, and applicants must meet specific income guidelines.
  • Citizenship or Legal Status: Applicants must be U.S. citizens, legal permanent residents, or certain qualified non-citizens.
  • Age and Disability: County Care is available to individuals of all ages, including children, adults, and seniors, with specific eligibility criteria for different age groups and disability status.

Differences between County Care, Medicaid, and Medicare

If you are unsure of your eligibility for County Care or other health insurance programs, you can apply and let the eligibility workers determine your options. County Care aims to provide access to quality, affordable healthcare for those who need it most.

Is County Care Medicaid or Medicare?

County Care is a health insurance program for people who live in Los Angeles County. It is not Medicaid or Medicare. It is funded by the County of Los Angeles and the federal government and is administered by the Department of Health Services. With County Care, members get access to affordable, quality health care, including doctor visits, hospital stays, prescriptions, and mental health services.

Differences Between County Care and Medicaid

  • Eligibility: County Care is available to people who live in Los Angeles County and meet certain income and resource requirements. Medicaid is available to people who meet certain income and resource requirements and are also eligible for Social Security benefits or certain other programs.
  • Benefits: County Care and Medicaid both cover a wide range of health care services, including doctor visits, hospital stays, prescriptions, and mental health services. However, County Care covers some services that Medicaid does not, such as dental care and vision care.
  • Cost: County Care health premiums are based on a sliding scale, which is based on your household’s income and household size. Medicaid is free if you qualify for full benefits. If you do not qualify for full benefits, you may have to pay a small monthly premium.
FeatureCounty CareMedicaidMedicare
Eligibility

Based on income and residency in Los Angeles CountyBased on income and other factors, varies by stateGenerally for people aged 65 and older, younger with disabilities, and people with end-stage renal disease
BenefitsCovers a wide range of medical services, including doctor visits, hospital care, and prescription drugsCoverage varies by state but typically includes doctor visits, hospital care, and prescription drugsParts A and B cover hospital care, medical services, and some prescription drugs
CostPremiums and copayments may applyPremiums and copayments may apply, depending on income and statePremiums and deductibles apply, depending on the Part and coverage options
FeatureCounty CareMedicaid
EligibilityLos Angeles County residents who meet income and resource requirementsPeople who meet income and resource requirements and are also eligible for Social Security benefits or certain other programs
BenefitsDoctor visits, hospital stays, prescriptions, mental health services, dental care, and vision careDoctor visits, hospital stays, prescriptions, mental health services, and some other services
CostPremiums based on a sliding scaleFree if you qualify for full benefits; small monthly premium if you do not qualify for full benefits

County Care: Medicaid or Medicare?

County Care is neither Medicaid nor Medicare. However, it holds similarities to both programs, mainly in providing healthcare coverage to low-income individuals. Let’s delve into the specifics of these similarities.

Similarities Between County Care and Medicare

  • Eligibility:
    • Income-Based:
      Both County Care and Medicare have income requirements to qualify for benefits.

    • Residency:
      Applicants must reside in the county or state offering the program.

    • Covered Services:
      • Basic Medical Care:
        Both programs cover basic healthcare services like doctor visits, hospital stays, and lab tests.

      • Prescription Drugs:
        Medicare Part D and County Care offer prescription drug coverage.

      • Provider Networks:
        • Provider Choice:
          Both programs allow beneficiaries to seek care from participating providers of their choice.

        • Network Restrictions:
          Services are limited to specific networks in some cases.

        • Cost-Sharing:
          • Premiums:
            Both programs may require monthly premiums, depending on income and coverage level.

          • Deductibles and Copayments:
            Beneficiaries may be responsible for certain cost-sharing expenses, such as deductibles and copayments.

          • Enrollment:
            • Application Process:
              Both programs require an application and eligibility assessment.

            • Open Enrollment Periods:
              Enrollment periods are typically limited to specific times each year.

            • While County Care shares similarities with Medicaid and Medicare, it also has unique features and eligibility criteria. Consult your local County Care office or visit their website for more information.

              What Is County Care?

              County Care is a California managed health care program for people who qualify for Medi-Cal. It is a health insurance program that provides comprehensive medical, dental, vision, and mental health coverage to low-income adults, children, families, and people with disabilities. County Care is administered by the counties of California and is funded by a combination of state and federal funds.

              Benefits Covered Under County Care

              • Primary care services, such as checkups, immunizations, and screenings
              • Specialist care, such as cardiology, neurology, and oncology
              • Hospital care, including inpatient and outpatient services
              • Mental health care, such as therapy, counseling, and medication management
              • Substance abuse treatment
              • Dental care, including cleanings, fillings, and dentures
              • Vision care, including eye exams and glasses
              • Prescription drugs
              • Medical equipment and supplies
              • Transportation to medical appointments
              • Case management services
              • Health education and prevention services
              Type of ServiceExamples of Services
              Primary CareCheckups, immunizations, screenings, routine physicals
              Specialist CareCardiology, neurology, oncology, orthopedic surgery
              Hospital CareInpatient and outpatient services, emergency room visits
              Mental Health CareTherapy, counseling, medication management
              Substance Abuse TreatmentResidential treatment, outpatient counseling, medication management
              Dental CareCleanings, fillings, dentures, root canals
              Vision CareEye exams, glasses, contact lenses
              Prescription DrugsMedications prescribed by a doctor
              Medical Equipment and SuppliesWheelchairs, walkers, oxygen tanks

              Thanks for hangin’ with me while we untangled the insurance spaghetti known as County Care. I know, it’s not exactly a walk in the park, trying to keep track of all these healthcare programs. But hopefully, now you have a better understanding of whether County Care is Medicaid or Medicare, and how it all fits together.

              If you’ve still got questions or if things change down the road, just swing by again and we’ll dive back in. In the meantime, take care and keep your head up – health insurance can be tricky, but we’ll figure it out together. Peace out!