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April 20, 2023

Navigating Medicare and Medicaid for senior care

As we age, the cost of healthcare and senior care can become a significant financial burden. Fortunately, there are government-funded programs, such as Medicaid and Medicare, that can help seniors cover the costs of medical care and long-term care. However, navigating these programs can be confusing and overwhelming. In this blog, we'll explore how to navigate Medicare and Medicaid for senior care coverage.


Medicare is a federal health insurance program that provides coverage to people over 65, as well as those with certain disabilities or illnesses. Medicare covers a range of medical services, including hospital stays, doctor visits, and prescription drugs. However, Medicare does not cover all senior care services, such as long-term care in nursing homes or assisted living facilities.

To navigate Medicare for senior care coverage, it's important to understand what services are covered and what costs you may be responsible for. Medicare has four parts: A, B, C, and D. Parts A and B are known as Original Medicare and cover hospital stays, short-term rehabilitation, and doctor visits, respectively. Part C, also known as Medicare Advantage, is offered by private insurance companies and may provide additional benefits beyond Original Medicare. Part D covers prescription drugs.

To receive coverage for items that are not covered in Medicare parts A & B, you may need to purchase a Medicare supplement insurance policy, also known as a Medigap plan. These policies are offered by private insurance companies.


Medicaid is a federal and state-funded program that provides healthcare coverage to low-income individuals and families. Medicaid can cover a range of senior care services, including long-term care in nursing homes or assisted living facilities, home health care, and medical equipment. Eligibility for Medicaid is based on income and assets, and requirements vary by state.

While researching Medicaid for senior care coverage, it's important to understand the eligibility requirements in your state. You can find information about Medicaid eligibility on your state's Medicaid website or by contacting your local Department of Health and Human Services. You'll need to provide documentation of your income, assets, and medical needs to determine if you qualify for coverage.

It's also important to note that Medicaid may not cover all senior care services, and you may be required to pay a portion of the costs. Some states also have Medicaid waivers that provide additional services, such as home and community-based care. You can find more information about Medicaid waivers on your state's Medicaid website.

Navigating Medicaid and Medicare for senior care coverage can be complex, but it's important to understand your options and eligibility requirements. By doing your research and seeking guidance from healthcare professionals and government agencies, you can access the services and support you need to maintain your health and financial security as you age.

At CHI Living Communities, our professional staff is available for questions regarding Medicare and Medicaid admissions to our campuses. If you have admissions questions for one of our nearby campuses, contact us here.