Site Map
Our vision is a world without Alzheimer's
Medicare and Medicaid
Text Size controls Normal font sizeMedium font sizeLarge font size PrintEmail
Disclaimer Although external Web sites are evaluated and reviewed, the Alzheimer's Association does not assume responsibility for content of other sites.

Medicare

Medicare is a federal health insurance program generally for people age 65 or older who are receiving Social Security retirement benefits. Medicare covers inpatient hospital care and a portion of the doctor’s fees and other medical expenses. There are specific eligibility requirements in order for a person to receive assistance from this program. Medicare covers some, but not all, of the services a person with Alzheimer’s disease or a related dementia may require. Applications for Medicare may be sent to a local Social Security office.

Medicare resources:

Medicare Web site
This Web site for both the consumer and the health care professional includes frequently asked questions and information on local Health and Human Services offices.

Ask Medicare
Medicare's site to help family caregivers — those who are family members or friends who help people with Medicare — access and use valuable health care information, services and resources.

 Medicare: An Outline of Benefits (4 pages) 

 Fee-for-Service Medicare (6 pages)

 Medicare Hospice Benefit: Frequently Asked Questions (2 pages)

 What Can a Beneficiary Do if Medicare Refuses to Pay for a Medical Service? (1 page)

 Medicare Savings Programs: Assistance with Meeting the Costs of Medicare Premiums and Deductibles (2 pages)

 Medicare Home Health Benefit for Caregiver Training in 16 States (2 pages)

 Medicare and Medicaid Costs for People with Alzheimer's Disease (24 pages)

Medicare Drug Coverage

Medicare prescription drug coverage is available to all people with Medicare. For information and resources, see our Medicare Drug Coverage page.

Medigap

Medicare coverage can be supplemented with Medigap, a private insurance that covers copayments and deductibles required by Medicare. The more expensive policies may cover prescription drugs. 

For more information about Medigap, go to Medicare’s Web site

Medicare HMO (Medicare Managed Care)

A Medicare HMO offers some additional benefits and less paperwork in exchange for restrictions on choices of hospitals, doctors and other professionals. Most Medicare HMOs cover nursing home and home health care for limited periods only under special circumstances.

For more information, visit Medicare’s Web site.

Medicaid

Because Medicaid is a federal program typically administered by each state’s welfare agency, eligibility and benefits vary from state to state. The program is typically administered by a state welfare agency. Medicaid covers all or a portion of nursing home costs. A person with Alzheimer’s can qualify for long-term care only if he or she has minimal income and cash assets.

For more information, visit the Centers for Medicare and Medicaid Services Web site.

Medicare Advocacy

The Medicare Advocacy Project is committed to working with local Alzheimer's Association chapters on all Medicare problems. If you have issues that need to be addressed by this project, contact your local chapter for more information.