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For Seniors Only! -What is Medicare?

For Seniors Only!  -What is Medicare?
May 22
00:00 2013

“Medicare is our country’s health insurance program for people age 65 or older. Certain people younger than age 65 can qualify for Medicare, too, including those who have disabilities, permanent kidney failure or amyotrophic lateral sclerosis (Lou Gehrig’s disease). The program helps with the cost of health care, but it does not cover all medical expenses or the cost of most long-term care”.

Medicaid and Medicare are two different programs. Medicaid is a state-run program that provides hospital and medical coverage for people with low income and little or no resources. Each state has its own rules about who is eligible and what is covered under Medicaid. Some people qualify for both Medicare and Medicaid.

What is Medicaid in North Carolina?

Medicaid is a health insurance program for low-income parents, children, older adults, and individuals with disabilities. In addition to covering medical costs, Medicaid will also provide assistance to individuals that need help in their home, or for individuals needing nursing home or long term care assistance.

Who is eligible?

To be eligible for Medicaid you must be:
A US citizen or have proof of eligible immigration status
Live in North Carolina and provide proof of residency
Have a Social Security number
Older adults are automatically eligible if you receive Supplemental Security Income (SSI), or you receive State/County Special Assistance for the Aged and Disabled. If you are under the age of 65 and applying for Medicaid you must be determined to be disabled according to the Social Security definition. This includes not being able to work for at least one year due to your medical problem, or have a medical problem that may result in death.

Where do I apply?

You or your representative may apply at the Department of Social Services at 741 Highland Ave., Winston Salem, NC. 27101.
You can also call our office (336) 703-3502 and ask that an application be sent to you;
You can download an application off of the state website www.ncdhhs.gov/dma of from the county website www.forsyth.cc/DSS/adult_medicail and send to the address above Attn: Adult Medicaid.

What documents will you need to apply for Ault Medicaid?

The process of making an application for Medicaid can be complex and require a considerable amount of information. Here is a list of information that may be needed in making an application.
Recent medical bills
- Statements and payments made to medical providers
- Canceled checks to medical providers
- Health insurance receipts
- Proof of medical transportation costs
Proof of income for the last several months
- Statement from employer
- Copy of checks
- Record of payments received
- Self-employed records
Bank statements and account numbers
- Checking account statements for the last several months
- Bankbooks. Current savings statements
- Security account statements
- Copies of stock certificates
Life Insurance policies and policy numbers
Social Security card or number for client and family members
Health insurance information
- Policy cost, statements, payments and coverage
Proof of legal alien status (if applicable).

If you have any questions please contact the Adult Division, Department of Social Services at (336) 703-3502.

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