SPECIALIZED MEDICARE SUPPORT
Understanding Medicare & Medicaid Starts
With the Right Guidance
Medicare and Medicaid can work together to help eligible individuals access healthcare coverage and manage certain medical expenses. Understanding how the programs fit together can feel complicated, but you don’t have to sort through every detail alone.
Pro Compare Medicare helps you understand your coverage options, explore potential assistance programs, and identify the questions to ask as you make informed decisions about your healthcare.
HOW WE HELP
Clearer Answers. More Informed Decisions.
Get help understanding the relationship between Medicare, Medicaid, and other programs that may support your healthcare needs.
Understanding Dual Eligibility
Learn how Medicare and Medicaid may work together when you qualify for both.
Reviewing Coverage Options
Consider coverage, providers, prescriptions, and the services that matter to you.
Exploring Cost Assistance
Understand programs that may help with Medicare premiums and certain out-of-pocket costs.
Personalized Guidance
Get help understanding your choices and identifying the right next steps.
PERSONALIZED GUIDANCE
Making Sense of Your Medicare and Medicaid Benefits
Having Medicare and Medicaid can raise important questions about who pays for care, which benefits apply, and what choices are available.
Our goal is to help you understand the basics, review your circumstances, and make more informed decisions about your coverage.
- Understand how Medicare and Medicaid coordinate benefits.
- Explore Medicare Savings Programs and other assistance that may be available.
- Review prescription coverage, healthcare providers, and plan options.
- Identify questions to discuss with your state Medicaid office or other appropriate program representatives.
What we offer
Explore Your Options With Greater Confidence
Every situation is different. We’ll help you understand the key considerations and identify the next steps that fit your circumstances.
Understand your benefits
Learn what each program generally covers and how they may coordinate when you qualify for both.
Explore assistance programs
Review whether programs such as Medicare Savings Programs or Extra Help may be worth exploring.
Make informed coverage decisions
Consider your healthcare needs, prescription medications, preferred providers, and available plan options.
HOW IT WORKS
Your Path to Clearer Coverage
A straightforward process to help you understand your options and decide what to do next.
Tell Us About You
We learn about your current Medicare or Medicaid status, healthcare needs, prescriptions, and questions.
Review Your Options
We help you understand relevant coverage choices and identify assistance programs you may wish to investigate.
Decide on Your Next Step
You can ask questions, compare information, and decide how you want to proceed. Eligibility decisions belong to the relevant program agencies.
Get Ongoing Support
When questions arise, we can help you understand your coverage information and identify where to seek further assistance.
Medicare coverage
Can cover eligible hospital services, medical care, and other benefits under the applicable Medicare parts and coverage arrangement.
Prescription drug assistance
People with full Medicaid benefits generally receive Medicare drug coverage through Part D, with applicable assistance depending on eligibility.
Help With Medicare Costs
Eligible individuals may qualify for programs that help pay Medicare premiums and certain out-of-pocket expenses, depending on their income, resources, and program requirements.
UNDERSTANDING YOUR BENEFITS
How Do Medicare and Medicaid Work Together?
Medicare is federal health insurance primarily for people 65 and older and certain younger people with disabilities or qualifying conditions. Medicaid is a joint federal and state program with eligibility rules that vary by state.
People who qualify for both are often called “dually eligible.” Depending on their eligibility category, they may receive full Medicaid benefits or more limited assistance with Medicare costs.
MORE THAN AN ENROLLMENT
Don't Just Choose an Agent. Get an Advocate.
Medicare and Medicaid decisions can affect your access to care, prescription coverage, and healthcare expenses. You deserve time to understand your options and ask questions before making a decision. Lynn Roach focuses on education, personalized guidance, and helping you navigate Medicare choices with greater clarity.
Yes. If you meet the eligibility requirements for both programs, you may qualify for dual eligibility. The benefits available depend on your eligibility category and state rules.
Some Medicaid-related programs, including Medicare Savings Programs, may help pay certain Medicare premiums. The assistance available depends on the program you qualify for.
You may have choices, including Original Medicare or Medicare Advantage, depending on your circumstances and available plans. Some people may qualify for a Dual Eligible Special Needs Plan (D-SNP).
Not necessarily. Coverage depends on your eligibility category, state rules, and the services involved. It’s important to understand which costs each program covers.
You may qualify for assistance through Extra Help or other programs. Eligibility and the amount of assistance vary.
Contact your state Medicaid agency. You can also use Medicare’s official resources to learn about Medicare Savings Programs and other assistance.
