Can an individual be enrolled in both Medicare and Medicaid?

Being dually eligible means that an individual qualifies for both Medicare and Medicaid benefits simultaneously. This situation often arises for people who are elderly or have disabilities. Medicare primarily serves as the health insurance program for individuals aged 65 and older, as well as certain younger people with disabilities. In contrast, Medicaid is a state and federal program designed to assist individuals with low income, including various support services in addition to healthcare.

Those who are dually eligible have the advantage of receiving comprehensive coverage since Medicare can cover certain services and costs that Medicaid might not, while Medicaid can help with payments of premiums and out-of-pocket expenses for Medicare services. This dual enrollment provides enhanced healthcare support for those in need, facilitating access to services that might be otherwise unaffordable.

The other choices do not accurately reflect the relationship between the two programs. It is not illegal to enroll in both Medicare and Medicaid, and they are not restricted in certain states. Additionally, individuals do not have to choose one program over the other if they meet the eligibility requirements for both.