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May 27, 2013
Although Medicare is a federally funded program there are a variety of benefits and programs like Medicaid whose benefits are specific to Texas. Medicaid is run by the state of Texas as opposed to the federal government and helps you with your Medicare costs. Navigating through Texas Medicaid and Texas Medicare benefits can be difficult. Fortunately there are several resources available to help you sort through Texas Medicaid and other Texas Medicare issues.
The Texas Department of Insurance is a great place to start if you are looking for information concerning Texas Medicaid and Medicare. The Texas Department of Insurance has information on Medicare and Medicaid from HICAP the Health Information Counseling and Advocacy Program of Texas. HICAP maintains and educates people on statewide systems of insurance including Texas Medicaid. There are 28 Agency on Aging offices throughout Texas staffed with volunteers trained to counsel people about public and private health benefits like Medicaid. If you are in need of unbiased information on Medicare, Medicaid or other health insurance programs in Texas, the Agency on Aging may be able to help. The staff can provide seniors and disabled individuals with information on supplemental policies, long term care options and Texas Medicaid. The Texas Department of Insurance also has a great deal of information on Texas Medicaid, Medicare plans, patient rights and other senior issues.
If you are receiving Texas Medicaid or are part of a state health insurance or other program, you may see changes in your benefits when you become eligible for Medicare. Insurance plans for government employees also undergo several changes when a recipient becomes eligible for Medicare. Any government employee who is retired at the age of 65 and receiving benefits from a state insurance program other than Texas Medicaid is required to enroll in Medicare Part A and Medicare Part B. Recipients of Texas Medicaid, the Kidney Health Program and the State of Texas Assistance Program will also see their benefits change upon becoming eligible for Medicare. If you are participating in the Medicaid 1929b program that allows you to live at home instead of in a nursing facility you will not be automatically eligible for the low income Medicare credit. You will need to apply with Medicare and enroll in a Texas Medicare Part D plan to replace Medicaid coverage upon becoming eligible for Medicare. The Texas Medicare Prescription website has additional information concerning how Medicare will affect your Texas Medicaid and other state benefits.
Unless you have creditable coverage through your existing insurance or Texas Medicaid, you will probably need to enroll in a Medicare Part D prescription drug plan. You will need to find a plan that offers coverage in your area of Texas. You can visit PlanPrescriber.com to compare Medicare Part D plans in your area that will replace the benefits provided by Medicaid and other state programs.
Medicare has neither approved nor endorsed this information.