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Caregiver Resources - Medicare

While taking care of others, it’s important to find the time to take care of yourself. The U.S. Department of Health and Human Services has a website with caregiver resources and information to help. Visit http://www.medicare.gov/caregivers.

Helpful Information for Caregivers

Are you assisting a dependent, relative, or close friend who has both Medicare and Medical Assistance (Medicaid)?  If so, they may be eligible for a Medicare Advantage (MA) Special Needs Plan (SNP) for little to no cost to them.

 The following information may be helpful to get you started.

What is Medicare?

A federal health insurance program for people: 

• Age 65 or older
• Under age 65 with certain disabilities
• Any age with End-Stage Renal Disease

Visit www.medicare.gov to find more information and compare Medicare health plans in your area. You can also call 1-800-Medicare (1-800-633-4227), 24 hours a day, 7 days a week; TTY users should call 1-877-486-3048; or use the Personal Plan Finder Tool on Medicare.gov.

What is Medical Assistance (Medicaid)?

Medicaid is a joint federal and state program that helps with medical costs for people with limited income and resources.

If your loved one has limited income and resources, see if they qualify for help paying for Medicare health coverage. To find out, contact your local County Assistance Office or call the Social Security Administration at 1-800-772-1213 or visit www.socialsecurity.gov.

People who qualify for both Medicare and Medical Assistance are considered “dual eligible.”  As such, dual eligibles meet the criteria to receive additional Medicare benefits not covered by Original Medicare.  Oftentimes, dual eligibles can receive extra benefits they may be entitled by enrolling into a Special Needs Plan.

A Special Needs Plan (SNP) is a special type of Medicare Advantage Plan that provides more focused and specialized care. There are three types of SNPs that your loved one might qualify for:

• SNPs for people with Medicare and Medical Assistance
• SNPs for people in institutions (including nursing homes)
• SNPs for people with certain chronic conditions

How is a Medicare Advantage Plan different than Original Medicare?

Medicare Advantage plans are health plans contracted with the Centers for Medicare and Medicaid Services (CMS) and are run by private companies, like Gateway HealthSM.

Most often Medicare Advantage plans offer extra valuable benefits that Original Medicare does not cover with low or no monthly premiums*.

Gateway HealthSM Medicare AssuredSM (HMO SNP) is a Medicare approved Special Needs Plan only for people with both Medicare and Medical Assistance.

Those who qualify for Medicare AssuredSM receive all the benefits of Original Medicare PLUS extra valuable benefits, like...

• Prescription Drug Coverage
• Dental Services Dentures
• Transportation
• Forever Fit Program
• Vision Care
• Hearing Services
• Bathroom Safety Items
• Health and Wellness Education

And so much more…

Want to learn more?

To find out more information on how the one that you care for can benefit from these services and valuable benefits, call 1-877-GATEWAY** (1-877-428-3929) or visit the Medicare AssuredSM section of the website, where a full overview of benefits is available.

When calling about a loved one or someone that you are caring for, please make sure to have the following information available:

• Beneficiary’s date of birth
• Current address
• Phone number
• Beneficiary’s Medicare and Medicaid information
    (Example: Medicaid card and number)

*You must continue to pay your Medicare Part B premium - the State pays the Part B premium for full dual members.
**This number will direct you to a licensed insurance agent. To be directed to a general number, please call 1-800-685-2509, TTY 711, 8 a.m. – 8 p.m., 7 days a week.

The benefit information provided herein is a brief summary, but not a comprehensive description of available benefits. Additional information about benefits is available to assist you in making a decision about your coverage.