Can you have both Medicare and Medicaid?

People who have both Medicare and full Medicaid coverage are “dually eligible.” Medicare pays first when you're a dual eligible and you get Medicare-covered services. Medicaid pays last, after Medicare and any other health insurance you have.

medicare.gov - Medicaid - Medicare

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Qualifying for Medicaid

Generally, you must meet your state’s rules for your income and resources, and other rules (like being a resident of the state). You might be able to get Medicaid if you meet your state’s resource limit, but your income is too high to qualify. Some states let you “spend down” the amount of your income that’s above the state’s Medicaid limit. You do this by paying non-covered medical expenses and cost sharing (like premiums and deductibles) until your income is lowered to a level that qualifies you for Medicaid. To get more details, call your State Medical Assistance (Medicaid) office and ask about medical help for people with limited resources.

What’s a premium, deductible, coinsurance, or copayment?

What Medicaid helps pay for

If you have Medicare and qualify for full Medicaid coverage:

Your state will pay your Medicare Part B (Medical Insurance) monthly premiums.

Depending on the level of Medicaid you qualify for, your state might pay for: Your share of Medicare costs, like deductibles , coinsurance , and copayments . Part A (Hospital Insurance) premiums, if you have to pay a premium for that coverage. You'll automatically get Extra Help with your drug costs. Learn more about Extra Help.

Medicaid may pay for other drugs and services that Medicare doesn't cover.

How to apply for Medicaid

People who have both Medicare & Medicaid

People who have both Medicare and full Medicaid coverage are “dually eligible.” Medicare pays first when you’re a dual eligible and you get Medicare-covered services. Medicaid pays last, after Medicare and any other health insurance you have. You can still pick how you want to get your Medicare coverage: Original Medicare or Medicare Advantage (Part C) . Check your Medicare coverage options.

Special Needs Plans

Medicare-Medicaid Plans (only available in certain states)

Program of All-Inclusive Care for the Elderly (PACE) plans can help certain people get care outside of a nursing home

Get more details about these plan types.

What do you want do next?

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Does OHP check your income?

To qualify for OHP individuals and families must meet income and residency requirements.

oregon.gov - Apply for the Oregon Health Plan (OHP)

You Can Apply for OHP at Any Time of the Year.

OHP is Oregon's Medicaid and Children's Health Insurance Program. Enrollment is always open for OHP:

OHP Plus: Medical, dental and behavioral health coverage

Medical, dental and behavioral health coverage OHP Dental: Dental-only benefits for COFA Dental and Veteran Dental programs Dental-only benefits for COFA Dental and Veteran Dental programs Citizenship Waived Medical (CWM) and CWM Plus: For people who do not qualify for OHP due to immigration status

Medicare and private health insurance plans have open enrollment in the fall.

Not sure if you qualify? Use this tool to see if you qualify for OHP or other health coverage. It can help you find the application that works best for you and your family.

Use the Oregon Eligibility (ONE) System to Apply Online:

Apply at ONE.Oregon.gov Learn more about using ONE

Paper Applications

You can also apply with a paper application. Paper applications are available in these languages: To have an application mailed to you, call ONE Customer Service at 1-800-699-9075 or 711 (TTY).

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