Medicare Blog

by race who are receiving social security, medicare and medicaid benefits

by Prof. Abagail Treutel Published 2 years ago Updated 1 year ago

At present, race and ethnicity are record­ed in Medicare’s administrative files with a single variable. This variable can take one of six different values—White, Black, Asian, North American Native, Hispanic, and other (plus an unknown category). Only one category is coded for each per­son in the file. This variable is populated principally with data provided to the Social Security Administration (SSA) by people at the time they apply for a Social Security number, when they apply or re-apply for benefits, or when they apply for a replace­ment Social Security card. Reporting race is voluntary and is not checked or verified by the Social Security staff receiving the application. Data are transferred from SSA’s databases to the Medicare enroll­ment database (EDB), maintained at CMS. Previous researchers have documented

Full Answer

How does Medicaid coverage change across racial and ethnic groups?

The Henry J. Kaiser Family Foundation Headquarters: 185 Berry St., Suite 2000, San Francisco, CA 94107 | Phone 650-854-9400 Washington Offices and …

How does the Social Security Administration collect data on race and ethnicity?

Master Beneficiary Record (MBR) for persons receiving Social Security disability or retirement benefits and the To explore the system of race/ethnic coding for SSI Supplemental Security Record (SSR) for persons receiving recipients, we selected a 1-percent sample of recipients from means-tested benefits under the SSI program.

Is Social Security linked to Medicare or Medicaid?

In 2017, among Black Americans receiving Social Security, 35 percent of elderly married couples and 58 percent of unmarried elderly persons relied on Social Security for 90 percent or more of their income. People of color rely more heavily on Social Security due to a lack of other income in retirement. Few elderly people of color receive income from pensions and assets.

Who pays for Medicare premiums for people who receive SSI?

Medicaid is linked to receipt of SSI benefits in most States. Medicare is linked to entitlement to Social Security benefits. It is possible to get both Medicare and Medicaid. States pay the Medicare premiums for people who receive SSI benefits if they are also eligible for Medicaid. If you get SSI and have Medicare, you will also be eligible ...

What race is on Medicaid the most?

An estimated 47.3% of Whites, 40.0% of African Americans, and 30.0% of Native Americans met new eligibility criteria for Medicaid, compared with 81.1% of Asian Americans, 57.0% of Latinos, and 55.1% of individuals of more than 1 race.

What race uses Medicare the most?

In 2019, nine percent - or around 5.06 million - of all Medicare beneficiaries in the United States were Hispanic.
...
Distribution of Medicare beneficiaries in 2019, by ethnicity.
EthnicityPercentage of total Medicare beneficiaries
White74.8%
Black10.4%
Hispanic9%
3 more rows
Sep 8, 2021

What percentage of black people are on Medicare?

There are approximately 44 million African Americans in the United States, accounting for approximately 13.4 percent of the total population. 5.8 million Medicare beneficiaries are African American, 10 percent of all beneficiaries.Jan 28, 2021

Which race is least likely to have health insurance?

As of 2019, nonelderly AIAN, Hispanic, NHOPI, and Black people remained more likely to lack health insurance than their White counterparts. The higher uninsured rates among these groups largely reflects more limited rates of private coverage among these groups.Jul 16, 2021

Does Medicare collect race data?

Medicare requires the collection of self-reported race and ethnicity data during standardized assessments in home healthcare and other care settings. Researchers who are documenting racial disparities and the impact of racism on healthcare use and outcomes should use this self-reported data, the team noted.Jul 8, 2020

Who is Medicare for?

Medicare is the federal health insurance program for: People who are 65 or older. Certain younger people with disabilities. People with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD)

Who uses Medicaid the most?

9. Medicaid spending is concentrated on the elderly and people with disabilities. Seniors and people with disabilities make up 1 in 4 beneficiaries but account for almost two-thirds of Medicaid spending, reflecting high per enrollee costs for both acute and long-term care (Figure 9).Mar 6, 2019

What does Schip stand for?

State Children's Health Insurance Program.

Which racial ethnic group has the highest rate of uninsurance?

In 2020, although 40.1 percent of all uninsured were Hispanics, the uninsured rate was highest among American Indians/Alaska Natives, such that more than every one in five person of this ethnicity group was uninsured.Nov 24, 2021

Do minorities have less access to healthcare?

NAM found that “racial and ethnic minorities receive lower-quality health care than white people—even when insurance status, income, age, and severity of conditions are comparable.” By “lower-quality health care,” NAM meant the concrete, inferior care that physicians give their black patients.

Which minority group is at the greatest risk of being uninsured?

African American and Hispanic individuals in the United States are more likely to be uninsured throughout adulthood than non-Hispanic individuals (Kirby and Kaneda 2010). Without insurance, people face considerable barriers in receiving health services.Oct 15, 2016

Supplemental Nutrition Assistance Program (Formerly "Food Stamps")

The Supplemental Nutrition Assistance Program (SNAP) provides help for low-income households to buy the food needed for good health. In most states...

Temporary Assistance For Needy Families (TANF)

The TANF program provides cash block grants to states. TANF gives states the flexibility to determine TANF eligibility rules and to set TANF paymen...

Affordable Health Insurance For Children Who Need It

Medicaid provides free health coverage to most low-income children through state children's health insurance programs. Contact your local state or...

State Or Local Assistance Based on Need

Some states offer state or local assistance based on need to aged, blind, and disabled people through the state welfare department. The state may r...

Social Security, Medicaid and Medicare

Many people receive both SSI and Social Security benefits.Medicaid is linked to receipt of SSI benefits in most States. Medicare is linked to entit...

State Programs That Help With Medicare Costs

You may qualify for help with certain Medicare costs under the programs below if:you receive Medicare;your income and resources are limitedThese li...

Can undocumented immigrants get medicaid?

Undocumented immigrants are not eligible to enroll in Medicaid and are prohibited from purchasing coverage through the Marketplaces. Figure 6: Citizenship Status of Nonelderly Uninsured Population by Race/Ethnicity, 2019.

When did the uninsured rate increase?

Uninsured rates increased for Hispanic, Black, and White people between 2016 and 2019, eroding some of the previous coverage gains realized under the ACA. These coverage losses likely reflected a range of policy changes made by the Trump administration that contributed to reduced access to and enrollment in coverage.

What is the role of health coverage?

Summary. Health coverage plays a major role in enabling people to access health care and protecting families from high medical costs. People of color have faced longstanding disparities in health coverage that contribute to disparities in health. This brief examines trends in health coverage by race/ethnicity between 2010 through 2019, ...

How many people were uninsured in 2010?

Prior to the ACA, people of color were more likely to be uninsured compared to their White counterparts. In 2010, when the ACA was enacted, 46.5 million people or 17.8% of the total nonelderly population were uninsured. People of color were at much higher risk of being uninsured compared to White people, with Hispanic and AIAN people at ...

What is the ACA?

The ACA created new coverage options for low- and moderate-income individuals. These included provisions to promote employer-based coverage, extend dependent coverage in the private market up to age 26, and prevent insurers from denying people coverage or charging them more due to health status.

When did the ACA increase?

Following the ACA’s enactment in 2010 through 2016, coverage increased across all racial/ethnic groups, with the largest increases occurring after implementation of the Medicaid and marketplace coverage expansions in 2014.

Why is health coverage important?

Health coverage plays a major role in enabling people to access health care and protecting families from high medical costs. People of color have faced longstanding disparities in health coverage that contribute to disparities in health. This brief examines trends in health coverage by race/ethnicity between 2010 through 2019, ...

Can I get Medicare and Medicaid?

It is possible to get both Medicare and Medicaid . States pay the Medicare premiums for people who receive SSI benefits if they are also eligible for Medicaid. If you get SSI and have Medicare, you will also be eligible for Extra Help with Medicare Prescription Drug Coverage without filing a separate application.

Can I apply for medicaid if I have SSI?

In most States, if you are an SSI recipient, you may be automatically eligible for Medicaid; an SSI application is also an application for Medicaid. In other States, you must apply for and establish your eligibility for Medicaid with another agency. In these States, we will direct you to the office where you can apply for Medicaid.

What is Supplemental Security Income?

SUPPLEMENTAL SECURITY INCOME (SSI) AND ELIGIBILITY FOR OTHER GOVERNMENT AND STATE PROGRAMS. Many people who are potentially eligible for SSI benefits do not know how receiving SSI affects their benefits or payments from other government and State programs.

Does SLMB pay Medicare Part B?

The SLMB and QI–1 programs will pay Medicare Part B premiums only. Your resources should not exceed $7,970 if you are single or $11,960 if you are a couple. Several items, like your home and a car are not counted. Also, some States use higher resource limits and some states may have no resource limit at all.

Does QDWI pay Medicare?

The QDWI program will pay Medicare Part A premiums only. If you are under age 65, disabled and no longer entitled to free Medicare Hospital Insurance Part A because you successfully returned to work, you may be eligible for a State program that helps pay your Medicare Part A monthly premium.

What is SNAP food stamps?

SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (formerly "FOOD STAMPS") The Supplemental Nutrition Assistance Program (SNAP) provides help for low-income households to buy the food needed for good health. If you receive SSI, you may be eligible to receive SNAP assistance to purchase food. If you are applying for or receiving SSI, ...

How are Social Security and Medicaid different?

Medicaid and Social Security are different from one another even though they share some similarities. Medicaid is funded by the state and federal government, but state laws dictate thresholds and other guidelines for Medicaid. Social Security is a federal program. It provides cash payments only compared to Medicaid that only pays medical benefits.

Does medicaid cover disabled people?

As mentioned, Medicaid is complicated. In fact, there are many different categories of assistance, and it is possible for one person to be eligible under more than one category. In general, Medicaid covers disabled individuals, families with children, and the elderly. Medicaid does not provide cash benefits, only medical benefits.

Is Social Security a cash benefit?

Social Security. Social Security, unlike Medicaid, is a cash benefit program that is run exclusively by the federal government. There are three different types of Social Security that a person could be eligible: Supplemental Security Income (SSI), Social Security Disability (SSD), and Social Security Retirement.

What are the different types of Social Security?

There are three different types of Social Security that a person could be eligible: Supplemental Security Income (SSI), Social Security Disability (SSD), and Social Security Retirement. In order to qualify for either SSI or SSD, a person must have a disability as defined by the Social Security guidelines.

How old do you have to be to get Social Security?

At this age, however, you would receive a smaller benefit than if you waited until 66 or later. According to current regulations, the full benefit age is 66 years and 2 months for those born in 1955.

Is medicaid a federal program?

Medicaid. Medicaid is a health insurance program that is funded by the federal government and the state. As mentioned, Medicaid is complicated. In fact, there are many different categories of assistance, and it is possible for one person to be eligible under more than one category. In general, Medicaid covers disabled individuals, ...

Is Medicaid funded by the federal government?

Medicaid is a health insurance program that is funded by the federal government and the state. As mentioned, Medicaid is complicated. In fact, there are many different categories of assistance, and it is possible for one person to be eligible under more than one category.

How many people are covered by medicaid?

Medicaid is a joint federal and state program that, together with the Children’s Health Insurance Program (CHIP), provides health coverage to over 72.5 million Americans, including children, pregnant women, parents, seniors, and individuals with disabilities. Medicaid is the single largest source of health coverage in the United States.

What is dual eligible for Medicare?

Eligibility for the Medicare Savings Programs, through which Medicaid pays Medicare premiums, deductibles, and/or coinsurance costs for beneficiaries eligible for both programs (often referred to as dual eligibles) is determined using SSI methodologies..

What is Medicaid coverage?

Medicaid is the single largest source of health coverage in the United States. To participate in Medicaid, federal law requires states to cover certain groups of individuals. Low-income families, qualified pregnant women and children, and individuals receiving Supplemental Security Income (SSI) are examples of mandatory eligibility groups (PDF, ...

What is MAGI for Medicaid?

MAGI is the basis for determining Medicaid income eligibility for most children, pregnant women, parents, and adults. The MAGI-based methodology considers taxable income and tax filing relationships to determine financial eligibility for Medicaid. MAGI replaced the former process for calculating Medicaid eligibility, ...

Does Medicaid require income?

Certain Medicaid eligibility groups do not require a determination of income by the Medicaid agency. This coverage may be based on enrollment in another program, such as SSI or the breast and cervical cancer treatment and prevention program.

Do you have to be a resident to get medicaid?

Medicaid beneficiaries generally must be residents of the state in which they are receiving Medicaid. They must be either citizens of the United States or certain qualified non-citizens, such as lawful permanent residents. In addition, some eligibility groups are limited by age, or by pregnancy or parenting status.

What is a fair hearing?

States must provide individuals the opportunity to request a fair hearing regarding a denial, an action taken by the state agency that he or she believes was erroneous, or if the state has not acted with reasonable promptness. States have options for how to structure their appeals processes.

What if I don't qualify for medicaid?

If you get SSI Disability and don’t have Medicaid 1 In many states, SSI recipients automatically qualify for Medicaid and don’t have to fill out a Medicaid application. 2 In other states, your SSI guarantees you Medicaid eligibility, but you have to sign up for it. 3 In a few states, SSI doesn’t guarantee Medicaid eligibility. But most people who get SSI are still eligible.

Do you have to apply for medicaid if you have SSI?

If you have Supplemental Security Income (SSI) Disability, you may get Medicaid coverage automatically or you may have to apply.

What is SSI disability?

Supplemental Security Income (SSI) Disability & Medicaid coverage. Waiting for a disability status decision and don’t have health insurance. No disability benefits, no health coverage. The Marketplace application and disabilities. More information about health care for people with disabilities.

Summary

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Health coverage plays a major role in enabling people to access health care and protecting families from high medical costs. People of color have faced longstanding disparities in health coverage that contribute to disparities in health. This brief examines trends in health coverage by race/ethnicity between 2010 thr…
See more on kff.org

Trends in Uninsured Rates by Race/Ethnicity, 2010-2019

  • Prior to the ACA, people of color were more likely to be uninsured compared to their White counterparts. In 2010, when the ACA was enacted, 46.5 million people or 17.8% of the total nonelderly population were uninsured. People of color were at much higher risk of being uninsured compared to White people, with Hispanic and AIAN people at the highest risk of lackin…
See more on kff.org

Health Coverage by Race/Ethnicity as of 2019

  • As of 2019, nonelderly AIAN, Hispanic, NHOPI, and Black people remained more likely to lack health insurance than their White counterparts (Figure 2). The higher uninsured rates among these groups largely reflects more limited rates of private coverage among these groups. While Medicaid and the CHIP help fill the gap in private coverage for people ...
See more on kff.org

Eligibility For Coverage Among The Remaining Uninsured

  • There are opportunities to increase coverage by enrolling eligible people in Medicaid or marketplace coverage, but Black, Hispanic, and Asian nonelderly uninsured people are less likely to be eligible compared to their White counterparts. Prior to the pandemic, over half of the nonelderly uninsured were eligible for financial assistance through Medicaid or the ACA Marketp…
See more on kff.org

Looking Ahead

  • The economic downturn associated with COVID-19, which has disproportionately affected people of color, may have contributed to disruptions in health coverage. Data suggest that low-income and Black and Hispanic adultshave been particularly hard hit by the economic fallout of the pandemic, experiencing higher rates of job and income loss compared to their White counterpar…
See more on kff.org

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