If you’re turning 65 or qualifying for Medicare due to disability, you may be moving from Georgia Medicaid to Medicare. This transition can feel overwhelming — but it doesn’t have to be.

At Mere Benefits, we help you understand your new options, keep the doctors you trust, and make sure your prescription drugs are covered — so you can step into this next chapter with confidence.

Why the Transition Matters

Medicaid and Medicare work differently:

• Medicaid is a state and federally funded program based on income and other eligibility criteria.

• Medicare is a federal program for people 65+ and those with qualifying disabilities.

When you qualify for Medicare, your Medicaid benefits may change or end. If you have both, you become “dual eligible,” which opens up unique plan options that can save you money.

Common Questions People Have When Moving from Medicaid to Medicare

1. Will I lose my Medicaid coverage?
   It depends. Some people keep partial Medicaid benefits to help pay Medicare costs, while others lose Medicaid entirely if they no longer meet the income or asset limits.

2. What happens to my doctors and prescriptions?
   Medicare has its own provider networks and prescription drug lists. Without the right plan, you could lose access to care or pay more for medications.

3. Can I get help paying my Medicare costs?
   Yes — programs like QMB (Qualified Medicare Beneficiary) or SLMB (Specified Low-Income Medicare Beneficiary) can pay for some or all of your Medicare premiums, deductibles, and copays if you qualify.

Your Options When Transitioning to Medicare

1. Medicare Advantage Plans – All-in-one plans that often include prescription coverage, dental, vision, hearing, and extra benefits.

2. Medicare Supplement (Medigap) Plans – Help cover out-of-pocket costs like deductibles and coinsurance.

3. Stand-Alone Prescription Drug Plans – Needed if you choose Original Medicare without Advantage.

4. Dual Eligible Special Needs Plans (D-SNPs) – Designed for people who have both Medicare and Medicaid, offering extra benefits at little or no cost.

How Mere Benefits Helps

When you work with our team, we:

• Review your current Medicaid benefits and how they will change with Medicare

• Help you choose a Medicare plan that works with your providers and prescriptions

• Check if you still qualify for Medicaid or other cost-saving programs

• Handle the application process for you — no cost, no obligation

Special Note for Georgia Residents with Limited Medicaid

If your Medicaid is limited (such as Medically Needy Spenddown, Family Planning, Emergency Medicaid, TB Services, or Outpatient Hospital Services), it does not count as “minimum essential coverage.” You may still be eligible for Medicare Advantage or Supplement plans with low premiums — and we can help you find the right fit.

If you’re moving from Medicaid to Medicare in Georgia, call us at 904-654-5450 today. We’ll make sure your transition is smooth, your coverage is complete, and your costs are as low as possible — #simplyforyourbenefit.