Medicare is America’s largest health insurance program for the men and women over the age of 65 or with certain disabilities. For many Americans, this a huge part of how they can afford medications, doctor visits and other medical expenses. In recent years the number of Medicare enrollees has doubled (NASI, 2015). The “Baby Boomers”, people born from 1946-1965, is the largest generation within America with roughly 75 million Americans. This generation of Americans are all turning 65 around the same time and enrolling into this medical program. With the amount of new enrollees the total spending for Medicare will rise from 3.6% of the nations GDP to 5.1% by 2030, when the youngest of the baby boomer generation will be 65 (NASI, 2015). Even …show more content…
Made up by four parts (A,B,C,D) Medicare covers everything from medical visits to prescription drugs. Parts A and B are apart of the “Original Medicare”. Meaning care that is managed by the federal government. Part A of Medicare is hospital insurance. This covers hospital care such as inpatient care, hospice care, home health care services, and nursing care facilities. Generally free of charge if the beneficiary has worked and paid Medicare taxes for at least 10 years. If not a monthly premium is established. Typically, part A doesn’t cover the whole hospital bill. For at least 60 days Medicare will pay for 100% of the hospital stay charges or 100% of 20 days at a skilled nursing facility, and after that a flat rate amount is paid up to the maximum number of covered days. Medicare Part B is medical insurance. Part B insurance covers different medical needs than what is covered in Part A. With Part B coverage, a beneficiary will be covered for doctor visits, blood tests, x-rays, diabetic supplies and screenings, and out patient care. Part B has a monthly premium that varies for each person. This is where Medicaid comes in for lower income beneficiaries, if a beneficiary has a higher income the fee for Part B can be higher. Each person is responsible for a small deductible each year before Part B starts to be used and then
Medicare part A is hospital coverage for inpatient hospital stays. More specifically, Part A is coverage for critical access hospitals, inpatient rehabilitation facilities, and long-term care hospitals. Part A also covers inpatient care in a skilled nursing facility (not supervisory or long-term care), hospice care services and some home health care services. Inpatient care in a Religious Nonmedical Health Care Institution is also covered. In the scenario provided, Mrs. Zwick is admitted to the hospital as an inpatient because she had a stroke. The patient was deemed by the physician to need continued treatment after discharge due to the patient 's condition and was discharged to a skilled nursing facility.
Part A covers hospitalization, emergency hospitalization, subacute care, home health, and end of life care depending on the situation. Part B covers Doctors’ visits, and covers subacute, end of life, and in home care that Part A will not cover if the patient qualifies. While part C covers medications and needed medical equipment (Center for Medicare and Medicaid Services, 2014). What Medicaid pays for depends on what state you live in, and what your specific situation is. Universally Medicaid covers hospitalization, day procedures, doctors’ visits, nursing facilities, home care, child health check, nurse practitioners, and transportation to doctors’ visits (Medicaid.gov, n.d). Medicaid offers different services in each state, but the aforementioned are the mandatory areas of coverage for every state. Medicare is aimed at helping the older population, while Medicaid is aimed at people in every stage of life. But who exactly is covered under which
Medicare is the federal health insurance program for people with certain disabilities, end stage renal disease, and for those who are over the age of 65. There are four different parts to Medicare, part A, part B, part C, and part D. Medicare Part A, also known as hospital insurance, covers inpatient hospital stays, care in nursing facilities, hospice care, and some in home health care. Part B is often referred to as medical insurance; it covers certain doctors’ services, outpatient care, medical supplies, and preventative care services. Medicare Part C, otherwise known as Medicare advantage plan is offered by a private
The first plan is Medicare A and it will cover any of your inpatient fees.
Part A is predominantly financed through taxes paid by employees and employers (Facts, 2015). There is a 2.9% tax on earnings, and taxes account for 87% of Part A revenue. The taxes are deposited into the Hospital Insurance Trust Fund (Medicare, 2014). Additionally, the article (2015) states that employers and employees pay a payroll tax of 1.45% each, while higher-income taxpayers pay a higher payroll tax of 2.35% on earnings. Part B is funded by general revenue and premiums paid by beneficiaries. Medicare pays premiums for Part B on the behalf of beneficiaries who qualify for Medicaid based on their low incomes and assets (Medicare, 2014). Alternatively, beneficiaries with higher incomes pay a higher monthly premium based on their incomes (Medicare, 2014). According to data collected in 2014 by the Kaiser Family Foundation (2014), these premiums can range from $146.90 to $335.70 per month. The article (2014) states that the income thresholds for the
Since 1965, Medicare has been attempting to provide low cost, guaranteed access to much needed healthcare for senior citizens over the age of 65 and other age groups that suffer from disabilities and terminal diseases. These people represent some of the most vulnerable population groups in the United States. Most do not work, and rely on Medicare to provide them the access to healthcare they need. Unlike privatized health insurance companies, Medicare is a social insurance program that is paid for through federal mandates and tax payer funds. Billions of dollars are spent annually on over 50 million Americans in need (Alonso-Zaldivar 1). The care structure itself is broken into several main parts: Medicare Part A covers hospital costs, Part B cover most outpatient care costs, and Part C and D cover prescription drug costs through dealing with other private insurance. Yet, the upcoming election in November is threatening to change and alter the structure. Each candidate has his own plan to deal with Medicare; both are trying to reign in the costs of operating Medicare, but with some elements being obviously more beneficial for Medicare recipients than others.
Medicare is health insurance that mainly covers seniors over the age of 65 and disabled people who qualify for Social Security/Disability. Medicare is funded Medicare is funded through 2 trust fund accounts held by the U.S. Treasury. The funds can only be used by Medicare.
Part A The central point of this scenario is far more than just healthcare management. Instead, it has elements of medical ethics and the huge amount of bureaucracy often engendered by the American healthcare system. Medicare Part A is hospital insurance that helps cover care in hospitals and skilled nursing facilities. In general, it covers inpatient care and inpatient rehabilitation costs. Medicare Part B covers medically necessary services: doctors', medical equipment, home
Medicare is a social insurance program that is sponsored by the government (1). This was originally made for the long term care for the elderly people that needed health insurance (2). There are four different parts that are provided to the people that are eligible for Medicare. Part A helps pay for the hospitals. As Part B pays for all medical reasons; such as, physician visits, outpatient services, and the need for medical equipment. Part C, for example, deals with the care of people with diabetes, and Part D is to provide people with prescription drugs (1).
Medicare is a federal health insurance program for people over the age of 65. It also covers particular people who may have a disability and people who have End-Stage Renal Disease. There are four different parts to the Medicare program. These parts include hospital insurance, medical insurance, Medicare advantage plans, and prescription drug coverage. The program, since being created, has helped to fix many different problems, as well as help the elderly and other persons to receive health insurance.
Medicare is a federal health insurance program. This program pays for a variety of health care expenses for people who are 65 and older, adults with approved medical conditions such as Lou Gehrig’s disease, qualifying permanent disabilities may be eligible. It is financed by payroll taxes, premiums paid by voluntarily beneficiaries, income taxes paid on Social Security benefits and interest earned on the trust fund investments.
Today, Medicare is one of the largest insurance carriers in the U.S. Medicare was instituted in 1965. I do not know what their deductible was at that time, but the part B premium was only $3. Medicare was set up with Part A as insurance coverage for the hospital and Part B as a supplement, to cover physician’s charges for the elderly. In 1975, the patient deductible for Part A was just $44. Since that time, the Part A deductible had risen almost every year, and today, in 2015, the patient pays a little over $1200. The Part B premium is $147, and has not increased in several years. Medicare takes the part B premium out of the recipient’s taxes.
Due to the upcoming presidential election, the two major political parties, and their candidates, have been focusing on the primary problems that the nation will face. Chief among those problems is the future of Medicare, the national health-insurance plan. Medicare was enacted in 1965, under the administration of Lyndon B. Johnson, in order to provide health insurance for retired citizens and the disabled (Ryan). The Medicare program covers most people aged 65 or older, as well as handicapped people who enroll in the program, and consists of two health plans: a hospital insurance plan (part A) and a medical insurance plan (part B) (Marmor 22). Before Medicare, many Americans didn't have health
The main programs that have been benefitted by meaningful use are Medicare and Medicaid. The first program that is mentioned in meaningful use is Medicare. Medicare is a health insurance company that is for those that are age sixty-five or older, or those that are receiving social security benefits. In addition, due to this program being sponsored by the federal government, the rates and qualifications have a standard rate for each state. This form of insurance has been broken down into three sections. The first part of Medicare is part A, which covers the basic nursing that is obtained from being in a hospital, and post hospital care that can take place at a nursing home facility or in the patient’s home. The second part of this is part B. This portion covers the minimalist amount of doctor and laboratory costs that are required for treatment, and a few outpatient resources such as home care and physical therapy. The third and final part is part D. This portion of Medicare pays for most medications that a doctor can prescribe to treat an ailment that an individual is suffering. However, this health insurance makes its consumers pay large sums for the medical services that they are receiving. The consumers are required to pay a deductible yearly for not only Medicare part A, but
Medicare is part of the social security benefit since 1965. However, medicare only covers certain senior citizens who have serious health conditions and diseases. It only partially covers medical bills in hospitals, and emergency visits in doctor offices and nursing homes, but then fully covers annual exams to make sure the health condition or disease does not worsen. Lastly, if there is serious health condition or disease, the health insurance will only cover half of the pharmacy bill. This means that the money that senior citizens have been working for and saving will all go towards their medical bills rather than spending the money on vacation or something they have been saving for.