Assignment 2: Understanding Medicare Coverage

Medicare and Medicaid are programs that have been developed to assist Americans in attainment of quality health care. Both programs were established in 1965 and are federally supported to provide health care coverage to vulnerable populations such as the elderly, the disabled, and people with low incomes. Both Medicare and Medicaid are federally mandated and determine coverage under each program; both are run by the Centers for Medicare & Medicaid Services, a federal agency ("What is Medicare? What is Medicaid?” 2008).

Medicare will pay for some of the cost for 100 days. First 20 days they pay the full amount and from 21 days to 100 the individual pays $140 of expenses.

“Starting in 2009, Medicare, the US government 's health insurance program for elderly and disabled Americans, will not cover the costs of "preventable" conditions, mistakes and infections resulting from a hospital stay. So for instance, if you are on Medicare and you pick up a hospital acquired infection while you are being treated for something that is covered by Medicare, the extra cost of treating the hospital acquired infection will no longer be paid for by Medicare. Instead, the bill will be picked up by the hospital itself since the rules don 't allow the hospital to charge it to you” (Paddock, 2007).

The Medicare offers three types of insurance coverage. Medicare part A hospital insurance covers inpatient care in hospitals, and skilled nursing facilities. It also helps cover hospice care and some home health care. This coverage does not cover custodial or long-term care (Center for Medicare and Medicaid Services, 2013). Medicare also offers part B Medical insurance that covers preventative care and outpatient care. Prescription drug

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

Medicare provides access to health insurance coverage for more than 45 million people who qualify due to disability or age. The three components of Medicare are Parts A, B, and D. Part A is hospital insurance and provides coverage for inpatient hospital services, skilled nursing facility services, hospice services, and post-institutional home health care. Covered services under Part B one component of supplementary medical insurance (SMI) include physician services, durable medical equipment, laboratory services, outpatient hospital services, physician-administered drugs, dialysis, and certain other home health care services. The other component of SMI, Part D, mainly provides access to prescription drug coverage through private insurance plans.

Medicare is an insurance program. Medicare is a federal program. Medicare consists of four different parts, which include Part A, Part B, Part C, and Part D. Part A (Hospital Insurance) helps

Medicare is the United States' health insurance program for individuals age 65 or older. However certain people younger than age 65 can also qualify for Medicare, including those who are disabled, has permanent kidney failure or amyotrophic lateral sclerosis, known as Lou Gehrig’s disease). The program helps with the cost of health care, but it does not cover all medical expenses or the cost of most long-term care. Many Medicare participants must also have supplemental health care coverage in order to cover these charges that are not covered as part of the Medicare program. Is Medicare the perfect program? Well Medicare is financed by a percentage of the payroll taxes paid by workers and their employers. Also this program receives another

What are Medicare insurance? Medicare are a federal health program for an individuals between the age 65 and older. Medicare has also helped certain younger people whom suffer from some type of disability and also help individual with kidney failure and need to place on a dialysis machine or need an organ transplant. Medicare insurance was created in the year 1965 it was signed by president Lyndon b, Johnson to help those American at age of 65 who was not covered by health insurance received some type of insurance this insurance will be called Medicare . In the year 1972 Medicare starts to expand their program to people with disability and also patient suffering from kidney failure that required dialysis or needed an organ transplant to

Medicare is one of the largest government-sponsored health insurance program in the United States. Medicare was established in 1965 under the Title XVIII of the Social Security. Its main goal was to provide medical coverage to millions of individuals over the age of 65 that was being denied by private insurance. Private insurance denied them either because of their age or preexisting conditions. On the other hand people could not afford private insurance. In order to be eligible to receive Medicare one of these factors must apply:

It is not uncommon for people approaching retirement years to misunderstand the coverage that Medicare provides. Many people are under the false assumption that Medicare will cover all of their bills. This is simply not true. What you will be responsible for depends upon many factors, but with Medicare Part B, you will be responsible for paying approximately 20 percent of the bill. It is for this reason, that supplemental insurance policies are so important.

The United states federal health insurance program is Medicare. It is designed for individuals 65 or older in age, but certain people with disabilities who are younger and those with End-Stage Renal Disease. Medicare is broken down into four parts. Part A covers hospital stay, some care in a skilled nursing facility, hospice care and a portion of home health care by meeting certain conditions. Part B cover’s doctor's services and outpatient care and some other medical services that Part A will not cover when deemed medically necessary. Part C is Medicare Advantage Plans which includes Part A and Part B coverage. It can include health maintenance, preferred providers, private fee-for-service plans, special needs plans, and Medicare Medical

Medicare was created in 1965 to offer assistance to Americans 65 years of age or older or those who are on Social Security disability. Prior to this, most elderly Americans did not have insurance as it was not available to them or they could not afford it. Today, less than 1% of elderly Americans are without insurance or access to medical treatments. Medicare accounts for 20% of healthcare expenditures, one-eighth of the Federal Budget and more than 3% of the nation’s Gross Domestic Product.1

Medicare A provides coverage for hospital costs and Medicare B covers premiums for physician services and supplies. Medicare D is prescription insurance.(Centers for Medicare and Medicaid, (n, d)) Most healthcare insurance cover costs associated with prescription medications, however a co-pay may be required. Criteria for referral to specialists is dependent on health insurance coverage. Health Maintenance Organizations normally require a referral for specialists. Also, services outside of this network must be pre-approved. Referrals required for specialists within a preferred provider organization is dependent on type of specialists. The services in this plan do not include preventive care. Fee for service insurance has a fixed premium percentage and insurers can choose physicians and specialists without a referral. However, insurers are responsible for any above the fee payments.

Under Medicare insurance, people over the age of sixty-five, young people with disabilities, and individuals with End-Stage Renal Disease qualify for this coverage. The advantage with Medicare plan is that it provides specialized services for different individuals. For example, Medicare Part A is a hospital insurance that caters for hospice care. Plus, Medicare is tailored for individuals who are uninsured and cannot afford to pay the price of regular health insurance (What 's Medicare, 2016). On the other hand, Medicare insurance pose certain disadvantages such as a confused and apprehensive individual due to its variety of options. In addition, the variety of plans tend to cost more than the original Medicare plan. Moreover, Medicare plan is not flexible because people on Medicare plan can only obtain care from certain health care providers that are provided within the network or certain geographical locations. If individuals choose to obtain care outside of that network, they have