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Health Law and Regulation

Good Essays

Health Law and Regulation-Medicaid and Medicare
Mathew V Kurian
HCS/545
November 5 2012
Pro. Maureen Lancellot

Health Law and Regulation-Medicare and Medicaid
Medicare and Medicaid, created by the Social Security Amendment Act 1965, added Title XVIII and XIX to the Social Security Act. President Lyndon B Johnson was responsible for bringing about this change. Social Security Program started during the Great Depression of 1930s because of the stock market crash and bank failure, which wiped away the retirement savings of the Americans. Poverty rate among senior citizen exceeded 50% during this time. Social Security Act was created in an attempt to limit the five dangers of modern American Society. The Social Security Act was …show more content…

With respect to plan B, any person who is eligible for plan A can enroll in plan B by paying a monthly premium. The person not eligible for plan A or plan B can still buy plan B, if that person is more than 65 years old, and a citizen or legal resident. Persons who have plan A and B are eligible for plane C. Plan C include Medicare managed care plan. Medicare preferred provider (PPO) organization plan; Medicare private fee-for-service plan, and Medicare specialty service. Plan D is available to all the persons who have any of the other three plans, but need to pay a monthly premium.
Enrollment
The effective date of enrollment is January 1 of the up-coming year with right to make changes from October 15 to December seven each year. From the time a person becomes eligible, a seven months period is given for enrollment, starting from three months prior to 65th birthday. A delay will cause delay in coverage and higher premium. For plan B, the person has another chance each year to sign up during general enrollment time from January one to march 31. Person leaving Plan C insurance has an extended time to join plan D coverage. The rules for people covered under an employer group health plan are different.
Medicaid
Title XIX of the Social Security Act deals with Medicaid. It is a

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