Medicare Advantage Arranges: A Case Study

The purpose of this paper is to give an overview of two federally and/or state funded programs. The programs that will be discussed are Medicare and Medicaid. In this paper will be information about who receives Medicaid/Medicare, the services offered by these programs, and those long term services that are not.

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

The first plan is Medicare A and it will cover any of your inpatient fees.

Medicare provides federal health insurance coverage to millions of elderly, and disabled Americans. As of 2015 data by the Kaiser Family Foundation, Medicare covers 55 million people. Medicare covers people age 65 and older, people younger than 65 with certain disabilities, and people of all ages with End-Stage Renal Disease, or amyotrophic lateral sclerosis (Medicare, 2015). Medicare consists of several different components, including: Part A, Part B, Part C, and Part D. This Federal health insurance program, Medicare, is financed by several sources, including taxes, revenue, and premiums. Each part of Medicare has different eligibility requirements and provides different benefits, and covered services.

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

Fifty years ago, Lyndon B. Johnson signed the Medicare program into law. “It has been a reliable guarantor of the health and welfare of older and disabled Americans by paying their medical bills, ensuring their access to needed health care services, and protecting them from potentially crushing health expenses.” (Hamel, Blumenthal, Davis, & Guterman, 2015, p. 479). With the encouragement of George W. Bush, congress passed the Medicare Modernization Act of 2003 (MMA). The MMA extended Medicare to include prescription-drug coverage, known as Medicare Part D. In 2013, Medicare covered the health care expenses for 52.3 million Americans, costing $583 billon. Originally, Medicare had difficulty controlling costs; physicians and hospitals were

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.

The majority of Medicare issues result from structural complexity and fragmentation, resulting in confusion for beneficiaries and health care providers alike. Most insured nonelderly Americans enroll in single health plans that pay for all covered services, including inpatient, physician, pharmaceutical, and rehabilitation, with a single system of premiums, copays and deductibles (Blumenthal et al. 486). In contrast, Medicare beneficiaries must deal with a variety of different plans to cover these same expenses, each

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.

Part A covers inpatient hospital care as well as hospice care, Part B pays a portion of your outpatient care, medical equipment expenses, health care provider services and some preventive care like flu shots, Part C is a Medicare Advantage plan that is offer by a private insurer and approved by Medicare and Part D covers prescription drugs (Lewis, 2012).

Medicare is broken down into different parts that those who are insured can choose what program is best for them. There are four different parts to the Medicare health care system. There is the Medicare Part A, this part covers hospital insurance, meaning stays in the hospital, care

Part A – This is the hospital insurance portion of Medicare. It comes at no cost to you once you turn 65.

Medicare was started in the year of 1965 that provided the medical insurance for the elderly whom needed the assistance for the medical expenses. Medicare is divided into two programs called the Medicare part A (hospital insurance) and Medicare part B (medical insurance). In the year of 1997, the Medicare+Choice was added to Medicare and it is now called the Medicare Advantage (MA). Part C, offers the benefits for a fee through it's private health insurance programs that has a health maintenance organizations with the preferred organizations that contracts with Medicare. Medicare Part D, became available in 2006, to help with prescription drug coverage (Comprehensive Health Insurance, Page 359).

I would advise my patient to talk with someone at a senior center or a trusted medicare insurance agent. Since volunteering at a senior center for my community health nursing class, I learned they have a program called Senior’s Health Insurance Information Program (SHIIP). This program is sponsored by the North Carolina Department