The Benefits Of Medicare Plans

Adults, 65 years old and older and people with disabilities are eligible for Medicare and Medicaid. Physician services and hospitalizations are covered by medicare. An additional supplemental program may be purchased to cover prescription drugs. Low income families and children may qualify for Medicaid and Children’s Health Insurance Program (CHIP). Medicaid has significantly lower copays and out of pocket expenses compared to private insurance. Unemployed individuals may qualify for Medicaid depending on the state.

IHS is a very complex organization that serves the American Indian and Alaskan Native population. Effective health services for American Indians and Alaskan Natives had to integrate the philosophies of the tribes with those of the medical community. Because not all tribes signed treaties with the United States some people with Indian heritage were not eligible to participate with the federal government programs. Eligible people with Indian heritage were provided various services throughout the IHS programs; however, some IHS locations did not have the necessary equipment or facilities to provide comprehensive services.

40 days in a SNF. Medicare Part A will cover 100% of the first 60 days of Mrs. Zwick’s hospital

Although Medicaid may sound generous, the program has many narrowing limitations. Numerous restrictions prevent the program from being offered to everyone who is poor and cannot afford medical care. Eligibility for the program is not based on need alone, but is also affected by age, family status, and medical condition. Beyond the federal programs Medicare and Medicaid, inhabitants of the United States must look to private organizations to provide their healthcare. People may enroll in these independent health insurance plans through their employer or on their own if they can pay for it.

Part D is financed through general revenues (74%), beneficiary premiums (15%), and state payments for dual eligibles (11%). Similar to Part B, enrollees with higher incomes pay a larger share of the cost of Part D coverage. (Kaiser Family Foundation, 2015)

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.

The Medicare and Medicaid federal programs were put in place as a way to help the less fortunate. Individuals with severe disabilities or over the age of 65 qualify for Medicare. This program helps them with health coverage, so the disabled and elderly who have Medicare do not have to worry about their medical bills and not going to the hospital when they are sick. Medicaid is a similar program, however, it only applies to low income families who cannot provide for their children. Similar to Medicare, this program covers any health related problems and takes away the worry and troubles that come with hospital bills.

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.

D plan will cover her prescriptions that are not covered by part A and B unless they are

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

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

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.

Medicare qualifications are for people who are 65 or older and are U.S Citizens or a permeant legal resident; you or your spouse has worked long enough to be eligible for Social Security or railroad retirement benefits, you or your spouse is a government employee or retiree who has not paid into Social Security but has paid Medicare payroll taxes while working. People who are under 65 may qualify if they have been entitled to Social Security disability benefits for at least 24 months, receive a disability pension from the Railroad Retirement Board and meet certain conditions, have Lou Gehrig's disease; which qualifies

The Indian Health Service (IHS) is a healthcare program within the Department of Health and Human Services. (Agency Overview n.d.) It provides federal health services to eligible American Indians and Alaska Natives at IHS facilities. (Agency Overview n.d.) Services that IHS provide include medical, dental and vision, ancillary services, such as laboratory and pharmacy, specialty care which include services provided by the physician or specialist. (Agency Overview n.d.) The factors that affect the type of health care depend on the community needs, level of funds and whether treatment is medically necessary (Marx n.d.) American Indians and Alaska Natives can receive direct care at hospitals, health centers and they may be federally or