Medicare : Medicare And Medicaid

Medicare is a federally governed insurance program, primarily serving Americans over the age of 65, younger disabled meeting specific disability criteria, and dialysis

Medicare Part D is prescription drug coverage. It’s the newest part in Medicare. It adds prescription drug coverage to original Medicare, some Medicare cost plans, some Medicare PPS plans, and Medicare Medical Savings plans. Beneficiaries choose the drug plan and pay a monthly premium.

Medicare Part D Drug Plan was created by Congress in 2003 to aid the elderly, disabled, and sick persons in affording their medication. Coverage for the drug plan went into affect January 1, 2006. This plan was called the Medicare Prescription Drug Improvement and Modernization Act of 2003 (MMA) (Cassel, 2005). The final bill that passed, was influenced by drug-company and health insurance lobbyists and focused mainly on the needs of those industries instead of the seniors it was meant to serve (Slaughter, 2006). These plans are operated by insurance companies and some private companies that have been approved by Medicare. Part D is optional only if a person carries health insurance that includes prescription coverage. If at retirement

The Centers for Medicare and Medicaid Services (CMS) website offer a variety of information on Medicare, Medicaid, and Chip. For information concerning Medicare this site offers you an abundance of information such as eligibility and enrollment, health plans, prescription drug coverage,

The Centers of Medicare and Medicaid Services (CMS) is a branch of the United States Department of Health and Human Services

Medicare is provided by the government as a means of offering health insurance to those 65 years and older. If you have a Medicare plan, yours will be one of various plans offered that will cover certain things. Below is basic information on the four main plans and what they cover, so you know what you can expect to get.

Individuals that are younger than sixty-five are eligible if they have permanent disabilities, are diagnosed with end-stage renal disease, or amyotrophic lateral sclerosis, known as ALS (Medicare, 2014). According to an article by Juliette Cubanski and colleagues (2015) the four different parts of Medicare have varying eligibility requirements. Coverage under Part A and B is automatic when a Medicare-eligible individual applies for Social Security, or Railroad retirement benefits (Cubanski, et al., 2015). All individuals that are sixty-five and up are eligible for Part A, regardless of their health, and medical history, or their income. In addition, individuals must be U.S citizens or permanent legal residents with at least five years of continuous residence (Cubanski, et al., 2015). Nonelderly individuals that receive social security disability insurance become eligible after a twenty-four month waiting period (Medicare, 2014). The article (2014) states that individuals that are diagnosed with end-stage renal disease, or ALS are eligible for Medicare without a waiting period. Part B of Medicare is voluntary, however individuals that are eligible for Part A also qualify for Part B benefits (Cubanski, et al., 2015). Many Part A beneficiaries that are entitled to the benefits are automatically enrolled into Part B, however they may choose to decline. Those individuals 65 and older who are not entitled to

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.

Medicaid and Medicare are two different government programs. Both programs were created in 1965 to help older and low-income families be able to have their own health insurance. These programs were part of President Lyndon Johnson’s plan, a commitment to helping meet the needs of individual health care. Medicaid is largest single private health insurance program. Medicare and Medicaid are helpful to those individuals who qualify; they are not available to everyone. I will discuss in this paper the definitions, similarities and differences of Medicare and Medicaid.

Medicare was first brought into action in 1965 to help elderly people and those with certain disabilities receive medical care. In order to be eligible to enroll, you must be 65 years or older, have end stage renal failure, a disability, and you must be a U.S. citizen.

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

In 1965 president Lyndon Johnson authorized regulation that established the Medicaid program. The program has since grown from its origins as a health coverage program for welfare recipients

Made up by four parts (A,B,C,D) Medicare covers everything from medical visits to prescription drugs.

The Center for Medicare & Medicaid Services (CMS) is the largest federal health insurer body which provides healthcare services in the US. CMS must ensure that their beneficiaries have access to high-quality care.3 This mission becomes even more

The Centers for Medicare and Medicaid Services support quality initiatives. The mission of CMS is quality health care for people with Medicare which is a high priority for the president. CMS began to start quality initiatives back in 2001 to assure quality care for all Americans through accountability. There are various quality initiatives that focus on every aspect of the health care system. From focusing on reporting quality measures for nursing homes to kidney dialysis facilities. Consumers can use the information provided on their website for these health care settings to assist them in making the right choices for the care provided.