Research Paper On Medicare

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 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 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.

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 one of the most widely acknowledged sources of health insurance coverage in the United States. It is often complemented by Medicaid, a similar health welfare program that includes children and the poor. Many Medicare beneficiaries are "dual eligibles" who use Medicaid to extend comprehensive inpatient and outpatient health care coverage, especially for prescription drugs, diagnostic and preventive care, and eyeglasses which fall outside of Medicare. Medicaid can also supplement Medicare deductibles, premiums, and up to 20% of uncovered charges (Goodman, 1991).

Benefit provisions vary from one state program to another, but federal guidelines require all states to provide a minimum benefit package, including hospital inpatient and outpatient care, physician care, and many other services. In the area of long-term care, all states are required to pay for nursing home care, and they must also pay for home healthcare for those who are “nursing home eligible” which are those who would need nursing home care if they did not receive home care. And although federal guidelines do not require it, an increasing number of states also pay benefits for home and community-based services. These services may include personal care, home health aide services, rehabilitation, therapies, intermission care, homemaker services, and other services. In addition, a few states pay for long-term care services received in an assisted living residence. Unlike Medicare, with its highly restrictive conditions for payment of nursing home or home care benefits, Medicaid generally meets the need for long-term care (for those who eligible). Medicaid pays benefits for personal and supervisory care even if skilled care is not needed, and the program covers ongoing care needed to cope with a chronic impairment, not just care required for a short time to facilitate recovery from an acute illness or injury. However, there are some important limitations to Medicaid long-term care benefits: (1)

Medicare is a social insurance program that is sponsored by the government (1). This was originally made for the long term care for the elderly people that needed health insurance (2). There are four different parts that are provided to the people that are eligible for Medicare. Part A helps pay for the hospitals. As Part B pays for all medical reasons; such as, physician visits, outpatient services, and the need for medical equipment. Part C, for example, deals with the care of people with diabetes, and Part D is to provide people with prescription drugs (1).

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.

Medicaid provides a comprehensive benefit package for those who enroll. The federal government requires coverage of thirteen services, including inpatient and outpatient hospital services, nursing home and home health care, and for children under the age of twenty-one. The benefits do not end there, Medicaid offers a

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

Medicaid is a jointly funded federal-state health insurance program. This program provides free or low cost health insurance to low income people, families and children, pregnant women, the elderly and people with disabilities. (HealthCare.Gov, n.d.) The funding comes from several sources; the federal government guarantees

Medicaid is government-sponsored for low income families with dependent children and people with disabilities under 65 years old. The coverage, as well as qualification for coverage may, vary by state. Individual can qualify based on family size and income level (Lewis, 2012). If a individual is denied Medicaid because of excess income, he or she may qualify for "Medicaid spend down," which pays medical bills over the excess amount (Lewis, 2012).

2 Certain persons in Florida are eligible for Medicaid. Please post a synopsis of this program. Be sure to include the following:

Medicaid offers health insurance benefits for individuals and families with low income (133% of the FPL). This includes low income: pregnant women, disabled, blind, and aged. Medicaid is administered by the states following federal guidance. Medicaid benefits vary from state to state. Eligibility requirements include being a U.S. citizen, and a resident in the state where benefits are received. In the case of immigrants, one must be in the U.S. for a minimum of five years. Both state and federal governments finance the program. Nursing home care is covered by Medicaid. Depending on the state, none or minimal copays and deductibles are associated with this program.

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