Medicare: Federal Health Insurance

Improved Essays
Your grandmother just turned 65 and is very confused about medicare. She doesn’t understand why there are four parts to this health insurance program. She asked you to help her with enrolling in Medicare.
(1) List the different part of medicare and (2) explain what each part is and why it may be important to your grandmother.

Medicare has four different part parts: Medicare Part A, Part B, Part C and Part D. Each part of Medicare covers different healthcare costs. You can get your Medicare Coverage in two main ways. One is the Original Medicare and the other is a Medicare Advantage Plan (Part C).
Medicare is the federal health insurance program for people who are 65 or older. However, you are qualify for it because you have worked and paid
…show more content…
The Medicare Advantage health plans like HMO’s and PPOs. Medicare Advantage plan will covers both your hospital and medical costs, in addition to your dental, vison and hearing and prescription drugs. However if your wishes to have this insurance it important to know that you would have to pay an out-of-pocket maximum each year but once you pays this amount, your health insurance will come in to pay 100% of the cost of services. However, your out-of-pocket costs in a Medicare Advantage Plan (Part C) depend on whether the plan charges a monthly premium, whether the plan pays any monthly Medicare Part B premium and whether it has a yearly deductible or any additional deductibles. Each year, according to the plans established will determine the charges you will pay for premiums, deductibles and covered services you get. Having Medicare Advantage will also cover your emergency care when you travels out of the country with a $50,000 lifetime maximum.
Medicare Part D, is a prescription drug Insurance plan that is provided only through private insurance companies, it is not provided by the government like the Original Medicare. You can get Medicare prescription drug coverage either through adding a Medicare Prescription Drug plan (Part D), or get a Medicare Advantage (Plan Part C). However, this plan will be very important for you, grandmother because it will provide coverage for some of your commonly used brand-name and generic

Related Documents

  • Decent Essays

    Tittle 2: A Case Study

    • 491 Words
    • 2 Pages

    Facilitate access by the patient to care providers. The Medicare program is divided by many sectors that cover different part of the health care service. For instant part A that covers Hospitalization home care service, Hospice. Part B that covers out patient services, Doctor visits. Part D is mostly for pharmacy drugs coverage.…

    • 491 Words
    • 2 Pages
    Decent Essays
  • Great Essays

    Medicare Part A Case Study

    • 1245 Words
    • 5 Pages

    Medicare (Title 18) is a program that provides health care to individuals who are 65 years or older, disabled, or suffer from kidney failure. Medicare has a basic four-part structure: Part A, which is hospital insurance, Part B, which is supplementary medical insurance, Part C, which is Medicare advantage, and Part D, which is prescription drug coverage. Part A and B make up what is known as traditional Medicare. Part A concerns hospital insurance, this is financed by payroll taxed through employers and employees. Part A pays for a portion of inpatient hospitalization, nursing care, home health care, and hospice.…

    • 1245 Words
    • 5 Pages
    Great Essays
  • Improved Essays

    House Bill Hr676

    • 607 Words
    • 3 Pages

    Everyone who is living or even visiting the United States or its territories. Each person would obtain a “Medicare For All Card” and ID number once they enroll at the appropriate location. What health care services are covered? The national health care program will cover ALL medically necessary services, such as primary care, medically approved diet and nutrition services, inpatient care, outpatient care, emergency care, prescription drugs, durable medical equipment, hearing services, long-term care, palliative care, pediatric care, mental health services, dentistry, oral surgery, eye care, chiropractic, and substance abuse treatment. Additionally, patients would be able to choose whatever doctor or hospital they preferred, and they would not have to pay deductibles or co-pays.…

    • 607 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    Health Policy Case Study

    • 754 Words
    • 4 Pages

    1) From the case study, provide one example of each of the forms that public policies can take: laws, rules or regulations, other implementation decisions, and judicial decisions. Law: Social Security Amendment of 1965 is a public law 89-96. It was created to aid senior citizens with health insurance (Medicare) and to provide health care to indigent population and disabled (Medicaid). Rules/Regulations:…

    • 754 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Medicare is a federally program founded in 1965 as Title XVIII of the Social Security Act. It is considered the nation’s largest health care coverage program. The purpose of Medicare is to provide the same type of health care as a private party insurance plan. Medicare provides healthcare coverage and services to elderly seniors age 65 and over, regardless of their income or medical history. It also covers those individuals under the age of 65 who are permanently disabled, as well as those with end stage renal disease known as kidney failure requiring dialysis or a transplant.…

    • 391 Words
    • 2 Pages
    Improved Essays
  • Superior Essays

    The idea that the authors have to educate the general public is exceptional. The authors only want to inform others on how medicare can be sustained and what people can do to ensure it is. Issues like medicare and politics can be horrifying for someone to attempt to interpret but Duckett and Peetoom make it simpler and help people understand the aspects of medicare as well as how to make arguments about it. The book allows individuals to form ideas around aspects of medicare that require change and how they can get…

    • 1252 Words
    • 6 Pages
    Superior Essays
  • Decent Essays

    Part D is coverage for prescription drugs. Part C and D are paid out of pocket by program participants. Part A and B are paid for by payroll taxes and deductions from Social Security income. Medicare isn’t an “all inclusive” health plan. There are gaps in a traditional Medicare coverage plan, unless you pay for Medicare Advantage.…

    • 110 Words
    • 1 Pages
    Decent Essays
  • Improved Essays

    Medicare reimbursement refers to payments to hospitals and doctors receive as a result of services provided to patients that are covered under Medicare. It is considered an example of discounting (Penner, 2016, p. 40.) As discussed above, the base payment reimbursement is usually less than amount that private insurance companies pay. The federal government sets this rate (Ku & Broaddus, 2008).…

    • 215 Words
    • 1 Pages
    Improved Essays
  • Superior Essays

    Another thing that Americans are not going to the doctor like they should or fill prescriptions because they cant afford to. If we can fix these two things then we will help with the aging problem in the future. Preventive care is going to help us in the long run (Davis, 2013). Medicare and Medicaid are two very different programs to help those who struggle with their daily living activities such as bathing, cleaning and finances. Medicare is a federal health insurance company that helps seniors 65 years and older, certain younger people with disabilities and people with end-stage renal disease ( medicare.gov).…

    • 1350 Words
    • 6 Pages
    Superior Essays
  • Improved Essays

    When the Medicare program was established in 1965 its core principle was equal health insurance benefits for all individuals who were 65 years or older and the disabled regardless of income. Today more than 41 million elderly and disabled Americans receive coverage through Medicare. Medicare Part A covers hospital stays, Medicare Part B covers doctor’s office visits; both insurance plans follow the traditional insurance model. Medicare Part C is originally known as Medicare+Choice (M+C) is referred to as a Medicare Advantage plan follows a managed care insurance model. Medicare Advantage plans are Medicare approved private health insurance plans that can be used by individuals enrolled in the Original Medicare A & B coverage.…

    • 992 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Long Term Care Benefits

    • 1821 Words
    • 8 Pages

    Based off of deeper research, three different parts to the types of coverages that Medicare provides are; Part A, Part B, and Part D (Original Medicare np). When Medicare first existed, there were only two original coverages, including Part A, impatient/hospital coverage, and Part B, outpatient/medical coverage, while Part D, prescription drug coverage, was later added, but rarely used by most (Original Medicare np). Even though most Americans believe that Medicare is a single health insurance program, that is not exactly true. In fact, multiple different plan options are provided today, based off of an individual's needs, costs, rules of the plan, and time limit on care. Two different options become available when applying for Medicare, including; Original Medicare and Medicare Advantage Plan (Original Medicare np).…

    • 1821 Words
    • 8 Pages
    Improved Essays
  • Improved Essays

    Recent Changes in Medicare Medicare is federal health insurance program that helps 65 and older patients or younger adults with disabilities and anyone with certain diseases. Medicare is always changing and sometimes those changes can affect you with more severe changes to the program. If you are eligible for Medicare your enrollment period will begin 3 months before your 65th birthday and applying online will save you time and money so it is best to apply online. There are different types of Medicare plans there is part A, B, and D. Every year Medicare cost can go up and also the coverage options can change as well, which those are the important parts of having healthcare insurance. In this year of 2017 costs for the max premium of part A…

    • 339 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    Medicaid Vs Medicare

    • 313 Words
    • 2 Pages

    According to the videos, Medicare A covers hospitalization, B is medical insurance, C is purchasing private insurance through Medicare which sounds better out of the four because with this policy they…

    • 313 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    As the population ages in the U.S., there is need for medical care among our elderly citizens. Most elderly citizens over the age of 65 have Medicare for their insurance coverage. Citizens can also be approved for Medicare benefits should they be disabled or have end-stage renal disease. So, the question becomes, how is Medicare making an impact on our healthcare ecosystem of today?…

    • 1093 Words
    • 4 Pages
    Improved Essays
  • Great Essays

    Statistically, only twenty-eight percent of Americans are insured through government-funded programs such as Medicare and Medicaid, implemented in the middle 1960s. Medicare commonly insures older people with acute care needs. “Medicaid is the joint federal-state government-sponsored program that pays for health services for poor children, pregnant women, and mothers of young children as well as mentally and physically disabled and very poor elderly individuals” (Emanuel 36). The most recent attempt to maintain a current medical assistance problem was a new law widely known as Obamacare. President Obama signed the Affordable Care Act into law on the 23rd of March 2010, putting in place comprehensive reforms that are meant to improve access to affordable health coverage for everyone and protect consumers from unfair insurance company practices.…

    • 1634 Words
    • 7 Pages
    Great Essays