Medicare Essay

1961 Words 8 Pages
TAKE HOME EXAM --QUESTION #1: Medicare and Medicaid share many similarities and have many differences in terms of the populations that are eligible for benefits; the general benefits or services covered; and how the programs are funded and administered. Furthermore, a closer inspection of Medicare reveals both strengths and flaws in the program. Medicare, otherwise known as Title 18, is a federal program that provides healthcare for all those who are 65 years and older. Anyone 65 and older who qualifies for Social Security is automatically eligible for Medicare. In addition, Medicare covers those who are permanently disabled, as well those with kidney failure (end-stage renal disease, ESRD). (Barr, 2007)
All those who qualify for
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(Barr, 2007)
Medicare Part B pays for doctor fees and other medical costs for care provided outside the hospital like services provided by x-ray offices and laboratories. (117 Barr) Physicians who choose to accept Medicare patients agree to receive an amount dictated by Medicare as payment in full for the service provided. Typically, this is about two-thirds of the fees the physician usually charges. Medicare is responsible for 80 % of that fee and the remainder is paid for by the patients. Those in Plan B have consented to have their premium withheld from the Social Security checks. Unlike Part A, this is voluntary and thus seniors have the choice to elect out of this program. (117) (Barr, 2007)
Part C known as Medicare Advantage (MA) provides Medicare beneficiaries the option to receive their health services through the private sectors. Finally, Part D is the prescription drug plan but those who have subscribed to MA, gets this coverage through MA. (Foundation, 2010)
While Medicare (Title 19) is both funded and administered by the federal program, Medicaid is administered by the states and receives partial reimbursement from the federal government. Unlike Medicare, which serves all elderly people, Medicaid was not designed to serve the entire population below the poverty level. It serves certain subgroups within the poor population: 1) Members of low-income families

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