Medicare Part D

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    What is Medicare and Social Security is a question some might ask. Different parts of Medicare cover different services. Medicare is the largest health program in the United States. It is an insurance program that covers 40 million people that are over 65 years old and over 8 million people with disabilities. Medicare is the federal health insurance program for people who are 65 or older, certain younger people with disabilities, and people with End-Stage Renal Disease. It has 4 parts to it and…

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    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…

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    communication, 03/27/12). An example of disengagement theory if an older adult who has heart disease may develop shortness of breath may be unable to continue daily walks with their friends. The older adult will develop less contact with friends which may lead to fading friendships. Another example of disengagement theory if when a retired career women experience loss of social network and self-satisfaction of work. Aging-related that impacts an older adult’s cultural, for example, is the…

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    Father of Medicare, President Lyndon B. Johnson signed Medicare into law as part of the Social Security Amendments of 1965. The intent of this national health insurance program was to provide health insurance to Americans over the age of 65 and to younger persons with certain disabilities. According to Wager, Lee and Glaser (2013), in 1972, another historical piece of federal legislation was passed that required hospitals “be reviewed and certified in order to participate in the Medicare and…

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    Plan J Case

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    Plan J is no longer offered to new Medicare beneficiaries. But what if you already have a Plan J? Should you change it? Why was was Medigap Plan J removed? When Congress passed the Medicare Prescription Drug, Improvement, and Modernization Act of 2003, the structure of Medicare was forever altered. Among other things, this act signaled the beginning of Medicare Part D prescription drug coverage. This meant that Plan J’s prescription coverage was now duplicated and that Plan J as a whole…

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    DB Billing

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    must be enrolled in the Defense Enrollment Eligibility Reporting System (DEERS) TRICARE deductibles renew on OCT 1st. Patient responsibility is referred to as “cost share”. Participating providers agree to accept the allowable charge which is the Medicare fee. Nonparticipating providers are limited to charging no more than 115% of the TRICARE allowable charge. Authorized providers include the following: Doctor of medicine (MD) Doctor of osteopathy (DO) Doctor of dental surgery (DDS) Doctor of…

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    Economics Of Health Care

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    There was a time when organized medicine did not exist. With the creation of the American Medical Association in the early 1900s, the United States started the evolution of the health care system we currently utilize. In these early days, formal insurance coverage offering preventative or general health care coverage did not exist. However, workers in dangerous jobs may have been offered accident or sickness settlements. Throughout the decades, economics has played a role in developing the…

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    providers to promote their drugs, and compensating pharmaceutical sales reps based on the number of prescriptions written by the doctors they call on” (Archer 2013). The Huffington Post cites how “Big Pharma has been systematically price-gouging the Medicare program for seniors and people with disabilities -- and raking in billions in excessive profits. The 11 largest global drug companies made an astonishing $711 billion in profits over the 10 years ending in 2012, and they got a turbo-charged…

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    Every country’s vision is to have a universal health care system. A system that is not necessarily “free” but a system where everyone has equal opportunity to get the best health care being offered without partiality. Canada successfully implemented the universal health care for its citizens, but it is not perfect in any sense. Individual citizens are provided with preventive care and medical treatment from primary care physicians as well as access to hospitals, dental surgery and additional…

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    The act was designed to offset the budget by lowering payments to hospitals, Increasing Medicare taxes on higher income households, assessing penalties on employers who don’t offer, and individuals who don’t take, health care insurance, assessing taxes on various health related activities, and reducing overhead by consolidating the higher education…

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