MEDICAREAmanda

Makayla

Mai

Yari

HISTORY1965-1970

•Created in 1965• Impossible for people over 65 to

obtain private health coverage

•Cover expanded to include those under 65

• Long-term disabilities

•End-stage renal disease

1980-1990

• Omnibus Reconcilliation Act passed• Expanded home health service• Brought Medigap under federal

oversight• Hospice, 1982 added to Mediare

Benefits-

• People were eligible for Medicare coverage

• Add-on benefits: •Prescriptions•Drug coverage for new enrollers

2000-2010

• 65 and under with ALS allowed to enroll in Medicare upon diagnosis

• Patient Protection & Affordable Core Act of 2010

• Reform Provision intended to contain

• Medicare cost

• Increase revenue

• Increase services in programs

WHO IS ELIGIBLE?

• 64 years and older

• Under 65 with disability or other condition

• End-stage renal disease (ESRD)

• Blind, widowed, serious long term disabilities

MEDICARE PART A

• Hospital Benefits and who is covered:• 90-day Benefit period• First 60 days, covered by Medicare when

deductible is met and coverage is at %100

• 30 days after, patient pays co-insurance

• Patients with medical care at home

• Psychiatric treatment

• Respite care

• Any one who receives Social Security

PART B

• Voluntary program

• Covers wide range of out patient services:

• Physician services

• Outpatient hospital

• Diagnostic

• Anything medically necessary

• Coverage not automatic

PART D

• Passed in 2003

• Coverage began in January 1, 2006

• Prescription Drug plan

• All persons with Medicare can join plan that’s provided

CURRENT EVENTS

• Baby boomers, seniors and disabled-getting bigger and more expensive

• Medicare covers 51 million people at a cost of $574 billion

• Mismanagement and Fraud

• Misinterpreting for Social Security, drain on federal budget

•Thank you.