ipl-logo

Medicare Comparison

469 Words2 Pages

Medicare and Medicaid are two different government-run programs that were created in 1965 in response to the inability of older and low-income Americans to buy private health insurance. However, they are both federal government program, there are some major differences between the two. The differences are who qualifies for these programs, who runs them, how much users pay and what services they cover.
Medicare is a federal program that provides medical care to people over 65 or older as well as those under age 65 with certain disabilities. Eligibility has nothing to do with income level in this program. Because Medicare is run by the federal government, its coverage, rules and guidelines are basically the same everywhere in the United States. With this program patients pay part of the costs through deductibles for hospital stays and they are required to pay monthly premiums health care services. Medical bills are paid from trust funds which those covered have paid into. Medicare has four parts:
Part A: offers …show more content…

Eligibility is based on peoples’ income which is calculated related to a percentage of the Federal Poverty Level. Also, there are other non-financial eligibility criteria for example; individuals need to satisfy federal and state requirements regarding residency, immigration status, and documentation of U.S. citizenship. Medical bills are paid from federal, state and local tax funds. The federal government funds up to fifty percent of the cost of each state's Medicaid program, with more rich states receiving less funding than less affluent states. Because of this federal/state corporation each state has its own rules and regulations about who is eligible and who is covered. In this program patients sometimes don't pay any charges for covered medical costs, but in other cases, a co-pay is

Show More
Related

Pros And Cons Of Obama Care Iron Triangle

1205 Words | 5 Pages

Medicare pays 80% of Medicare beneficiaries medical expenses through Hospital Part A and Medical Part B and the beneficiary is responsible for the remaining 20%. The beneficiary then has the option to take part C which is supplemental private insurance to cover the 20% that Medicare doesn't cover. The final portion of Medicare is Part D prescriptions, which is mandatory for persons eligible for Medicare by age or disability in order to avoid the late enrollment penalty. This penalty was enacted to deter Medicare beneficiaries from opting out of prescription drug coverage to save money and later in the year be prescribed new medications and not have drug coverage, costing everyone more money in the long run. Medicare also pays up to 75% of drug costs and premiums for individuals that cannot afford their

Read More

Est1 Task 1

624 Words | 3 Pages

Medicare is a federal government administered healthcare program originally implemented on July 1, 1996. Medicare has four parts (A, B, C and D) that provide different areas and differing levels of coverage. All Medicare programs provide coverage for cover healthcare services to qualifying individuals, known as beneficiaries, which includes Social Security beneficiaries over the age 65, people under 65 with certain disabilities, and people of all ages with end-stage renal disease. Each program provides coverage for medically necessary care and services to covered beneficiaries and has deductibles or copays for covered services. Medicare Part A, Medicare Part B and Medicare Part C all provide coverage for medical services.

Read More

Explain What Do Elite Bureaucratic And Pluralist Theories Have To Say About The Policy Making Process

1454 Words | 6 Pages

It provides comprehensive health care, including hospitalization, physician services, prescription drugs, and long-term nursing home care to all who qualify as needy under TANF and SSI. Unlike Medicare, there are no limitations, an in 1986 Congress extended coverage to pregnant women and children whose earnings were less than 133% of the official poverty level. Medicaid is financed by both the national and state governments and awards more financial support to poor vs. wealthy states according to a per capita assessment. Each state sets its own eligibility standards within the boundaries of national guidelines. As for the future, the portion of the budget going to Medicaid is only increasing, which will lead to the proportion of funding for other programs being reduced unless some remedial action is

Read More

Pros And Cons Of Medicare Reimbursements

264 Words | 2 Pages

Over 28 million people in the world receive health insurance through the Medicare program (Gornick, n.d.). The medicare program was designed to operate throughout the nation with a set of uniformed benefits and cost-sharing requirements in the form of deductibles and coinsurance. However, over the years the program data indicated that the Medicare premiums and deductibles, benefits paid out varied significantly by state of residence of the beneficiary (Gornick, n.d.). These variations are due to part of the fact that reimbursements are based on local physicians' prices. Many policy analysts suggested that the geographic variations in Medicare reimbursements should be reduced (Gornick, n.d.).

Read More

Pros And Cons Of The Affordable Care Act

736 Words | 3 Pages

The higher someone's value, the less they have to pay for bills. For instance, if someone's actuarial value is 60%, the insurer pays 60% of the medical bill and the insuree pays 40%. Medicaid is a U.S. health care program that provides free or low-cost health insurance to people who have low incomes. In 2014 Medicaid was expanded to cover people whose income did not exceed 138% of the federal poverty level (Stoltzfus and Pollack). However, states had the option to not expand their Medicaid system.

Read More

Similarities Between Medicaid And Medicare

217 Words | 1 Pages

Medicaid and Medicare are both government run programs that were created in 1965, for low income and older people to get private health insurance. Although these are both government programs, they are not the same. Medicaid is health insurance that provides coverage for low income families, this is also a federal and state program. Whereas Medicare you need to be 65 or older or have a major disability and income is not a factor.

Read More

How Has Medicare Changed

3557 Words | 15 Pages

Medicaid and Medicare were signed into law in 1965. After 50 years, Medicare and Medicaid are still being used by the people of the United States as a form of aid with medical expenses. Medicare and Medicaid has changed over the years to provide more and more Americans with access to quality and affordable health care that is needed (“CMS’ program history,” 2017, p.1). Medicare and Medicaid have progressed over time to become better and more improved for those receiving the services provided by the government. Even though the Medicare and Medicaid services have changed for the better of the services, it has changed too much from the intended use of the services which has led to problems associated with the

Read More

Affordable Care Pros

1293 Words | 6 Pages

Depending on the medicine or help they need is what part they would be enrolled in. Medicare Part D is a well-known part; this is the insurance help with prescription drugs. The person enrolled in this can get help or even have their medicine paid for though the Affordable Care Act. This is topic is further discussed in what is Medicare. Although when people hear the Affordable Care Act most people think it’s just for the elderly but it also play a big role for young adults as

Read More

What Role Should Government Play In Aiding The Uninsured Essay

451 Words | 2 Pages

Medicare is funded by taxpayers, with money coming out of each paycheck, social security benefits. I believe this is effective as of right now, but I do not believe that by the time I turn 65 medicare will be running effectively. Medicaid is funded by state and federal governments. With states covering over half the cost. I believe funding programs and organizations that help provide care and inform our citizens is a great resource it will lead to less costs of healthcare for care that could have been avoided.

Read More

Medicare Contrast Essay

523 Words | 3 Pages

1. Medicare and Medicare are both Federal health care programs. However, Medicare is an insurance plan that supports people mainly over 65 that have paid into federal insurance taxes, and Medicaid is an assistance program that assists low-income citizens of all ages. Premiums are paid for non-hospital care in Medicare. There are no premiums for Medicaid, but occasionally a co-pay is required.

Read More

Essay On Medicare Reimbursement

474 Words | 2 Pages

Medicare reimbursement services are an essential aspect of healthcare in the United States. Medicare is a government-funded program that provides health insurance to people over 65, those with certain disabilities, and those with end-stage renal disease. Medicare reimbursement services refer to the process of healthcare providers receiving payment for their services from the Medicare program. In this blog post, we will discuss how healthcare providers can take advantage of Medicare reimbursement services to improve their revenue and patient care.

Read More

Compare And Contrast Medicaid And Medicare

664 Words | 3 Pages

Unlike Medicare, Medicaid generally has no federally-set premiums, deductibles, or coinsurance. States have the option to charge premiums and set cost sharing requirements for Medicaid enrollees. Medicaid is funded jointly by the federal government and individual states. In 2002, the federal government paid 57% of Medicaid and states paid the remainder. Medicare requirements

Read More

Medicare Persuasive Essay

1309 Words | 6 Pages

For example this quote mention, “Medicaid paid $2.7 billion to the Medicare program on behalf of low-income Medicare beneficiaries for premium and cost-sharing obligations and spent an additional $6 billion to supplement Medicare's coverage of hospital” (Rowland 15). This quote shows the amount that medicaid has already help pay people’s medical bills and it tells that medicaid has pay a big portion of money to help people and which made most people not having to pay the full price. For another example from a website it said, “Medicare Part A- Hospital Insurance covers hospital services, including semi-private rooms, meals, general nursing, drugs as part of your inpatient treatment, and other hospital services and supplies” (The Official Government Medicare site 1). This quote shows that medicare A is something that medicare covers for you when you are sent to stay in hospitals and also treatment and medicine you get while you are there, which having medicare will help cover most of the cost and leaving in good

Read More

Argumentative Essay On Medicaid

200 Words | 1 Pages

Medicaid is a federal program that offers health care to qualified low-income people, who are adults, children, pregnant women, disabled, and elderly. This program is different depending on the state in which one lives, funded by both the federal government and the state (Medicaid, n.d). To get on to Medicaid there are essentially two ways to do so; through financial eligibility where one income counts through a sole request and through a “medically needy program” where those who earn too much money can qualify by spending below the specific state’s needy standard (Eligibility, n.d). This program is that it seems like a good idea on paper, but in reality, more and more people cannot afford to even go see a doctor. Medicaid is a good thing,

Read More

Argumentative Essay On Medicaid

810 Words | 4 Pages

The way Medicaid is currently paid for in terms of the federal government is through the Federal Medical Assistance Percentage (FMAP), which is how the “HHS will use in determining the amount of federal matching for state medical assistance (Medicaid).” 6 In this sense, states with a larger population at or below the 133% federal poverty level will receive more federal funding while states with a small population at or below the 133% will receive less federal funding. For example, the federal government covers 75% of Medicaid costs for the state of Mississippi, a state with 20.8% of the population generating an income at or below 133% of the poverty line.6,8 However, for a state like Massachusetts, a state where 12% of the population is at or below the 133% of the poverty line, the federal government only covers 50% of

Read More

More about Medicare Comparison

Related Topics

Open Document