Medicare Part A Coverage - ANS-Hospital insurance that covers inpatient and most
skilled care. Mandatory copays for hospital days 21-150, getting higher
... [Show More] with each period
of time.
Medicare Part A Eligibility - ANS->65 in social security automatic enrollment
Medicare Part A Cost - ANS-No cost if automatically qualified. 30-39 work quarters:
~$250/mo <30 work quarters: ~$450/mo
Medicare Part B Coverage - ANS-Supplemental medical insurance. Outpatient services,
care, physical/speech therapy, some home health care, medical equipment
Medicare Part B Eligibility - ANS-Voluntary if >65
Medicare Part B Cost - ANS-Deducted from monthly social security check. *Enroll 3
months before 65th birthday or 4 months after, otherwise increased costs to enroll*
Medicare Part C - ANS-Medicare Advantage. Get all their medical services through that
plan.
Medicare Part D coverage - ANS-Prescription drug coverage
Medicare Part D Cost - ANS-Varies depending on how extensive drug benefit is.
Different plans have different benefits.
Medigap Plans - ANS-Fill gaps in coverage that occur with Medicare
Medicare Advantage Plan - ANS-Will likely eliminate need for medigap insurance?
Medicaid Eligibility - ANS-Automatic coverage not guaranteed except for poor pregnant
women and children. States can refuse to cover adults/head of households who lose
Temporary Assistance to Needy Families d/t refusal to work. Generally covers poor
people.
Medicaid funding - ANS-Federal + state. States determine how much they want to pay
in, different states have different qualities of Medicaid
HMO - ANS-Four components: Enrolled population, prepayment of premiums, coverage
of comprehensive medical svcs, centralization of medical and hospital svcs
Closed-panel HMO - ANS-Specific providers identified by plan to provide the medical
services to members. Staff can be salaried by HMO or an agency/group contracted by
the HMO. [Show Less]