Health administration and policy 3

M edicare

A genda!

● O

nline D iscussion

● M

edicare ○

O verview

○ A

ctivity ○

R eview

○ Q

uiz ●

B reak!

● M

edicaid ○

Lecture ○

Q uiz

● G

roup P roject A

ssignm ent

W hat is M

edicare ●

Largest U S

C overage P

rogram ●

C overs seniors over age 65, people w

ith disabilities ●

A ll incom

e levels are covered ●

S ingle payer system

● V

ery popular

Q uestions

1. H

ow is it paid for?

a. B

y consum ers or the governm

ent? b.

If it is paid for by consum ers, w

hat types of paym ents?

2. W

hat does it cover? a.

A re there lim

its to that coverage? 3.

Is enrollm ent autom

atic or voluntary? a.

H ow

do people get on this type of coverage?

B lue = P

art A R

ed = P art B

Y ellow

= P art C

G reen = P

art D W

ild = M edigap

P art A

● N

o prem ium

s ●

$1,100 deductible ●

H ospital coverage lim

ited to 150 days, daily costs after 60 days

● S

killed nursing facility (S N

F ) covered up to

100 days, daily costs after 20 days

P art B

● V

oluntary, autom atic enrollm

ent ●

P rem

ium s

● D

eductible ●

C oinsurance

● C

overs m ost outpatient care

● M

ost beneficiaries have supplem ental insurance

(M edigap)

P art C

● M

edicare A dvantage

● V

oluntary ●

25% of beneficiaries in U

S ●

E ligibility

● C

ontroversial

●

P art D

● P

rescription C overage

● E

ligibility ●

V oluntary

● P

rivate P lans

● D

onut H ole

Q uestions?

Q uiz T

im e!

Q uestions on G

roup P roject

● B

riefing D ocum

ent ●

Q uiz Q

uestions ●

P resentation