Health administration and policy 3

Medicare Agenda!

● Online Discussion ● Medicare ○ Overview ○ Activity ○ Review ○ Quiz ● Break! ● Medicaid ○ Lecture ○ Quiz ● Group Project Assignment What is Medicare ● Largest US Coverage Program ● Covers seniors over age 65, people with disabilities ● All income levels are covered ● Single payer system ● Very popular Questions 1. How is it paid for?

a. By consumers or the government? b. If it is paid for by consumers, what types of payments? 2. What does it cover?

a. Are there limits to that coverage? 3. Is enrollment automatic or voluntary?

a. How do people get on this type of coverage? Blue = Part A Red = Part B Yellow = Part C Green = Part D Wild = Medigap Part A ● No premiums ● $1,100 deductible ● Hospital coverage limited to 150 days, daily costs after 60 days ● Skilled nursing facility (SNF) covered up to 100 days, daily costs after 20 days Part B ● Voluntary, automatic enrollment ● Premiums ● Deductible ● Coinsurance ● Covers most outpatient care ● Most beneficiaries have supplemental insurance (Medigap) Part C ● Medicare Advantage ● Voluntary ● 25% of beneficiaries in US ● Eligibility ● Controversial ● Part D ● Prescription Coverage ● Eligibility ● Voluntary ● Private Plans ● Donut Hole Questions? Quiz Time! Questions on Group Project ● Briefing Document ● Quiz Questions ● Presentation