Medicare Part D Essay
Understanding Medicare Part D (Prescription Drug Coverage)
the benefits of Medicare, a significant healthcare program, that provides comprehensive benefits to retirees in order to fulfill their healthcare needs cannot be overemphasized enough.
There are several parts to the program based on specific healthcare needs including Part A, B, C, and D.
While every plan has specific advantages, it is important to understand the plan D in detail before deciding to opt for the Medicare prescription drug coverage. In this article, we are going to discuss the specifics and benefits of Medicare Part D in more detail.
Specifics and benefits of Medicare Part D
What is Medicare Plan D?
Also known as the Medicare prescription drug benefit, Medicare Part D is a specific plan of the United States federal healthcare program- Medicare. The main objective of Medicare Part D is to allow the Medicare beneficiaries benefit of subsidized rates of prescription drugs and prescription drug insurance premiums. However, it is important to note that the beneficiaries have an option of getting the
…show more content…
Who is eligible for Medicare D coverage?
Anyone who is enrolled in Medicare program (either Part A or Part B) is eligible to get the Plan D drug coverage.
Furthermore, to get Plan D coverage, the beneficiary need not go under any physical examination and coverage cannot be denied based on health reasons.
Although the Plan D is optional, any delay in signing up for the coverage will being late penalty charges for the beneficiary adding up to the premiums except in case of below conditions-
Beneficiary is enrolled with other prescription drug coverage
Beneficiary is eligible to get Extra Help which means that if in case of meeting a specific income and resource criteria, beneficiary might qualify to get Extra Help from Medicare to get the prescription drug
Silver Script Case Study
203 Words | 1 PagesIn reference to the new Silver Script prescription drug plan, retirees who are enroll in silver script, must dis-enroll from all supplemental medical insurance plans. This also applies to all drug prescription plans such as “AARP”. The enrollment into such medical and or prescription drug plans will cause their health insurance with Anthem Blue Cross and Medicare benefits to be canceled. To summarize all the new changes, read the following key point highlighted below: • Retirees, who opt out of Silver Script, will forfeit their coverage with Anthem Blue Cross ( EPO Plan) • Retirees, who losses their coverage from LAUSD or Medicare will have to re-enroll back into the plan. • Retirees, who have more than one supplemental plan, will
Essay On Unit 8 Understanding Medicare Part D
1825 Words | 8 PagesLastly, I will discuss if Medicare Part D being passed corresponds with my understanding of the policy and politics. Medicare Part D is a prescription drug benefit program that was designed to subsidize the cots of prescription drugs and prescription drug insurance premiums for Medicare beneficiaries. Medicare Part D offers prescription drug coverage to everyone with Medicare coverage. Medicare Part D was passed in 2003 in a political climate that used it as a tool to ensure the re-election of a President facing huge deficit (Medicare Part D Policy: The Cost to the Republican Party. (2015).
Enteral Feeding Tube Research Paper
594 Words | 3 PagesEnteral Tube Feeding and Severe Dementia Medicare covers many healthcare related services such as inpatient hospital stays, certain skilled nursing services in the long term care facilities, and hospice care for terminally ill beneficiaries or post-acute cares in home settings. Medicare coverage helps many beneficiaries to receive healthcare services that they require to live healthier lives through preventive wellness services as well as medical treatments that save lives. For example, a gastrostomy tube insertion benefits a patient with dysphagia related to an acute medical condition to rehab and regain independence to live a quality life. The gastrostomy tube enables the beneficiary to receive necessary nutrition and rehab to regain swallowing ability. Otherwise the beneficiary is at risk for many life threatening medical conditions such as aspiration pneumonia, or malnutrition.
Prospective Payment System In Health Care
814 Words | 4 PagesUnder the Balanced Budget Act (BBA), the Health Care Financing Administration (HCFA) put into effect a nationwide Prospective Payment System (PPS) within Skilled Nursing Facilities to reimburse inpatient service costs for beneficiaries covered under Medicare Part A as of July 1,1998 (Skilled Nursing facility PPS, 2013). Generally, Medicare Part A covers beneficiaries within the following inpatient settings: SNFs, hospitals, nursing homes, hospice, and home health services (What Part A Covers, n.d.). Medicare Part A uses a Prospective Payment System at a per diem rate. In other words, Medicare Part A pays SNFs pre-determined daily rates for patient care, meaning they are dictating the daily allowance of expenses used for services (Skilled Nursing
Pros And Cons Of Medicaid In America
862 Words | 4 PagesIn the United States, Medicare is the program supports people over age 65 with medical care. It also provides support for persons with certain disabilities and people of all ages who have kidney failure. Medicaid is a state administered program that provides medical support for a broad range of people. However, each state administers Medicaid individually and this creates inconsistencies in the program across the country. There are specific rules for judging just how much money someone receiving Medicaid can make and be eligible.
Medicare Changes The Part Of Interest Groups Before 1965
197 Words | 1 PagesThe part of interest groups in dealing with Medicare in any aspect is primarily negative. It all goes back to the initial implementation of Medicare. This changed over time as the interest for the necessities of the elderly changed. Medicare Part D fundamentally altered the interest groups that sustained and struggled with it. The most insightful result was the political depiction of the older generation.
Affordable Care Benefits
633 Words | 3 PagesSeniors can also get an annual wellness visit so they can talk to their doctor about any health concerns. Because of the ACA, over 39 million seniors have received at least one of these preventive services with no out-of-pocket costs. (NCPSSM, 2015) Although the Affordable Care Act is set in place to help provide Americans with coverage and to help reduce the cost of prescription drugs for seniors, there is still a concern that there will not be coverage for people. There are still many improvements that need to be made and different ways to help improve things but the ACA is heading in the right
Affordable Care Act Essay
525 Words | 3 PagesBackground The Affordable Care Act (ACA) is officially referred to as the Patient Protection and Affordable Care Act was enacted into law on March 23, 2010. It is estimated that prior to the enactment of the ACA, 44% or 81 million people between the ages 19-64 were either uninsured or underinsured in the United States (Schoen, Doty, Robertson, & Collins, 2011). The populations most likely to be uninsured or underinsured are individuals with earning between 133-200 % below the established federal poverty guidelines (Schoen et al., 2011). Consequently, 80% of individuals with earning under $20,000-$39,999 were uninsured or underinsured (Schoen et al., 2011).
Compare And Contrast Ms-Drg Vs Drg System
677 Words | 3 PagesThe MS-DRG System Verses the DRG System. Each year more and more people enroll and remain on Medicare. Since technology as well as cures and therapies for diseases have advanced in the last decade the number of people on Medicare increases each year as people are living longer today than a few years ago. That being said today I would like to talk about DRGs and MS-DRGs then compare the two.
Persuasive Essay On Health Care
955 Words | 4 PagesThis is causing Americans to not be as healthy as they could be. Bernie Sanders came up with a plan that is very different than what is currently in place. Chris Jacobs who writes for the Wall Street Journal said, “While Mr. Sanders claims that his bill would extend Medicare for all, it would instead create and entirely new program while borrowing the Medicare name” (Jacobs). This is the right thing to do because right now the system needs help, and a big change is the best way to improve it. His plan includes many benefits that would solve the problems of the current plan.
What Role Should Government Play In Aiding The Uninsured Essay
451 Words | 2 PagesThe United States government is already very involved with insurance with Medicare and Medicaid. Medicare is already the second largest provider for insurance, covering 43.5 million in 2013. If Medicare and Medicaid was not available it would leave millions insured. If these millions had no insurance it would likely lead countless health problems in United States. These programs are specifically targeted to individuals who have no access to insurance or can not afford insurances.
Argumentative Essay On Health Insurance
928 Words | 4 PagesIt be treated in the public hospitals and clinics that is supplied by public insurance since it lacks the least facilities that can treat any patient, consequently low, middle, and high income families shift to private insurance since it can provide the least facilities. Adding to that, private insurance can provide a plan of payment according to the patient’s salary, but each plan has its benefits and coverage. Some other private insurance have special enrollment periods. For instance, according to HealthCare.gov (2015)“ special enrollment period such as having a baby, getting married or moving to a new
Health Care System
431 Words | 2 PagesUnited States health care system, is one of America’s important political issue. Health care should available for both poor and middle class people. It’s difficult for people who are unemployed to afford insurance, since most people obtain insurance through their jobs. Their employer set up a system, where employees would pay half of the health insurance by paying monthly. But for the people who is unemployed they would have to pay the whole amount out of their pockets.
Why Is Canada The Best Place To Live In Essay
701 Words | 3 PagesHealth Care is a huge and important part of Canada and what it is. Canadian citizens all have access to Canada 's healthcare system known as `Medicare`. Medicare is managed by the federal government delivered through a publicly funded health care system, in cooperation with the 10 provinces and 3 territories. Under the health care system, individual citizens are provided preventative care and medical treatments from primary care physicians as well as access to hospitals, dental surgery, and additional medical services. With a few exceptions, all citizens qualify for health coverage regardless of medical history, personal income, or standard of living.
More about Medicare Part D Essay
Silver Script Case Study
203 Words | 1 PagesEssay On Unit 8 Understanding Medicare Part D
1825 Words | 8 PagesEnteral Feeding Tube Research Paper
594 Words | 3 PagesEst1 Task 1
624 Words | 3 PagesProspective Payment System In Health Care
814 Words | 4 PagesPros And Cons Of Medicaid In America
862 Words | 4 PagesMedicare Changes The Part Of Interest Groups Before 1965
197 Words | 1 PagesAffordable Care Benefits
633 Words | 3 PagesAffordable Care Act Essay
525 Words | 3 PagesCompare And Contrast Ms-Drg Vs Drg System
677 Words | 3 PagesPersuasive Essay On Health Care
955 Words | 4 PagesWhat Role Should Government Play In Aiding The Uninsured Essay
451 Words | 2 PagesArgumentative Essay On Health Insurance
928 Words | 4 PagesHealth Care System
431 Words | 2 PagesWhy Is Canada The Best Place To Live In Essay
701 Words | 3 Pages