We use cookies to create the best experience for you. Keep on browsing if you are OK with that, or find out how to manage cookies.
Nobody downloaded yet

Medicare and Insurance Coverage - Essay Example

Comments (0) Cite this document
Medicare and insurance coverage Name: Instructor: Task: Date: Medicare and Medicaid have been in use, in the United States, and their main concern is the provision of healthcare, as well as medical services to a certain category of individuals. Sources have distinguished the two programs by revealing the Medicare as a federal health insurance program mandated to cater for the elderly, as well as the disabled…
Download full paperFile format: .doc, available for editing
Polish This Essay97.5% of users find it useful
Medicare and Insurance Coverage
Read TextPreview

Extract of sample
"Medicare and Insurance Coverage"

Download file to see previous pages The Medicaid, on the contrary, is a program designed to assist people with a few resources to access health care services. For a State to access the Medicaid services from the Federal State, it has to meet some set standards. Thus, by studying a case, it becomes necessary to answer some questions that aid in understanding the functionality of these programs. The case study provided presents Mrs. Zwick, a 77-aged woman, a permanent resident of the United States, hospitalized due to a mild stroke. The study has indicated that, she underwent an admission for five days and later transferred to a different facility for rehabilitation services. After a considerable time, the doctor diagnoses her with a hospital obtained “Urinary Tract Infection” (UTI) (Kaplan, 2004). As a result, the doctor prescribes some medications for her. The case has further highlighted the fact that Mrs. Zwick has the Medicare part A, B and D coverage. Mrs. Zwick’s daughter lacks sufficient knowledge concerning how the coverage indicated above can assist her mother in settling the hospital bills (Kaplan, 2004). Therefore, the administration has demanded that I discuss with the daughter on costs covered fully or partially by the three parts of the Medicare program entitled to h er. The part A of the Medicare also identified by the name Hospice Insurance (HI) will cater for the following bills (Kaplan, 2004). For instance, it will settle all costs incurred due to her stay in the facility. These entails the meals, tests performed on her for diagnosing reasons, as well as for her stay in the skilled nursing home, where she underwent the rehabilitation. In addition to the above, the Medicare part A will settle bills needed for the walker. Moreover, the Medicare part B will also play a monumental part in helping cover the different costs entitled to her. This part, for instance, will cover all-home care services entitled to Mrs. Zwick after her discharge. Finally, the Medicare part D will also be necessary, as it will cater for costs incurred in accessing her medication. In addition, the later part will partially repay the bills arising from the medication of the hospital acquired UTI. The current medical policies enacted discourage the reimbursement for hospital-acquired infections. In 2006, George Bush who was the United States president enacted an act aimed at plummeting the amount of finances dedicated to treating disorders resulting from medical errors. This was due to a rise in the occurrence of such errors thus costing the federal government enormous funds. As a result, payers of such services decided to monitor the expenditure of such finances. According to the board in charge of budget in the US, the decision would help the local government save $29 billion (Kaplan, 2004). The current policy formulated would adversely affect Mrs. Zwick. Therefore, she will have to spend her own finances for the treatment of her UTI. The infection she has acquired is amongst the ten conditions that Medicare does not compensate. Therefore, catering for the treatment of such an infection might result to the risk of deprived health or death. Mrs. Zwick may not pay all finances needed for her treatment thus a decline in her health. The “Consolidated Omnibus Budget Reconciliation Act” ...Download file to see next pagesRead More
Cite this document
  • APA
  • MLA
(“Medicare and Insurance Coverage Essay Example | Topics and Well Written Essays - 1000 words”, n.d.)
Medicare and Insurance Coverage Essay Example | Topics and Well Written Essays - 1000 words. Retrieved from https://studentshare.org/nursing/1435007-medicare-and-insurance-coverage
(Medicare and Insurance Coverage Essay Example | Topics and Well Written Essays - 1000 Words)
Medicare and Insurance Coverage Essay Example | Topics and Well Written Essays - 1000 Words. https://studentshare.org/nursing/1435007-medicare-and-insurance-coverage.
“Medicare and Insurance Coverage Essay Example | Topics and Well Written Essays - 1000 Words”, n.d. https://studentshare.org/nursing/1435007-medicare-and-insurance-coverage.
  • Cited: 0 times
Comments (0)
Click to create a comment or rate a document
Health Insurance Coverage
The ‘Medicare Prescription Drug Improvement and Modernization Act of 2003’ was one positive step in this direction which was enacted as a Law under the stewardship of former US President, George Bush. The Act enabled senior citizens and invalids to gain access to healthcare services and prescription rights which until then were restricted due to lack of health insurance for such persons.
3 Pages(750 words)Term Paper
Medicare Funding/Reimbursement
The program works by providing reimbursement for the services and expenses occurred by inpatient care, doctors services, outpatient care and prescriptions . Individuals pay premiums to be part of the insurance system. This is often provided as part of employment , with spouses also being covered on many occasions .
3 Pages(750 words)Essay
Medicare Prescription Drug
Bush passed into law in the November of 2003. This law has made the most far reaching changes to Medicare since the creation of the program in 1965. This paper addresses the numerous questions with respect to MMA. Why Changes To Medicare Were Deemed Necessary?
3 Pages(750 words)Essay
Medicare Reimbursement
Zwick was hospitalized for mild stroke for 5 days she also qualifies for SNF (Skilled Nursing Facility). Part A is activated when the doctor has ordered the inpatient treatment of an illness and it can only be treated in hospital. Mrs. Zwick is eligible for the SNF since she needed daily skilled care and had developed a hospital related medical condition.
4 Pages(1000 words)Essay
Medicare Advantage Insurance plans can be confusing. How can families choose the proper plan
By 1999 however, 43 of the 347 plans decided not to renew their contracts with Medicare, and 54 health maintenance organizations announced plans to reduce the number of geographic areas in which they were prepared to enroll Medicare beneficiaries. Such decision affected the coverage of some 406,000 beneficiaries (Iglehart, p.
4 Pages(1000 words)Essay
Medicare and Medicaid Essay
The deductibles and co-payments must be fulfilled in this case just like any other insurance policies. Individuals who have reached the age of 65 which is the Social Security retirement age receive Social Security benefits and hey do not have to pay additional cost for Medicare as they have done so during their working years.
2 Pages(500 words)Essay
SLP 4 Medicare
There is much debate, however, about whether or not Medicare can or will go bankrupt, if an acceptable system of reform isn't soon adopted. While the financial health of the programs (parts A, B, and D) isn't as bleak as was projected a decade ago, there is still work to be done if Medicare is to remain stable for future generations.
3 Pages(750 words)Essay
Medicare part D coverage and how it makes the elderly a vulnerable population
s move was politically important as it had been noticed that a substantial number of elderly Americans and the disabled needed assistance, because they could not afford the rising cost of prescription drugs which had started to play an important role in modern therapy. However,
9 Pages(2250 words)Essay
U03d1 Medicare Level of Care
This is a social insurance program which is generally managed and administered by the United States government. This is funded completely by the federal level and it acts as a social insurance focused mainly on the older population. There are two main categories for the
2 Pages(500 words)Essay
Risk management and insurance
Medicare is a common Federal health insurance program in the United States that covers the aged population (65+ years) and people with certain disabilities (King,
1 Pages(250 words)Essay
Let us find you another Essay on topic Medicare and Insurance Coverage for FREE!
Contact us:
Contact Us Now
FREE Mobile Apps:
  • About StudentShare
  • Testimonials
  • FAQ
  • Blog
  • Free Essays
  • New Essays
  • Essays
  • The Newest Essay Topics
  • Index samples by all dates
Join us:
Contact Us