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Medicare Coverage Law - Term Paper Example

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Summary
The paper "Medicare Coverage Law" states that the controversy about the law was that despite individuals being covered by Medicare, people would still not benefit from it as there were no laws that governed the operation of this insurance cover as proposed by Jansen…
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Medicare Coverage Law
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Extract of sample "Medicare Coverage Law"

  • Ethics and laws imply that physicians inform patients of the limit to which confidentiality protection of disclosure of personal information is allowed. This is because a patient requires privacy which should be respected by the physician.
  • Federal statutes allow physicians to diagnose death which should be made in line with industry standards
  • Statutes or federal laws may also require that a medical case be disclosed in fear of further spread.

Applicable Industry Standards, Statutes, Federal Laws, Ethical Guidelines

There are many ways of acquiring medical insurance benefits under the Medicare coverage program. The largest number of people are automatically eligible for this coverage at the age of 65 if they are entitled to monthly social security retirement benefits, survivor or transport retirement benefits. These individuals are entitled to Medicare coverage irrespective of whether they are eligible for other retirement benefits. Those persons not entitled to these kinds of benefits will need to file an application for Medicare coverage. Since the Medicare coverage begins when the individual turns 65, the benefits usually begin on the first day of the month the individual celebrates his or her 65th birthday.

According to Aronovitz (2005), the application is only required for that individuals who are not entitled to social security benefits. It can also be required for those who seek entitlement in terms of end-stage renal disease, Medicare qualified government employment, and entitlement to disabled widow’s or widower’s benefits in particular situations. A health care insurance card is issued to each beneficiary as evidence for Medicare benefits. Entitlement ends on the last day of the month of death or before the month which the beneficiary stops to meet the needs for entitlement to social security monthly retirement or life benefits.

Any public or private organization can pay monthly premiums for the retired and active employees who are 65 and above in sets. After the group coverage is acquired, the group premiums are paid under a contract or any other form of agreement between the organization and the secretary. In case the payments under the contract are not administratively visible the secretary may refuse to enter the contract as suggested by Partel and Rushefsky (2006)

The number of care days a beneficiary is charged for inpatient hospital services is usually in units of full days whereby a day begins midnight and ends twenty for hours later. A portion of a day is counted as a full day but the day of discharge is not counted. In case a patient decides to continue occupying accommodation in the hospital after the check-out day the beneficiary can be charged for the continuous stay.

 

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