PUP 4931r Lecture Notes - Lecture 64: Medicare Advantage, Managed Care, Ambulatory Care
16 May 2018
School
Department
Course
Professor
MEDICARE
Medicare: Health Care for People Who are Elderly or Disabled
The Medicare Law
Title XVIII of the Social Security Act, entitled "Health Insurance for the Aged and
Disabled”
2015 Enrollment
55.5 million total US
About 19.8% are the under 65 permanently disabled population
4 million total enrollees in Florida
Medicare: 15% fed budget in 2016
Eligibility
Individuals are entitled to Medicare Part A without regard to medical history or
income if they are eligible for Social Security
40 quarters of Social Security enrolled employment
Qualify at age 65 if they qualify for Social Security or Railroad Retirement
Coverage starts month before 65.
Services Covered
Most major health care services are covered
Hospital stays
Physician visits
Preventive care, including annual screenings
Medical supplies, and other ancillary services
Prescription drugs (through private plans)
Skilled nursing home and skilled nursing visits at home – both limited in
duration
Hospice
Major Parts:
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