HSS 326 Lecture Notes - Lecture 8: Medigap
20 Jun 2018
School
Department
Course
Professor
Hannah Cheyney
Human Service Studies
In Class Notes
May 2nd, 2018
Medicare
Medicare:
oFederally funded insurance for older adults
oQualifications:
65+ (generally speaking)
Exception: chronic conditions (exp. End stage kidney failure,
diabetes)
oPay into it every time you earn a check (contribution to Medicare trust fund)
Many dialysis centers here due to diabetes
Original medicare vs medicare advantage plan
oCover part A & B
Original:
oProvided directly through medicare
oChoice of doctors, hospitals, etc.
oCovers about 80% health care costs – NOT FREE
oPay monthly Part b premium
Part A coverage vs Part B
oPart A: hospital & physician services
oPart B: doctor’s services, outpatient care, medical supplies
Medicare Advantage Plans (part C)
oProvide coverage through private insurance companies
oSeparate from government
oPurchase monthly premium
oMight cover earlier 20%
Medicare Prescription Drug Plans (part D)
oAdd drug coverage
oRun by private insurance companies
oMonthly premium (usually)
Medigap
oOffered by private companies
oFills gaps in original medicare
oMonthly premium (usually)
Medicaid
Means tested – income & assets are tested, must fall at or below income & asset level
(not universal like medicare)
Programs vary by state
find more resources at oneclass.com
find more resources at oneclass.com
Document Summary
Medicare: federally funded insurance for older adults, qualifications: End stage kidney failure, diabetes: pay into it every time you earn a check (contribution to medicare trust fund) Many dialysis centers here due to diabetes. Original medicare vs medicare advantage plan: cover part a & b. Original: provided directly through medicare, choice of doctors, hospitals, etc, covers about 80% health care costs not free, pay monthly part b premium. Part a coverage vs part b: part a: hospital & physician services, part b: doctor"s services, outpatient care, medical supplies. Medicare advantage plans (part c: provide coverage through private insurance companies, separate from government, purchase monthly premium, might cover earlier 20% Medicare prescription drug plans (part d: add drug coverage, run by private insurance companies, monthly premium (usually) Medigap: offered by private companies, fills gaps in original medicare, monthly premium (usually) Means tested income & assets are tested, must fall at or below income & asset level (not universal like medicare)
