PUP 4931r Lecture Notes - Lecture 66: Co-Insurance, Copayment, Pap Test
16 May 2018
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Medicare costs and gaps
Benefit gaps
No hearing aids, eyeglasses, or dental care
Limited long-term care
Significant cost-sharing requirements
Part A deductible
Part B monthly premium
Part A & B co-insurance charges
Part D - Medicare drug plans charge various premiums, deductibles, co-
payments
No cap on out-of-pocket spending
Medicare paid for 48% of total covered health and long-term care costs in 2005;
beneficiaries paid 18% out-of-pocket
Pptx: Despite it’s ritial role, the progra has soe ery notable
costs and gaps in coverage.
First of all, it does’t oer hearig aids, eyeglasses or detal are, which are
essential services for seniors. Another major gap is its very limited coverage for
long-term care services, such as nursing home stays, only covering 100 days after
a hospitalization..
It also requires some heavy out-of-pocket expenses from beneficiaries in the form
of premiums, deductibles, and cost sharing.
For example, the Part A deductible which must be paid with every hospitalization
is over $1000.
The part B monthly premium is now approaching $100 a month, and many part B
benefits, such as preventive services, have cost sharing. For women,
mammography, clinical breast exams, bone density tests, and visits for Pap test
and pelvic exams have a 20% coinsurance.
The newer Part D drug plans also have their own premiums which average around
$25 a month, but range between $10 and $130 a month depending on the plan.
These plans also have deductible and copayment requirements.
find more resources at oneclass.com
find more resources at oneclass.com
Document Summary
Part d - medicare drug plans charge various premiums, deductibles, co- payments. Pptx: despite it"s (cid:272)riti(cid:272)al role, the progra(cid:373) has so(cid:373)e (cid:448)ery notable. Medicare paid for 48% of total covered health and long-term care costs in 2005; beneficiaries paid 18% out-of-pocket costs and gaps in coverage. First of all, it does(cid:374)"t (cid:272)o(cid:448)er heari(cid:374)g aids, eyeglasses or de(cid:374)tal (cid:272)are, which are essential services for seniors. Another major gap is its very limited coverage for long-term care services, such as nursing home stays, only covering 100 days after a hospitalization It also requires some heavy out-of-pocket expenses from beneficiaries in the form of premiums, deductibles, and cost sharing. For example, the part a deductible which must be paid with every hospitalization is over . The part b monthly premium is now approaching a month, and many part b benefits, such as preventive services, have cost sharing.
