PUBH 3135W Lecture Notes - Lecture 6: Durable Medical Equipment, Medigap, Co-Insurance
Document Summary
Over 65 years of age and qualify for social security benefits for 10 years. Disability: qualify for ssd and collect benefits for at least 24 months. Diagnosis of esrd or lou gehrig"s" and receiving ssi. Inpatient hospital care, skilled nursing facility, post acute care. Mandatory 2. 9% payroll tax-employers and employees pay 1. 45% each. Penalty if you don"t sign up when you"re eligibility. Coers: phyiscian services, outpatient services, specified preventive services, durable medical equipment. Half of all medicare beneficiaries had income below ,150 per person in 2014. Supplemental coverage for out of pocket costs not covered by a and b. Insurance to guard against high out of pocket costs. C and f: most comprehensive; complete coverage. Macra prohibits medigap from covering part b deductible after jan 2020. Medigap clients: particualrly risk avers,e chronic health issue. Mediaid pays medicare for things that are not covered. Patiets enroll n private managed care plan. Must be actuarially equivalent to tradiitonal medicare ffs.
