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Medicare History

Monday, May 16th, 2011

Medicare, to put it simply, is a social insurance program in the United States that is financed by the United States government. It provides health insurance coverage to people who are aged 65 and over, and meet other criteria.

Do you know who signed the amendment for medicare? That would be President Harry S. Truman. Truman also possessed the first medicare card. President Lyndon B. Johnson enrolled former President Truman as the first Medicare beneficiary.
Harry S. Truman was born on May 8, 1884, and died December 26, 1972. He was 88. He was the 33rd President of the United States . Harry S. Truman was born in Lamar, Missouri. President Truman was the oldest child of John Anderson Truman and Martha Ellen Young Truman.

President Truman was named after Harrison Young, who was his uncle. President Truman was in office from April 12, 1945 to January 20, 1953. President Truman was famous for numerous quotes.

One such quote was “the buck stops here.” He also started the quote, “if you can’t stand the heat, get out of the kitchen.” President Truman took office after the death of President Roosevelt.

Truman had only been in vice presidency for 2.5 months before taking office. President Truman said to reporters “Boys, if you ever pray, pray for me now. I don’t know if you fellas ever had a load of hay fall on you, but when they told me what happened yesterday, I felt like the moon, the stars, and all the planets had fallen on me.”

Imagine the stress and sudden responsibility of becoming President overnight! Truman was only in his vice presidency less than 90 days before being thrown into becoming the President of the United States!

Truman made his identity as a Democrat in the New Deal tradition, advocating national health insurance. President Truman has numerous things named in his honor. My personal favorite is the mascot for the Missouri Tigers. Their mascot is Truman the Tiger.

Medicare Senior Insurance Plans

Monday, May 16th, 2011

With people losing their jobs and being out of work, many have also lost the health insurance coverage that had went along with their employment. Often times this health insurance (not Medicare) not only covered the employee but his/her family as well. The ability to pay for hospital and doctor visits is really difficult these days. So many people do not have any kind of health insurance to pay or even help pay medical expenses.

Thankfully for many of the elderly and disabled they have Medicare. People you have paid into Social Security can get Medicare when they turn 65 years old. People who are disabled and receiving a Social Security disability benefit get Medicare when they have been receiving a check for twenty four consecutive months. With some disabling conditions you don’t have to wait twenty four months to get Medicare. One of those is chronic renal failure.

Medicare is a lot like other insurances. You do have copays and deductables. Then Medicare only pays 80% of what is considered the customary charge in your part of the country for a particular medical procedure. You can go to the doctor after paying the copay, meeting your annual deductable, and then paying what Medicare doesn’t consider reasonable charge, your out of pocket expenses can be pretty big. Because of this many people get insurance to supplement their Medicare coverage. The supplement helps with what Medicare doesn’t pay.

Medicare has two parts, A and B. Part A is what helps pays for hospital charges. Medicare Part A is free to people who have paid into Social Security. Medicare Part B is what helps pay doctor’s charges. Part B has a premium, and it is about $110 a month and is automatically taken out of people’s monthly Social Security check.

Lower income people may not have to pay the Medicare Part B premium. People who receive Supplemental Security Income (SSI) and who also have Medicare do not have to pay the monthly premium, the state will pay it for them. Some people who may not quality for SSI but are still considered having lower income may be able to get their Medicare premium paid for them by the state under a program call Qualified Medicare Beneficiary (QMB).

There is also a newer third part of Medicare that has been around for a while called Medicare Part D. The D stands for drugs..as in prescription drugs. When in the hospital the Part A covers medications given but Medicare has never paid for or help pay for prescription medication until the implementation of Part D. Part D is administered by private insurance companies.

One needs to shop around for the best Medicare D coverage for them and the particular medications they take. One company may cover a particular medicine that another does not. It’s recommended that when looking for Medicare D coverage that you consult your pharmacist.

Social Security has one involvement in the Medicare D program. That is screening people to see if they qualify for a subsidy to help pay all or part of the premium. Each insurance company has their own monthly premium.

The Way Senior Policies Work

Monday, May 16th, 2011

There is a government health plan called Medicare that provides hospital, medical and surgical benefits to patients age 65 and older with certain illnesses. This coverage may not be able to cover all of your health care costs, so you have the option to purchase additional coverage through a private health provider called Medigap Insurance.

Many health insurance companies sell Medigap plans to help fill the “gaps” in the original Medicare coverage. This will help you by paying health care costs that aren’t fully covered by the basic Senior Plan.

Original Medicare and Medigap coverage share the costs of health care. If you are interested in obtaining a Senior plan, you must contact an insurance agent or company directly for rates. There are many plans you can choose from when seeking Supplemental coverage. Some pay 100% of the difference where some have deductible and co pays.

There are currently 12 different plans available, Plans A through L. Each plan has a different set of benefits. The premium varies based on plan design and company selected. All contributions and other costs for the coverage you select are your responsibility.

Once your basic plan pays for your benefits, the eighty percent that is left over can be paid by a Senior plan. Supplement plans are not meant to cover the out of pocket expenses like Medicare Advantage and HMOs and PFF plans do . Each company offers plans A through L. With these plans, you also have the option in choosing a SELECT plan. SELECT plans are a combined standard Senior Coverage plan along with a PPO plan which means you are restricted to a network of hospitals if you choose this route.

Some SELECT plans require that you pay a copay when you visit your regular Dr. SELECT plans do cover benefits provided in Medigap policies A through J, however you must select an in network provider to have benefits covered.

Medicare offer many plans through multiple companies. SELECT plans cover benefits provided in Supplemental policies A through J, only if you see and in-network provider. Many SELECT plans do require that you pay a co pay when you visit your physician.

Federal law does not require the sale of Senior plans to those under 65; however, some states have laws requiring Medicare insurance companies to offer Supplement policies to those who qualify for this because they have a disability.

Medicare Supplement at 65

Monday, May 16th, 2011

Medigap insurance is available to help you pay expenses that are not covered by Medicare Part A and B. Once you turn 65, you become eligible for this type of coverage.

The open enrollment period for a Medigap Policy lasts up to six months. If you forget to enroll during this period, the insurance company may be able to charge you more for the coverage, or even refuse you coverage if you happen to have any pre-existing health conditions.
This is important information for those who are newly eligible for Medicare benefits. If you are filing for Medicare, you automatically receive Medicare hospital insurance.

Medicare hospital insurance is in short known as Part A. At this time you need to make the decision if you want other parts of Medicare, such as Part B, medical insurance.

Also, if you are receiving benefits already and just becoming eligible for Medicare, you will receive Part B automatically.

If you choose to not have Part B, then you must elect to not receive it. Before rejecting Part B, make sure you are aware of what it offers.

Part B helps pay for doctors’ services and also outpatient care. Part B can cover other medical services, like physical and occupational therapy and home health care.

The government will pay a large portion of Part B premiums, where as you will pay the rest. The government will pay 75% of the premium.

If you are in a larger income bracket, you may be responsible for paying more than 25% of the premiums. Percentages can range from 35 to 80%.

Medicare is a very beneficial program to those who are eligible for it. Be sure to see what will work best for you, and what parts of Medicare, A, B, C, or D will suit you’re needs.