tailieunhanh - Lecture Employee benefits and retirement planning - Chapter 4: Medicare

This chapter covers Medicare. After an initial identification of the four basic parts, eligibility and enrollment criteria are discussed. Following this are sections on benefits, taxation and financing. Each of the sections includes specific coverage on Parts A, B, C, and D, as well as Medicare supplement insurance. The final section gives information on learning more. | What is it? Federal health insurance program that covers - most people age 65 and older - those who have permanent kidney failure - those disabled under strict Social Security rules Copyright 2009, The National Underwriter Company What is it? 4 parts: (1) Hospital (Part A) (2) Medical Insurance (Part B) (3) Medicare Advantage (Part C) (4) Prescription Drug Insurance (Part D) Copyright 2009, The National Underwriter Company Hospital Insurance (Part A) provides institutional care inpatient hospital care skilled nursing care post-hospital home health care hospice care, under certain conditions Copyright 2009, The National Underwriter Company Medical Insurance (Part B) VOLUNTARY program of health insurance physician’s services outpatient hospital care physical therapy ambulance trips medical equipment prosthetics other services not covered under Part A Copyright 2009, The National Underwriter Company Medicare Advantage (Part C) contracts with private managed care and fee-for-service organizations choose benefits through Medicare fee-for-service OR through Medicare Advantage plans: coordinated care plans (HMO, PPO, PSO) religious fraternal benefit society private fee-for-service Copyright 2009, The National Underwriter Company Prescription Drug Insurance (Part D) Prescription drug insurance program added to Medicare by the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 voluntary program began in 2006 covers portion of prescription drug costs not generally covered by other Medicare programs offered through private health plans can stay with traditional Medicare and enroll in a drug-only plan or choose Medicare Advantage plan with comprehensive benefits Copyright 2009, The National Underwriter Company Medicare Supplement Insurance “Medigap” insurance helps pay deductibles and co-insurance incurred under Medicare Parts A and B may pay for items or services not covered by Medicare will NOT cover out-of-pocket expenses . | What is it? Federal health insurance program that covers - most people age 65 and older - those who have permanent kidney failure - those disabled under strict Social Security rules Copyright 2009, The National Underwriter Company What is it? 4 parts: (1) Hospital (Part A) (2) Medical Insurance (Part B) (3) Medicare Advantage (Part C) (4) Prescription Drug Insurance (Part D) Copyright 2009, The National Underwriter Company Hospital Insurance (Part A) provides institutional care inpatient hospital care skilled nursing care post-hospital home health care hospice care, under certain conditions Copyright 2009, The National Underwriter Company Medical Insurance (Part B) VOLUNTARY program of health insurance physician’s services outpatient hospital care physical therapy ambulance trips medical equipment prosthetics other services not covered under Part A Copyright 2009, The National Underwriter Company Medicare Advantage (Part C) contracts with private managed care and .