2. HISTORY
1965-1970
•Created in 1965
• Impossible for people over 65 to
obtain private health coverage
•Cover expanded to include those
under 65
•Long-term disabilities
•End-stage renal disease
3. 1980-1990
• Omnibus Reconcilliation Act passed
• Expanded home health service
• Brought Medigap under federal
oversight
• Hospice, 1982 added to Mediare
Benefits-
• People were eligible for Medicare
coverage
• Add-on benefits:
• Prescriptions
• Drug coverage for new enrollers
4. 2000-2010
• 65 and under with ALS allowed to enroll
in Medicare upon diagnosis
• Patient Protection & Affordable Core
Act of 2010
• Reform Provision intended to contain
• Medicare cost
• Increase revenue
• Increase services in programs
5. WHO IS ELIGIBLE?
• 64 years and older
• Under 65 with disability or other
condition
• End-stage renal disease (ESRD)
• Blind, widowed, serious long term
disabilities
6. MEDICARE PART A
• Hospital Benefits and who is covered:
• 90-day Benefit period
• First 60 days, covered by Medicare when
deductible is met and coverage is at
%100
• 30 days after, patient pays co-insurance
• Patients with medical care at home
• Psychiatric treatment
• Respite care
• Any one who receives Social Security
7. PART B
• Voluntary program
• Covers wide range of out patient services:
• Physician services
• Outpatient hospital
• Diagnostic
• Anything medically necessary
• Coverage not automatic
8. PART D
• Passed in 2003
• Coverage began in January 1, 2006
• Prescription Drug plan
• All persons with Medicare can join
plan that’s provided
9. CURRENT EVENTS
• Baby boomers, seniors and disabled-
getting bigger and more expensive
• Medicare covers 51 million people at a
cost of $574 billion
• Mismanagement and Fraud
• Misinterpreting for Social Security, drain
on federal budget
