|
Medicare is a federal health insurance program for people aged 65 or older and certain disabled people. It has two parts:
- Hospital Insurance (Medicare Part A) helps to pay for inpatient hospital care, some inpatient care in a skilled nursing facility, home health care, and hospice care.
- Medical Insurance (Medicare Part B) helps to pay for medically necessary services by a physician, outpatient hospital services, home health care, and a number of other medical services and supplies that are not covered by Part A. This includes diabetic testing supplies.
The patient must meet an annual deductible each calendar year before payment can be made by Medicare Part B. Medicare will pay for 80 percent of Medicare-approved equipment and supplies once the yearly deductible is met. Patients with secondary insurance can often have the remaining 20 percent that is not covered by Medicare paid by their secondary insurance carrier, as applicable.
Medicare also offers the Private Health Plan Option through prepayment plans such as health maintenance organizations (HMOs) and competitive medical plans (CMPs).
(Source: Medicare Carriers Manual, Rev. 1/2001.)
|