Medicare And Medicaid Services Flashcards, test questions and answers
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What is Medicare And Medicaid Services?
Medicare and Medicaid are two important government-funded programs that provide healthcare coverage to millions of Americans. Medicare is a national health insurance program for people age 65 and older, as well as certain adults with disabilities. Medicaid is a joint federal and state program that helps pay medical costs for people with limited income and resources. Both programs are administered by the Centers for Medicare & Medicaid Services (CMS).Medicare covers a wide variety of services, including hospital care, doctor visits, lab tests, preventive care, home health care, and durable medical equipment. It also offers prescription drug coverage. There are four parts to Medicare: Part A (Hospital Insurance), Part B (Medical Insurance), Part C (Advantage Plans) and Part D (Prescription Drug Coverage). Medicaid provides comprehensive health coverage to low-income individuals who meet specific eligibility requirements. It covers hospital visits, doctor services, lab tests, preventive care, home health care services and long-term care services such as nursing home stays or community-based supportive services like personal attendants or adult day care centers. In some states it also help pay the cost of private insurance premiums if your income qualifies you for premium assistance. Both Medicare and Medicaid offer many benefits to those who need them most; however they also come with certain financial obligations on behalf of the recipient in order to ensure these benefits remain available year after year. For example: Beneficiaries must pay monthly premiums for Parts A & B; co-payments may be required when receiving certain covered services; outpatient prescription drugs may require coinsurance payments or copayments; there may be deductibles associated with some types of covered service; seniors enrolled in Advantage plans must choose a provider network which will limit their choice of doctors; long-term care policies may require payment prior to being eligible for benefits under Medicaid; lastly there can be eligibility tests known as means testing which requires applicants to prove their financial worthiness before being accepted into either program. In conclusion both Medicare And Medicaid Services provide much needed healthcare coverage for those who would otherwise not have access to it due to their economic situation or age bracket – making them both an invaluable resource in our society today.