Effects of Special Interest Groups in Mediicare

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Effects of Special Interest Groups in Mediicare

By | September 2012
Page 1 of 4
Medicare
Tynesha Calimquim, Anita Tanksley, Matthew Hosang, Diana Baker HCS/455
September 10, 2012
Vivian Perez, MPA

Medicare Outline
Introduction
Medicare is a national social insurance program, administered by the U.S. federal government since 1965 that guarantees access to health insurance for Americans ages 65 and older and younger people with disabilities as well as people with end stage renal disease. The program helps with the cost of health care, but it does not cover all medical expenses or the cost of most long-term care. Medicare is financed by a portion of the payroll taxes paid by workers and their employers. It also is financed in part by monthly premiums deducted from Social Security checks. The Centers for Medicare & Medicaid Services is the agency in charge of the Medicare program. When first implemented in 1966, Medicare covered only most persons age 65 and over (Social Security Administration, 2012).

I. Eligibility
A. 65 years or older
1. Collect or qualify to collect Social Security or
Railroad Retirement benefits  
2. Current US resident
3. US citizen
4. Permanent US resident having lived in the US for 5
continuous years before you apply for Medicare
B. Under 65 years old
1. US citizen
2. Resident visa
3. Lived in the U.S. for five years in a row
4. Have a disability and have been receiving Social Security Disability Insurance (SSDI) for more than 24 months C. Any age with kidney failure, Lou Gehrig's disease, other disabilities 1. Kidney failure

a. End stage renal disease
b. Dialysis
c. Kidney transplant
2. Lou Gehrig's disease
3. Other disabilities

II. Services
1. Dental
2. Diabetes
3. End Stage Renal Disease
4. Hearing Services
5. Office Visits
6. Preventive Screening
7. Surgery and Rehabilitation
8. Therapies
9. Travel Coverage
10. Vision Services
11....