Health Law and Regulation

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Health Law and Regulation-Medicaid and Medicare
Mathew V Kurian
HCS/545
November 5 2012

Health Law and Regulation-Medicare and Medicaid
Medicare and Medicaid, created by the Social Security Amendment Act 1965, added Title XVIII and XIX to the Social Security Act. President Lyndon B Johnson was responsible for bringing about this change. Social Security Program started during the Great Depression of 1930s because of the stock market crash and bank failure, which wiped away the retirement savings of the Americans. Poverty rate among senior citizen exceeded 50% during this time. Social Security Act was created in an attempt to limit the five dangers of modern American Society. The Social Security Act was signed by President Franklin D Roosevelt on August 14, 1935, thus becoming the first president to advocate federal assistance to the elderly. Edwin Witt, the executive director of the president committee on economic security is the father of Social Security. If the total benefit paid by social security in 1940 was $35 million, it was $247.8 billion in 1990, after 50 years. In 2009, about 51 million Americans received $650 billion benefits, under different social security programs like social security disability insurance (SSDI), supplemental security income (SSI), retirement insurance benefits (RIB), temporary assistance for the needy families, ticket to work and self-sufficiency program, unemployment benefit, State children’s health insurance program, and Medicare and Medicaid. Medicare

Title XVIII of the Social Security Act deals with Medicare. It is the country’s health insurance program for the people aged 65 or above. Certain younger people also will qualify for this program, including those who have certain disabilities, kidney failure, and amyotrophic lateral sclerosis (Lou Gehrig’s disease). Medicare does not cover all the medical expenses or the cost of most of long term-care. Medicare is financed by the payroll tax deduction from the employees, and the proportionate payment of the employer, and the deduction made of the social security checks. Center for Medicare and Medicaid Services manages the fund for the Social Security Administration. Medicare operates thorough four plans.

Plan A deals with Hospital insurance and pays for inpatient care in a hospital or skilled nursing-facility, following a hospital stay and some home health care and hospice care. Plan B deals with Medical insurance. It pays for doctor’s services and many other medical services and supplies that do not come under plan A. Plan C deals with Medical advantage. Persons with plan A and Plan B can choose to receive all their health care services through the provider organizers under plan C. Plan D is the Prescription drug coverage which helps pay for medications doctors prescribe for treatment (Social Security Administration, U. S., July 2012). Eligibility and Benefits Most people aged 65 or older who qualify the conditions stated before and those who receive or are eligible to receive social security, railroad retirement benefit or their spouse is eligible or either of them have worked long enough in a government job where Medicare tax were paid, and those dependent parent of a fully insured child, are also eligible to receive Medicare. If the person does not qualify for Medicare, that person can purchase it during the designated period, provided that person completes 65 years old. If the full retirement age is no longer 65, the person who needs Medicare can get it by signing up three months prior to that person’s 65th birthday. Before the age of 65, a person is eligible for free Medicare hospital insurance if the person has been entitled to social security disability benefit for 24 months; The person receives a disability pension from the railroad retirement board; If the person is receiving social security disability benefit because of Lou Gehrig’s disease or has permanent kidney failure, and the person is...
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