Medicare Advantage Plans – The Third Part of the Program

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In 1965, the United States government has created a social insurance program called Medicare. This program targets the healthcare benefits of their citizens and taxpayers on their retirement. To be able to qualify, one must be over 65 years of age, be US citizens or have at least held permanent and legal residency in the country for 5 years and either they or their spouses has been able to pay their medicare taxes or contributions for at least the past ten years. The Medicare program is divided into different plans to be able to help determine the program specific to the beneficiary.

There are four parts to the Medicare program: Part A, the first part of the program is the hospital insurance plan which covers hospital and in-patient care requirements including the room, food, necessary tests and the doctor’s fee. There is also the coverage for convalescent homes or skilled nursing homes pending qualification. Part B on the other hand deals with medical insurance. This is the factor wherein the out patient procedures are covered; this includes consultations, and procedures which is done inside the clinic.

Medicare History

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Medicare history dates back to 1945 when President Harry Truman first asked Congress to establish a national health insurance scheme. His plan was for all people to receive comprehensive and prepaid medical insurance through the Social Security System. As the years passed, the field of recipients was narrowed until it was only social security recipients who stood to benefit. When it was discovered that only 56% of people aged 65 or older had health insurance, President John F. Kennedy lobbied for health insurance for the aged.

However, the Medicare program provision of social health care for the poor and aged did not become law until 1965. On July 30 President Lyndon Johnson signed Medicare and Medicaid into law as part of his “Great Society” and ex President Truman was the first person to receive a Medicare card in recognition of his role in establishing the program. Approximately 19 Million people enrolled in the system during the first year.