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Make Sure You Know About The Medicare Costs

Make Sure You Know About The Medicare Costs


Medicare costs will vary according to certain factors. For example, those that have not paid into Social Security through payroll taxes for at least ten years, are required to pay Medicare premiums to receive Medicare benefits.

The Medicare premium will depend upon how much the individual has paid into the program. There are other factors as well, such as the type of services provided, as well as deductibles and co-payments.

Neither part A nor part B pays for the full expense for services provided. The Medicare recipient is  generally responsible for some co-payments, payments until a deductible has been met and these are considered out of pocket expenses, as they are the sole responsibility of the Medicare beneficiary.

Medicare costs for Part A, include a premium of $254 to $491 if the individual has not made their required contributions to the program. Every medicare beneficiary that wants Part B coverage is required to pay a premium of around one hundred dollars a month. The premium required for part B coverage, even for those that pay substantially more than the average of ninety four dollars, is usually taken out of a social security check before it is sent on a monthly basis.

In general, Medicare costs are substantially lower than many other health insurance options. However, the beneficiary may be restricted on allowable services, as well as the health care providers that may use.






Where To Look To Get A Medicare Card Replacement

Where To Look To Get A Medicare Card Replacement

Medicare information is  available from a variety of resources. Questions of eligibility may be directed to the website, as the Social Security administration determines and grants eligibility. For Medicare Card replacement, the official website if the best way to get a new card.

Medicare information available on the official website includes a myriad of information, including frequently asked questions such as access to Medicare card replacement. In some cases the card becomes damaged, making it unreadable. In other cases, the card may simply be lost or stolen. In that case, the loss of the card should immediately be reported at the time that a new card is requested.

The Medicare card is proof that the individual is eligible for benefits and some health care providers and pharmacies may ask to see hat card at every visit, even if they have the card on record. It is important that those that lose their card or find that the card is damaged, quickly request a replacement card.

The process involved with requesting a Medicare card replacement is rather simple. The official Medicare website lists the instructions and the request can be processed online or on the phone.

Individuals should be certain that they have instant access to all of the personal details which may be required when a new card is requested, such as a social security number, in order to have the process run smoothly.



Know the Medicare Fee Schedule

Know the Medicare Fee Schedule

The Medicare fee schedule is  different, depending on several factors. First the type of coverage changes the fee schedule, as does the service provided. The Medicare fee schedule can include a premium if the beneficiary did not pay into Social Security for at least ten years prior to become eligible.
Part A and Part B of the Medicare program, includes the requirement for the beneficiary to pay for a portion of services provided. There are premiums and deductibles which apply to the Medicare physicians fee schedule and the Medicare program will pay the remaining balance.
The Medicare Physician fee schedule likely includes a lower cost for services than most insurance programs, as the government regulates what amount doctors may charge for services  provided, as well as the cost of medical equipment and other applicable fees.
Medicare billing can be rather confusing, especially for new beneficiaries that do not yet understand the required deductibles, premiums and other out of pocket expenses. Medicare billing does however contain detailed descriptions of payments required by the beneficiary, as well as what each service actually cost.
For example, there may be a description of services provided by a health care professional and that description will include the amount the health care professional is allowed to charge Medicare. That amount will then be broken down according to responsibility, between Medicare and the Medicare beneficiary.

The History of Medicare Explained

The History of Medicare Explained


Medicare history begins in 1965, with the Social Security Act which was signed by President Lyndon Johnson. The Act was implemented to amended the current Social Security legislation. President Johnson immediately enrolled former President Truman and his wife, as the first two beneficiaries if medicare.

History continues to show changes to medicare and medicare benefits, but the program continues to provide benefits to all Americans over 65 and to those that have special circumstances, such as being eligible for permanent disability.

The history of medicare has indicated that the cost of the program will continue to rise, as many Americans begun to reach the age of eligibility. In fact, in the past , there had been a cap on maximum contributions.

Contributions to medicare are taken as a portion of payroll taxes, with half of those taxes being paid by the employee and the other half being paid by the employer. Previously, payments were only made up to a certain point.

However, the rising cost of the program necessitated that the payments no longer be capped and working Americans and their employers are taxed as a flat percentage of their salary, no matter what the salary is.

Several Presidents have attempted to reform the medicare program, including President Clinton. However, it appears that further reform is necessary in order for the program to be continually funded, allowing Americans to have access to the program.

1960 – PL 86-778 Social Security Amendments of 1960 (Kerr-Mills aid)

1965 — PL 89-97 Social Security Act of 1965, Establishing Medicare Benefits [84]

1980 — Medicare Secondary Payer Act of 1980, prescription drugs coverage added

1988 — PL 100-360 Medicare Catastrophic Coverage Act of 1988

1989 — Medicare Catastrophic Coverage Repeal Act of 1989

1997 — PL 105-33 Balanced Budget Act of 1997

2003 — PL 108-173 Medicare Prescription Drug, Improvement, and Modernization Act

2010 – Patient Protection and Affordable Care Act and Health Care and Education Reconciliation Act

President Bill Clinton attempted an overhaul of Medicare through his health care reform plan in 1993-1994 but was unable to get the legislation passed by Congress.

In 2003 Congress passed the Medicare Prescription Drug, Improvement, and Modernization Act, which President George W. Bush signed into law on December 8, 2003. Part of this legislation included filling gaps in prescription-drug coverage left by the Medicare Secondary Payer Act that was enacted in 1980. The 2003 bill strengthened the Workers' Compensation Medicare Set-Aside Program (WCMSA) that is monitored and administered by CMS.

On August 1, 2007, the U.S. House United States Congress voted to reduce payments to Medicare Advantage providers in order to pay for expanded coverage of children's health under the SCHIP program. As of 2008, Medicare Advantage plans cost, on average, 13 percent more per person insured than direct payment plans

Many health economists have concluded that payments to Medicare Advantage providers have been excessive. The Senate, after heavy lobbying from the insurance industry, declined to agree to the cuts in Medicare

Quick Look Into Medicare Reform

Quick Look Into Medicare Reform

Since the programs inception in 1965, medicare reform has been attempted many times and achieved several times. For example, the amount of contributions made by employers and their employees was previously capped at a certain amount. However, the rising cost of the program required that those contributions be a flat percentage of salary, with no cap in place.

In addition, medicare reform included the addition of prescription drug coverage in 1980. In 1988,  catastrophic converge was added, but that act was repealed the following year. In 2003, the

Medicare Prescription Drug Improvement and Modernization Act made changes to the program, as did the Patient Protection and Affordable Care Act and Health Care and Education Reconciliation act of 2010.

Medicare reform has included  a variety of changes to coverage, including the addition of prescription drug coverage, which often has a patient deductible. In addition, medicare reform has included changes in which types of medical services are offered through the program, as well as the number of doctors that accept medicare coverage.

In order to fund these changes, the Social Security Administration has taken several actions, including the removal on the cap for tax and payroll contributions to the program. In addition, Americans over 65 that have not contributed a minimum amount to the program during their working life, also must pay a premium to utilize the program.



Understanding Medicare Cuts

Understanding Medicare Cuts

Medicare cuts have included lowered medicare reimbursement for certain services. In fact, some doctors have stopped accepting Medicare, as they make a significantly lower amount for services than they had in the past.

Medicare advantage is the private insurance option offered to Medicare beneficiaries. Under the new plans as outlined by the President, those in this program will experience lower medicare reimbursement and significant Medicare cuts.The Medicare program pays a certain amount towards the premium for the Medicare Advantage program, which provides better services at a lower cost than other parts of the Medicare Program.

The legislating which will effect Medicare reimbursement, was passed by congresses and it will result in Medicare cuts and reduced Medicare reimbursement, especially for specific programs, such as Medicare Advantage.

Included in Medicare cuts, there will be a payment freeze in the year 2011. In the following year, the formula used to determine the cost of services will be modified and put a maximum on the cost of coverage and Medicare reimbursement.

The health insurance overhaul will mean significant changes to Medicare, including Medicare cuts. However, many believe that in the end, the program will be better for those that receive benefits, as well as doctors that provide services through the program. Currently however, many Medicare recipients have begun to lobby against further changes to their benefits, especially the Medicare cuts which increase their financial burden, sometimes substantially.



What You Must Know About Medicare Eligibility

What You Must Know About Medicare Eligibility

Medicare eligibility includes basic requirements, such as being over the age of 65. However, individuals that wish to receive Medicare health insurance must also be legal residents of the United States for at least the last five years.
Medicare eligibility also requires that individuals pay into Medicare, through payroll taxes, for at least ten years. In fact, both spouses must make those contributions or the spouses must pay a premium in order to receive Medicare health insurance.
Medicare eligibility also applies to individuals that  are under sixty five, but are disabled and receive disability payments or social security benefits. Individuals that receive dialysis for renal disease, or need a kidney transplant to stay alive, may also be eligible for Medicare if the social Security Administration grants them eligibility. Those that have confirmed that they have Lou Gehrig's disease, may also be eligible for Medicare health insurance.
Those that receive Medicare health insurance before the age of Sixty five, must wait two years before the are granted Medicare eligibility, unless they meet specific requirements or are eligible for Medicaid. 
Those that are currently eligible for Medicare and receive benefits, number around forty five million Americans. That number is expected to jump substantially, even though Medicare is already currently the largest health insurance provider in the country. Recent changes to health care reform implemented by the Obama administration may alter those numbers and make changes to the many programs available through Medicare.

Guide To Medicare

Guide To Medicare

What is medicare
Medicare is a social health insurance plan which is funded by payroll taxes. All working Americans pay payroll taxes, as do their employers. Medicare is most often utilized by individuals over 65, but there are other individuals that may be eligible. The Social security administration determines eligibility.

History of medicare
Medicare began in 1965 and since then, the program has undergone some changes. Previously, the amount of salary taxes was capped. However, employers and their employees now contribute a flat percentage of their salary to fund the program, regardless of what the salary is.

Medicare reform

Medicare reform has included a variety of changes, including the addition of prescription drug coverage. Previous to that, the entire expense of prescription medication was the responsibility of the individual. Although medicare benefits require that the individual pay a deductible on most medications, the cost is much lower than in was before prescription drug coverage was added as a medicare benefit.

Medicare cuts
Medicare cuts have already begun, as Congress has passed legislation which makes changes to the program in the near future. The reform will include Medicare cuts and lowered Medicare reimbursement. In fact, some beneficiaries may find that they have substantially lowered coverage.

Who is eligible for medicare
The general requirements for medicare include individuals over the age of 65 that have been United States citizens for at least five years. In addition, the individual must have paid into Social Security for at least ten years, or they will be required to pay a premium. There are also special circumstances which grant Medicare eligibility to those younger than 65.

Medicare card replacement
Medicare card replacement involves a simple process which can be conducted online or over the phone. Whether a card is damaged, lost or stolen, individuals should immediately request a new card as it is used as proof of eligibility.

Medicare fee schedule
The Medicare fee schedule may vary depending on the type of coverage, as well as the specific services provided or prescription medication purchased. Medicare billing will usually include a detailed description of fees and who is responsible for payments of those fees.

What You Need to Know About Medicare.Gov

What You Need to Know About Medicare.Gov


Medicare is a health insurance program administered by the United States government and funded by Social Security through  payroll taxes.  The Social Security Act of 1965 was signed into law by President Johnson in 1965. The Act provided for medicare benefits for those over 65, as well as those that have special circumstances, such as those that are on disability and have an ongoing illness.

Payroll taxes, which are imposed on every working American, as well as their employer, fund a portion of medicare. Those that are self-employed, pay both portions of the payroll tax. The taxes are paid as a percentage of salary, with no cap for a maximum amount.

The center for Medicare and Medicaid services, which is associated with the Department of health and human services, administers the medicare benefits which provide insurance to certain individuals, including those over 65.

There are some individuals below the age of 65 that are eligible for medicare. The Social Security Administration determines whether or not individuals are eligible for medicare.  

The administration must release annual reports to allow the public to be aware of the financial status of the medicare program.  The statements include a determination of the financial health of the program, which may influence who is eligible for medicare.

The medicare program is utilized to ensure that aging Americans have access to health care. By paying their payroll tax, they are making payments to protect their medical health in the future. 


Medicare Australia

Medicare Australia


Medicare Australia is very similar to the program found in the United States. The program attempts to fund affordable health care for the citizens of Australia. Unlike the American program, Australia medicare is available to all permanent citizens in the country.

Residents that posses an Australia medicare card, have access to inexpensive medical care. The program is operated by the government, which grants medicare numbers to doctors that are able to provide treatment to those that have a medicare card.

Medicare insurance allows citizens to have access to medical care which is subsidized by the government, making it much more affordable to the general public. The universal health care system allows for subsidized medical treatment from doctors and other health care providers and hospital visits are free.

The medicare Australia program began in 1975 and it was subsidized by a private health insurance fund, which was owned by the government. The program was not official named medicare until 1984. In 1999 the program was altered and allowed for medicare benefits to include a private health insurance rebate, where the government will fund thirty percent of a private health insurance premium, which covers those that are eligible for the program.

These programs take up a majority of the Commonwealth's budget, at almost fifty percent. As the cost of the program rises, which it does at almost five percent a year, the Commonwealth requires more money to fund it. There have been discussions as to how they will be able to continue to fund the program as prices increase.