Friday 16 December 2016

Social Security Administration

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 receiving maintenance dialysis or a kidney transplantation; Or the person is the child or widow aged 50 years or older, including a divorced widow or of someone who has worked long enough in a governmental job where Medicare Taxes were paid.

With respect to plan B, any person who is eligible for plan A can enroll in plan B by paying a monthly premium. The person not eligible for plan A or plan B can still buy plan B, if that person is more than 65 years old, and a citizen or legal resident. Persons who have plan A and B are eligible for plane C. Plan C include Medicare managed care plan. Medicare preferred provider (PPO) organization plan; Medicare private fee-for-service plan, and Medicare specialty service.

Plan D is available to all the persons who have any of the other three plans, but need to pay a monthly premium. Enrollment The effective date of enrollment is January 1 of the up-coming year with right to make changes from October 15 to December seven each year. From the time a person becomes eligible, a seven months period is given for enrollment, starting from three months prior to 65th birthday. A delay will cause delay in coverage and higher premium. For plan B, the person has another chance each year to sign up during general enrollment time from January one to march 31.

Person leaving Plan C insurance has an extended time to join plan D coverage. The rules for people covered under an employer group health plan are different. Medicaid Title XIX of the Social Security Act deals with Medicaid. It is a state run program, whereas Center for Medicare and Medicaid Services (CMS) monitors this geico history and establishes requirements for service delivery, quality, funding, and eligibility standards (Wikipedia, January 2012). 

It is a health program for the U. S. Citizens or legal permanent residents with low income and resources, their families, children, and people with certain disabilities. Poverty alone may not qualify someone for Medicaid. It is means tested program that is jointly funded by the state and federal government and is managed by the state. Medicaid is the largest source of funding for medical and health related services for people with limited income in the United States of America. Different Population for Medicaid.

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