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Medicare and Medicaid

A US federal subsidy that covers medical expenses for eligible patients, notably those disabled or over age 65.

500 Questions

Recently married do you have to notify medicare to continue medicare insurance?

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Asked by Wiki User

If you are already enrolled in Medicare, getting married does not require you to notify Medicare to continue your coverage. However, you may need to update your personal information with Medicare, such as your name or address, if they have changed due to marriage. It's always a good idea to review and update your Medicare information to ensure accurate and uninterrupted coverage.

Medicare Is Not Health Insurance.?

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Asked by Wiki User

Medicare is a government-run healthcare program in the United States that provides health insurance coverage for people who are 65 years and older, as well as certain younger individuals with disabilities. It is considered health insurance as it helps cover the costs of medical services, such as hospital stays, doctor visits, and prescription drugs, just like other insurance plans. However, it is important to note that Medicare is distinct from other types of health insurance, such as Medicaid or private health insurance plans.

How many quarters are necessary to receive medicare benefits?

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Asked by Wiki User

To be eligible for Medicare benefits in the United States, you generally need to have accumulated 40 quarters (or 10 years) of work credits. These credits are earned by working and paying Social Security taxes. However, there are certain circumstances in which individuals can qualify for Medicare benefits with fewer quarters, such as being married to someone who has earned enough credits. It is recommended to consult with the Social Security Administration to understand your particular situation.

What types of charges does medicare supplemental insurance cover?

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Asked by Wiki User

Medicare supplemental insurance, also known as Medigap, helps cover some of the out-of-pocket expenses that Medicare does not cover. This can include things like deductibles, copayments, and coinsurance. However, Medigap plans do not cover services that are not covered by Medicare, such as dental, vision, or hearing care.

When applying for medicaid will they ask for proof of income from everybody in the household?

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Asked by Wiki User

When applying for Medicaid, they typically require information about the income and household size of the individual or family applying. This information is used to determine eligibility for the program. However, requirements may vary depending on the state, so it's best to consult with your local Medicaid office or visit their website for specific instructions.

What is principle of least eligibility?

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Asked by Wiki User

The principle of least eligibility is a concept in social welfare that suggests that the level of support provided to individuals should be set at the lowest possible level necessary to meet their basic needs. This principle is based on the belief that providing more generous benefits may discourage self-reliance and create dependency on the state. Critics argue that this approach can lead to inadequate support for vulnerable individuals and perpetuate poverty.

Kid needs braces for health reasons will medical pay?

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Asked by Wiki User

It depends on your specific health insurance policy. Some health insurance plans may cover orthodontic treatment, including braces, if it is deemed medically necessary. However, others may classify orthodontic treatment as a cosmetic procedure and not provide coverage. You would need to review your insurance policy or contact your insurance provider directly to determine if braces would be covered for health reasons.

How can someone who has lost their job and has no money get treatment for alcoholism?

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Asked by Wiki User

There are a few options available. First, they can reach out to local community health centers or nonprofit organizations that offer free or low-cost addiction treatment services. Second, they can inquire about government-funded healthcare programs, such as Medicaid, that may cover the cost of treatment. Lastly, support groups like Alcoholics Anonymous can provide resources and guidance without requiring any payment.

What changes were made to Medicare in 1973?

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Asked by GaleEncyofSurgery

In 1973, several changes were made to Medicare. The most significant change was the creation of two parts - Part A, which covers hospital insurance, and Part B, which covers medical insurance. Additionally, the eligibility criteria were expanded to include individuals with long-term disabilities and end-stage renal disease. The legislation also established the Medicare Advantage program, which allows beneficiaries to receive Medicare benefits through private health plans.

What will be the medicare deduction in 2013?

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Asked by Wiki User

The Medicare deduction in 2013 was 1.45% of an individual's wages or self-employment income. For high-income earners, an additional 0.9% was added for income over certain thresholds.

Billions of dollars have been lost due to fraud in Medicare and Medicare?

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Asked by Wiki User

The large scale of fraud in Medicare and Medicaid has resulted in financial losses reaching billions of dollars. This is primarily due to activities such as billing for unnecessary services, inflating claims, or submitting fraudulent claims altogether. These losses have a significant impact on the overall cost of healthcare and require continuous efforts to detect and prevent fraud within these programs.

How many levels of medicare hcpcs coding system has?

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Asked by Wiki User

The Medicare HCPCS (Healthcare Common Procedure Coding System) has two levels. Level I codes are the Current Procedural Terminology (CPT) codes, which are used for reporting medical procedures and services. Level II codes are alphanumeric codes that are used primarily for reporting supplies, durable medical equipment, and medications not included in Level I codes.

Who are the current members of the Medicare oversight committee in Congress?

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Asked by Wiki User

The current members of the Medicare oversight committee in Congress can vary depending on the specific committee being referred to. In the House of Representatives, the main committee with oversight of Medicare is the Committee on Energy and Commerce, while in the Senate, the Committee on Finance deals with Medicare. The members of these committees change with each congressional session, so it is best to consult the official congressional websites or other reliable sources for the most up-to-date information on current committee members.

If I have Medicare Part C, am I still eligible for the HIPP program?

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Asked by Wiki User

The eligibility for the HIPP (Health Insurance Premium Payment) program varies by state. Some states may allow individuals with Medicare Part C, also known as Medicare Advantage, to participate in the HIPP program, while others may not. It is best to contact your state's Medicaid office or HIPP program directly to determine your specific eligibility.

Name the seven variables that affect medicare reimbursememt under the DRG system?

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Asked by Wiki User

  1. Principal diagnosis: The main reason for the patient's hospitalization.
  2. Secondary diagnoses: Other medical conditions and complications that the patient may have.
  3. Procedures performed: Surgical procedures and other therapeutic interventions.
  4. Patient's age: Age of the patient at the time of admission.
  5. Patient's sex: Gender of the patient.
  6. Presence of complications or comorbidities: Additional medical conditions or complications that may affect the patient's treatment.
  7. Discharge status: The destination or outcome of the patient's hospital stay, such as discharged to home or transferred to another facility.

On what constitutional basis was Medicare enacted And which amendment to the US Constitution supports Medicare?

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Asked by Wiki User

Medicare was enacted under the constitutional authority of Congress to levy taxes and spend revenue for the general welfare of the United States, as granted in Article I, Section 8 of the Constitution. The specific amendment to the US Constitution that supports Medicare is not directly tied to its enactment, but rather the power of Congress to make laws related to taxation and spending for the general welfare.

Is chantix covered by medico?

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Asked by Wiki User

To determine if Chantix is covered by Medico insurance, it is best to check with the insurance provider directly. Contact Medico's customer service or review your insurance policy to understand the specific coverage for prescription medications like Chantix.

Can a hospital bill you for the balance that medicaid doesn't pay?

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Asked by Wiki User

Yes, a hospital can bill you for the balance that Medicaid does not pay. This is known as a patient responsibility or co-pay. It is important to check with your hospital and understand your financial responsibilities before receiving healthcare services.

Can you get Medicaid with no kids?

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Asked by Wiki User

Yes, it is possible to qualify for Medicaid without having children. Medicaid eligibility is based on income and other factors, such as age, disability, and pregnancy status. Each state has its own specific criteria and guidelines for determining eligibility, so it is advisable to check with your state's Medicaid office for the most accurate and up-to-date information.

What is a Medicare adjustment?

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Asked by Wiki User

A Medicare adjustment refers to a change or modification made to a Medicare claim or payment. It could be an adjustment to correct errors or discrepancies in the original claim, such as updating the billed amount or correcting coding errors. Medicare adjustments can also occur due to retroactive changes in policies or regulations that affect payment rates or coverage.

Is the emergency committee to save medicare legitimate?

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Asked by Wiki User

Without specific information, it is difficult to determine the legitimacy of the "Emergency Committee to Save Medicare." It is important to research the organization, review its mission, goals, and track record, and evaluate its credibility before making any judgments or conclusions.

What is one of the reasons why medicare costs have been rising?

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Asked by Wiki User

One reason for the rising costs of Medicare is the increasing number of older adults in the population. As the baby boomer generation reaches retirement age, there is a larger demand for healthcare services, leading to higher spending on Medicare.

Where does Medicare get its funding?

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Asked by Wiki User

Medicare is funded primarily through payroll taxes, with contributions from both employees and employers. Part A of Medicare, which covers hospital insurance, is financed through the Hospital Insurance Trust Fund. Part B, which covers medical insurance, and Part D, which covers prescription drugs, are primarily funded through general revenues and beneficiary premiums.

What federal agency produces a report projecting healthcare expenditures for the coming decade?

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Asked by Wiki User

The Centers for Medicare and Medicaid Services (CMS) produces a report called the National Health Expenditure Projections, which projects healthcare expenditures for the coming decade in the United States.

Do you have to pay medicaid back if you come into money in north carolina?

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Asked by Wiki User

If you receive Medicaid benefits in North Carolina and come into money, you may be subject to estate recovery. Estate recovery is a process through which Medicaid seeks reimbursement for the costs of your care from your estate after you pass away. However, the specific rules and exceptions can vary, so it is advisable to consult with a Medicaid expert or local agency for accurate information based on your circumstances.