• Create BookmarkCreate Bookmark
  • Create Note or TagCreate Note or Tag
  • PrintPrint
Share this Page URL
Help

Chapter 12. Medicare > The Medicare Alphabet

The Medicare Alphabet

Medicare comes in three flavors: Medicare A, Medicare B and, you guessed it, Medicare C. Part A helps pay for hospital care, the limited amount for nursing home care that I explained in the previous paragraph, hospice care and some limited home health care. Part B primarily covers physician’s bills, outpatient services, tests and medical equipment. Part C is the newest part of Medicare. It deals with newer ways for providing medical services such as Managed Care Plans and Health Maintenance Organizations (HMOs).

History

Some people looking for logic might question why Medicare is divided into the separate A and B coverages. The answer is a simple one to which logic does not apply—politics. When Medicare was being debated in Congress before its enactment in 1965, a significant number of legislators were joined by the health insurance industry and the American Medical Association, both of which were against the idea of a universal health care. As a compromise, physician’s services were taken out of the proposed legislation, leaving what was now primarily “hospital insurance” as Medicare A. Later, in another compromise, physician and outpatient services were brought back into Medicare as Medicare B; as a further compromise Medicare B was made optional and funded partly through monthly premiums to be paid by the enrollees and partly by the federal government.


PREVIEW

                                                                          

Not a subscriber?

Start A Free Trial


  
  • Creative Edge
  • Create BookmarkCreate Bookmark
  • Create Note or TagCreate Note or Tag
  • PrintPrint