Question

In: Nursing

Your grandmother just turned 65 and she is very confused about Medicare and Medicaid. She doesn't...

Your grandmother just turned 65 and she is very confused about Medicare and Medicaid. She doesn't understand the differences between the two programs. She has asked you to help her enroll in a program to provide her some financial assistance.

Read the "Comparison Chart" between Medicare and Medicaid

Explore the government website comparing Medicaid with Medicare

Based on the comparative chart given above, summarize the differences between Medicare and Medicaid.

Since the number of Medicaid recipients have increased in the recent times, some people argue that our country has become an entitlement state. Do you agree or disagree? Explain your response

Solutions

Expert Solution

Medicare and Medicaid are a government health insurance program.

Medicare:

  • It is a federal health insurance program
  • People who are 65 years and older are eligible
  • Certain disabled person under 65 years
  • End Stage Renal Disease of any age
  • Care and services are available for inpatient in hospital and nursing clinic.
  • Doctor visit is on OPD service
  • Drug prescription is available
  • Depends on the coverage choosen
  • Cost include premium,coinsurance, deductibles, copays
  • Local social security officer could be met to know the eligibility criteria
  • People who are 65 and above are eligible for Part A and Part B services
  • Initial enrollment period is seven months long happens after 65th birthday
  • Medicare General enrollment period is like make up period,if it is done late penalty for late enrollment to be done
  • Medicare special enrollment program allows you to enroll in medicare

Medicaid:

  • It is a joint federal and state government program
  • People who are having limited income
  • It has different types of programs in it
  • Care and service is received in hospital, federally qualified health centre, rural health clinic,freestanding center.
  • ​Services are rendered by Doctor,Nurses, Nurse Practioner, certified Pediatric Nurse
  • It depends on the income and the state
  • Eligibility depends on the state es
  • certain people are exemption for this
  • Call the State medical Assistance to know the eligibility
  • The number has greatly increased because of the wide variety of servics offered.
  • It is agreed in this way
  • But it can also be disagreed due to the limitations

Comparing these two medicare is a easy approach to the old women depending on the age, working status.

This client should be taken to local security officer to enroll herself.


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