Question

In: Nursing

Your grandmother has turned 65 and is very confused about Medicare. She does not understand why...

Your grandmother has turned 65 and is very confused about Medicare. She does not understand why there are four parts to this healthcare program. She has asked you to help her with enrolling in Medicare.

How will she enroll in Medicare? List the different parts of Medicare and explain what each part is and why it may be important to your grandmother. Your grandmother has no previous experience in Medical Terminology so you must explain in layman's terms.

Solutions

Expert Solution

MEDICARE is a government program in the US that provides health care coverage to people who are above 65 years and people with certain disabilities who meet the eligibility criteria.

Some common Disease condition with elderly age ;

  • Autism
  • Cholesterol
  • Diabetes
  • Heart disease
  • Liver failure
  • Kidney failure

HOW TO ENROL FOR MEDICARE:

  1. By visiting the website of social security
  2. By calling their number
  3. By visiting in person at their office.
  4. Suppose if you are a member of any railway board you will be automatically enrolled for this.
  5. You have to enroll in a seven-month period that begins three months earlier before you turn 65 and after three months you turn 65.

DIFFERENT PARTS OF MEDICARE INCLUDES THE FOLLOWING :

  1. Medicare Part A ( hospital coverage ) - It includes hospital stays, home health care, and nursing care. It is important to her because with increasing age she is prone to many disease condition which includes hospitalization and home care after discharging from home. For example; If a person has heart disease or any lung disease her hospital stay is longer with her age.
  2. Medicare Part B  ( medical coverage ) - It includes the doctor visit and different testing to find the illness. Some times with ongoing treatment doctor have to find he or she suffer from any other problems. So this coverage help to get all the findings done.
  3. Medicare Part C ( Medicare advantage ) - It is same as the Medicare, the only difference here is that insurance is paid by the private companies. They offer some extra benefits also.
  4. Medicare Part D  ( covers drug ) - It covers the medicine given by the doctors. We can get separate Part D insurance. It helps the old age people to get medicine as they have to rely on medicine for a long time. For Example, if the patient had sugar ( diabetes ) she or he has to take insulin for a long period of span and if the patient has any heart disease he or she has to take the medicine which helps to function the heart normally .

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