More on Medicare
Additional Resources:
- Medicare module from kaiserEDU.org
- An Overview of the Medicare Program and Medicare Beneficiaries Costs and Service Use; Statement of Juliette Cubanski, Ph.D., Associate Director, Program on Medicare Policy, The Henry J. Kaiser Family Foundation Before the Special Committee on Aging U.S. Senate, "Strengthening Medicare for Today and the Future", February 27, 2013
Medicare Coverage Choices at a Glance
There are two main ways you get Medicare coverage: Original Medicare or a Medicare Advantage Plan. These steps help determine which coverage to get.
Medicare Coverage Exercises
Utilize this PDF file below on Medicare Coverage Basics to analyze and calculate Medicare coverage in the situations listed below. Generate a list of costs for which the beneficiary is responsible (out-of-pocket costs). Assume both patients have Medicare A and B.
Source: developed by Mary Palaima, PT, MBA, EdD, Clinical Assoc. Professor at Sargent College of Health and Rehabilitative Sciences
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Patient #1: A 68 y.o. female who had a stroke with multiple medical complications. She spent 65 days in the hospital, followed by 25 days in a local SNF (Skilled Nursing Facility), and then received home health services (nursing, PT, OT, SLP) for 21 days. |
Patient #2: This woman had a stroke with medical complications. She spends 14 days in the hospital followed by 40 days in a local SNF, and then receives 50 visits of PT, OT, SLP as an outpatient. Assume the charge for each therapy visit is $100.00. |
Medicare Quiz
Take this short quiz to see how much you remember!
If you would like more information about Medicare check these three sites:
- The Commonwealth Fund site for Medicare
- The US government Medicare site aimed at consumers
- Kaiser Family Foundation Medicare site