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Essay on Medicare Fraud


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Essay on Medicare Fraud

Overview of Medicare

The Social Security Act   designated as "Health Insurance for the Aged and Disabled," usually known as Medicare. The Medicare legislation established a health insurance program for aged persons to supplement the retirement, survivors, and disability insurance benefits under Title II of the Social Security Act.

Medicare has traditionally consisted of two parts: Hospital Insurance (HI), also known as Part A, and Supplementary Medical Insurance (SMI), also known as Part B. A new, third part of Medicare, sometimes known as Part C, is the Medicare Choice program, which was established by the Balanced Budget Act (BBA) of 1997 (Public Law 105-33) and which expanded beneficiaries' options for participation in private-sector health care plans. When Medicare launched on July 1, 1966, about 19 million people enrolled. In 2003, over 41 million people were enrolled in one or both of Parts A and B of the Medicare program, and 5 million of them were chosen to take part in a Medicare+Choice plan.

HI is generally provided involuntarily, and free of premiums, to persons aged 65 or over who are eligible for Social Security or Railroad Retirement benefits, whether they have claimed these monthly cash benefits or not. Furthermore, workers and their wives with a satisfactory period of Medicare-only coverage in Federal, State, or local government employment are eligible beginning at age 65. In the same way, individuals who have been entitled to Social Security or Railroad Retirement disability benefits for at least 24 months, and government employees with Medicare-only coverage who have been disabled for more than 29 months, are entitled to HI benefits. HI coverage is also provided to insured workers with ESRD, and to some otherwise ineligible aged and disabled beneficiaries who voluntarily pay a monthly premium for their coverage. In 2002, the HI program provided protection....

 

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