Real Life applications: Case Study

Real Life applications: Case Study

Your 65 year old grandmother is very confused about Medicare. She doesn’t understand the parts and her options with respect to enrollment. She just assumed that enrollment was automatic.

In order for you to help her learn about Medicare you have decided to provide a summary of each of the parts of Medicare and provide her with your recommendations for each.

Medicare Part Summary of benefits, costs and options Your recommendation with explanation

Challenge Questions:
1. Medicare does not fully cover all costs of medical care for beneficiaries. Please explain why this is the case and what options Medicare beneficiaries have to achieve full coverage.
2. Terms to consider:
a. Medicare Part B, Medigap, Medicare Advantage, Prescription Drug plans
3. The federal government and Congress hope to move as many Medicare and Medicaid beneficiaries into managed care plans. Why? Further, why are states more successful in getting Medicaid beneficiaries into managed care plans than has been the federal government?