Question

2 Barry is a 62-year old male who presented to a physician, for the evaluation of increased abdominal girth, bloating and nausea. He was found to have cirrhosis from hepatitis C. He was unsure how he contracted the infection, however he believed either it was due to sharing syringes “in my youth” or from having sex with someone who shared needles. He has not sought health care in many years, as he did not have health insurance, working as a short-order cook. He has been told that he has approximately one year to live as his liver failure is advanced. He wants to be put on the list for a liver transplant. In the meantime, he wants to start treatment for hepatitis C, a treatment that is several thousand of dollars per month. He plans to apply for Medicaid in order to have his treatments covered. He qualifies for MA financially as well as medically. Should MA pay for a new liver for Barry? Would it make any difference from a POLICY standpoint if he contracted hepatitis while on the job as a firefighter? Should MA pay for his medications, but not the transplant? Should MA pay for neither treatment?

Answer 1

Medicare Advantage(MA) plans to incorporate section A that covers liver transplant when the individual medicinally vital. fireman will be secured by specialist remuneration for their hazardous ailment. Hepatitis C engaged the fireman with the social encompassing sickness in the challenge of standards and convictions of the US industrialist. it gives equivalent access to medicinal services, economy, and obligation. Medicare Advantage pay for post-transplant drugs. Mama part B covers the installment of immunosuppressant prescriptions for transplant patients. Mama section A halfway covers a transplant if the individual is qualified. Medicare part D pay for hepatitis C medications and it covers outpatient physician endorsed medications to the old and makes advantage with an equivalent incentive to the standard bundle.