Question

In a couple sentences, with references: What happened under Medicare expansion? How much is the monthly...

In a couple sentences, with references:
What happened under Medicare expansion?
How much is the monthly premium for Medicare hospital benefits? AND how much is the monthly premium for Medicaid in NY?
Think back to your assignment to shop for health insurance on NY’s Exchange and now make a recommendation: who should enroll in a Medicare Advantage plan? Who would you recommend should NOT enroll in a Medicare Advantage plan?
What is the income requirement for an individual to qualify as “dual eligible”?
Does Medicare pay for nursing home care?
What is meant by Medicare for all?

Homework Answers

Answer #1

A provision in the Affordable Care Act (ACA) called for expansion of Medicaid eligibility in order to cover more low-income Americans. Under the expansion, Medicaid eligibility would be extended to adults up to age 64 with incomes up to 138 percent of the federal poverty level.  

The monthly premium for Medicaid in new york is 875$ per month for applicant.

You should recommend Medicaid Advantage plan to people-

18 years or older

Have a chronic illness or disability, based on an assessment, making them clinically eligible for the plan.

If the services like personal care services at home, adult day nursing etc are needed within at least 120 consecutive days from the date of join of plan.

For full dual eligible coverage , income should be $783 per month for an individual and $1,175 per month for a couple.

Medicaid does pay for nursing home care.

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