Medicare/Medicaid/PACE/SSI
<p>
Medicare:
<br>- for seniors & disabled, requires contribs from work
<br>- Part A: inpatient
<br>- Part B: outpatient & some professional services
<br>- Part C: "Medicare Advantage" (formerly Medicare+Choice)
  - coordinated care plans (HMO, POS (point of service -
    a network of preferred providers), PPO, and PSO)
  - medical savings accounts
<br>- Part D: the new prescription drug coverage:
  - starts with a $250 deductible in 2006
  - pays 75% of the next $2,000 spent
  - pays nothing for the next $2,850 spent
  - pays 95% for drug bills over $5,100
<br>- does not cover custodial care, ADLs, long-term care
<p>
Medicaid:
<br>- federal coverage for low-income people
<br>- the nation's largest health insurance plan
<br>- cover 53 million Americans
<br>- administered by states and counties
<br>- federal govt matches state money
<br>- states have broad latitude to add benefits and enroll more residents
<br>- in Calif, agency is Medi-Cal
<p>
SSI (Supplemental Security Income)
<br>- federal program
<br>- administered by Calif Dept of Social Svcs (CDSS)
<br>- cash assistance to low-income aged, blind, disabled
PACE (Programs of All-Inclusive Care for the Elderly)
<br>- modeled on On Lok
<p>