Medigap: Current Policies Contain Coverage Gaps, Undermine Cost Control Incentives

Abstract

Individuals who are eligible for Medicare automatically receive Hospital Insurance (HI), known as part A, which helps pay for inpatient hospital, skilled nursing facility, hospice, and certain home health care services. Beneficiaries pay no premium for this coverage but are liable for required deductible, coinsurance, and copayment amounts. (See table 1.) Medicare- eligible beneficiaries may elect to purchase Supplementary Medical Insurance (SMI), known as part B, which helps pay for selected physician, outpatient hospital, laboratory, and other services. Beneficiaries must pay a premium for part B coverage, currently $54 per month. Beneficiaries are also responsible for part B deductibles and coinsurance.

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Document Details

Document Type
Technical Report
Publication Date
Mar 14, 2002
Accession Number
ADA399671

Entities

People

  • William J. Scanlon

Organizations

  • United States Government Accountability Office

Tags

Communities of Interest

  • Biomedical

DTIC Thesaurus Topics

  • Clinical Laboratories
  • Geographic Regions
  • Governments
  • Health
  • Health Care
  • Health Maintenance Organizations
  • Health Services
  • Hospitals
  • House Of Representatives
  • Insurance
  • Medical Personnel
  • Medicare
  • New York
  • Prescription Drugs
  • Standards
  • United States
  • United States Government

Fields of Study

  • Medicine
  • Political science

Readers

  • Government and Public Administration Law.
  • Medical or Health Care Field.