Medicare, Medicare Advantage, Part D, Medicare Supplement, Medicaid, Affordable Care Act Explained

Learn about the large variety of Government Health Insurance Programs:
1) Traditional Medicare: Health Insurance for Seniors 65 and older. Medicare Part A is coverage for hospital services. Medicare Part B is coverage for doctor, physical therapist and other provider services and for outpatient services such as labs and imaging.
2) Medicare Advantage: Health Insurance for Seniors 65 and older administered through a private health insurance company. It is sometimes referred to as Medicare Part C. It can be chosen instead of Traditional Medicare and often includes Dental Insurance, Vision Insurance, Hearing Aid Insurance and Prescription Drug Coverage.
3) Medicare Part D Prescription Coverage: Additional insurance for people on Traditional Medicare to cover their prescription medications as well. Medicare Part D is administered by private insurance companies.
4) Medicare Supplement Plans: Insurance that can be purchased in addition to Traditional Medicare to cover the expenses that Traditional Medicare does not cover, such as hospitalization deductibles and Medicare Part B co-insurance.
5) Medicaid: The health insurance program administered by each state for it's economically disadvantaged residents. It is funded in part by the Federal Government and in part by each state. It is administered by private health insurance companies.
6) Affordable Care Act (ACA) Exchange Plans: Health insurance for people under 65 who make too much money to qualify for Medicaid, but do not received health insurance through their employer. ACA Exchange Plans are subsidized by the Federal Government and administered by private insurance companies.
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[@jdean813]

Thank you, Dr. Bricker, for dummying down all of these GHIPs to make them easier to understand.

[@ahealthcarez]

Thank you for watching and for your comment!!

[@ASPEDBUSDRIVER1]

Words can NOT express how grateful i am for finding this channel

[@ahealthcarez]

Super! Thank you for watching!

[@chiclep]

Thank you! Very clearly explained

[@ahealthcarez]

Thank you for watching and for your comment.

[@RaminR]

Another great video Dr Bricker - THANK YOU SO MUCH for explaining the difference between traditional medicare and medicare advantage - this information is so important - hard to learn when you are an employee in a corp!!

[@ahealthcarez]

Thank you for watching and for your comment. Appreciate the encouragement.

[@tsm8485]

I I 😊😊😅

[@tsm8485]

@@ahealthcarez

[@tsm8485]

@@ahealthcarez

[@TheWISHClinic]

I would love to create a Medicare supplement plan that covers the totality of the added costs of a wound episode like nutrition, DME, and advanced dressings and skin substitutes.

[@ahealthcarez]

Great idea! Thank you for sharing it.

[@barbgardetto3633]

Thank you for this video. As a CM, I find the coverage under the ACA, a challenge to access and coverage is minimal. Often times, individuals need to drive over 25 miles one way, to locate a provider that would accept the insurance.

[@ahealthcarez]

#True. Health Insurance is NOT de facto Access to Healthcare.

[@ImSpartacus811]

Small correction: MEC does not necessarily require any of the ten essential health benefits (e.g. inpatient, etc), but ACA marketplace plans are required to cover all ten EHBs with no lifetime limits, so it's a very minor distinction. MEC by itself is basically just preventative care and the commercial market has very lean "MEC-only plans" since self-funded employer-sponsored plans have the option to not cover EHBs (unlike marketplace plans) and effectively provide a preventative-only plan.
Great video though!

[@ahealthcarez]

Appreciate the information. Thank you for watching.

[@tomdiaz4242]

I see this type of thing every day over at my hospital job. People coming in with oscar with a front loaded deductible of 7200 and they're basically homeless. They get paid 40 dollars by agents recruiting them on the streets. It's just sad that this type of predatory practice happens in my big city, guessing it's also elsewhere.

[@ahealthcarez]

Thank you for watching and sharing your experience.

[@bryanh8292]

Medicine is already socialized. Always found it funny how everyone is asking for the free market to resolve the healthcare issues when the biggest payer is the government...

[@ahealthcarez]

#True. Just socialized enough for corporate control of government to limit competition and increase profits.

[@magoollaful]

@@ahealthcarez Thank you for doing this series. It's great to hear the perspective of a Doctor that's experienced the impact that the bean-counters have on both the practice of medicine AND the resulting treatment of patients. It's infuriatingly interesting to read the comments from those that want to exclusively blame the government while giving the modern day profiteers and Robber Barrons a blind pass.

[@vickyshort5682]

Wait so traditional Medicare isn’t run by managed care companies? They have separate lines on their balance sheet for Medicare vs Medicare advantage vs part D vs supplemental

[@ahealthcarez]

Correct. Traditional Medicare is not Managed Care at all. Paid directly by Feds to healthcare providers via a Medicare Administrative Contractor (MAC) that just processes the claims and takes NO risk.

[@RaminR]

@@ahealthcarez did not know that - thank you for clarifying!

[@apark8787]

This video seems to be describing Managed Medicaid (capitated model) rather than just Medicaid (FFS). Are they analogous to Medicaid being like traditional Medicare and Managed Medicaid as like Medicare Advantage?

[@whiteowl8594]

Amazing video!!

[@ahealthcarez]

Thank you for watching and for your comment.

[@rayn1ful]

why not have health insurance like it is in Canada?

[@ahealthcarez]

Good question. Thank you for watching.

[@garyschreiber695]

Need to discuss IRMAA

[@gangheo5431]

Hi Doctor, do you mind doing a video on ACO Reach? What it is and how it will affect health plans / employers?

[@ahealthcarez]

Thank you for your suggestion.

[@LS-gc6ml]

Can you do a quality and value based care training?

[@ahealthcarez]

Thank you for your suggestion.

[@vickyshort5682]

Marketplace / ACA / Obamacare starts at 18:00

[@vickyshort5682]

Lowest blue cross blue shield HMO plan in my area is $350 but with $8000+ deductible. Everything is no charge (after deductible)… didn’t pick that plan

[@ahealthcarez]

Yup.