Medicare health insurance is a program presented by the U.S. Government for certain
people living in the U.S. People who are enrolled in the Medicare program are naturally
called “Medicare beneficiaries”, so Medicare health insurance helps Medicare beneficiaries
pay for several of their health care costs.
Medicare health insurance is a very outsized government program. There is a compound
body of statutes, regulations, and policies that controls how Medicare health insurance
works to help the government edge how much it spends on health care and limits the
amount of ravage and scheme that take money out of the program.
These laws and policies express everything from what a hospital needs to do to get
paid by Medicare health insurance to what a doctor can’t do without risking going
to prison, to how much a Medicare health insurance beneficiary has to pay for a wheelchair.
Medicare health insurance is funded by a combination of payroll taxes and income
taxes that are collected from everyone in the country, plus premiums that some Medicare
health insurance beneficiaries pay for certain types of coverage.
Medicare pays for health care through four different types of Medicare coverage:
Part A, Part B, Part C, and Part D.
Generally, the Centers for Medicare and Medicaid Services (CMS), the government agency
responsible for running Medicare, does not directly make payments or review claims
CMS writes rules, regulations, and policies for administering the program, sets nationwide
payment policies for certain health care services, and hires contractors to review
and pay claims in different regions as well as issue local payment policies on certain
health care services because customs and standards of medical practice may differ
in different parts of the country.