Healthcare Organization and Finance
Scenario
Medicare covers healthcare services such as surgeries, laboratory testing and doctor visits. It also covers supplies such as walkers and wheelchairs. These services and supplies must be considered as indispensable in the treatment of a certain disease or condition (King, 2009). Therefore, the expenses related to the walker that was prescribed to Mrs. Zwick after her discharge would be fully met in this section of the Medicare.
Essentially, part A of Medicare covers a host of services, which include hospital care, skilled nursing facility care, hospice, nursing home care, and home health care services. Concerning Mrs. Zwick case, Part A of Medicare will meet the cost for the 5 days she received at the hospital as well as the 21-day care she received under the care of skilled nursing home. However, it is worth noting that copay applies to most of these services.
Part B of the Medicare covers two types of services. These are the medically necessary services and the preventive services. Medically necessary services are the services or supplies that are required to diagnose or treat a medical condition and that adhere to acceptable set of standards of medical practice. For instance, the IV antibiotics given to Mrs. Zwinc after suffering the urinary infection will be partly covered under this plan. On the other hand, preventive services cover health care services that serve to prevent an illness (such as flu) or detect it well in advance when the treatment can be effective. In general, part B of the Medicare is used to cover things such as clinical research, durable medical equipment, ambulance services, mental health (for inpatient, outpatient, and partial hospitalization), getting a second opinion before taking up a surgery, and limited outpatient prescription drugs (Wakefield, 2008).
Part D of the Medicare relates to Medicare prescription and drug benefit. Its main purpose is to subsidize the costs of prescription drugs for the beneficiaries of Medicare. Under this plan, part of the cost of the drugs prescribed at her discharge will be met by the Medicare. All she needs to do is to inquire from her prescriber if at all she can apply for exceptions from some of the prescribed drugs. Depending on the tier of the drug, either low or high, the prescriber will recommend to Medicare provider...
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