Today, Medicare serves approximately 56 million people, or 17-percent of the population.
SAN LUIS OBISPO, Calif. (PRWEB) May 23, 2018
Medicare then and now
A little known fact today is that “Medicare” was originally the “Dependents’ Medical Care Act,” that was passed in 1956 to provide medical care for families of military personnel. Four years later, in 1961, President Dwight D. Eisenhower held the first White House Conference on Aging during which a health care program for social security beneficiaries was proposed. Congress enacted Medicare and Medicaid in July 1965 under Title XVIII of the Social Security Act. President Lyndon Johnson signed the bill into law on July 30, 1965. The bill provided health insurance to people age 65 and older regardless of income or medical history.
The first two people to become Medicare recipients were former President Truman and his wife, former First Lady Bess Truman. President Truman paid $3 per month for their Medicare coverage, which was deducted from his monthly social security payments.
The Medicare program is operated and monitored by the federal Centers for Medicare and Medicaid Services (CMS), a branch of the Department of Health and Human Services (HHS). CMS also monitors Medicaid programs that are offered by each state.
In 1966, Medicare ended the racial segregation in thousands of waiting rooms, hospitals, and physician practices by making payments to health care providers conditional on desegregating services and facilities.
History is important
History is important because it is helpful to know how things came to be and the influence something from the past has today. With at least 55,000 people receiving Medicare in San Luis Obispo County and another 67,000 in Santa Barbara County, The Polk Insurance Agency would like to share the origins and benefits of Medicare not only with the Central Coast communities, but elsewhere.
Learning more about Medicare. Its origins and how the program has improved health care for so many American’s brings the significance of this program to an entire new generation who, in turn, will benefit from Medicare in the future.
Who pays for Medicare?
Medicare is funded from two trust funds held by the United States Department of Treasury:
The Hospital Insurance (HI) Trust Fund that pays for Medicare Part A benefits and Medicare program administration, including fighting fraud and abuse.
The Supplementary Medical Insurance (SMI) Trust Fund that pays for Part B and Part D benefits and Medicare program administration, including fighting fraud and abuse.
The HI Trust Fund is funded by payroll taxes shared by employees and employers, taxes on self-employed people, income taxes on social security benefits, Part A premiums from people who are not eligible for free Part A and interest earned on the trust fund investments.
Medicare Part B and Part D premiums along with funds authorized by Congress and other sources such as interest earned on the trust fund investments fund the SMI Trust Fund.
Beginning in 1966, workers paid 0.35 percent of their earnings into the Medicare system. The Medicare tax hit 1-percent in 1973 and the current 1.45-percent went into effect in 1986. Employers pay a matching percentage.
Beginning in 2013 workers earning more than $200,000 ($250,000 for couples) paid an additional 0.9-percent. Self-employed workers pay 2.9-percent of earned income into the trust fund.
As a point of interest, in 2014 just the Part A contribution of local workers and employers to Medicare from San Luis Obispo County was more than $7 million.
What Medicare has meant to Americans
Before Medicare older adults often paid over three times as much for health insurance as younger people. Approximately 60-percent of people over 65 had health insurance, but the rest could not afford it. Today, many are eligible for dual coverage by both Medicare and Medicaid.
By July 1966 more than 19 million people were enrolled in Medicare, or roughly 8-percent of the United States population for that year. Today, Medicare serves approximately 56 million people, or 17-percent of the population.
Congress expanded eligibility to younger people with permanent disabilities, for people with end-stage renal disease and in 2001 to cover younger people with Lou Gehrig’s disease. Over the years, Medicare has included benefits for speech, physical and chiropractic therapies.
In the 1980s the options of payments to health maintenance organizations (HMO) was added. The HMO option was formalized in as Part C under the Balanced Budget Act 1997. Medicare Part D was passed and signed by President George W. Bush in 2003.
With Medicare Part C recipients began choosing coverage from private plans. The Susan Polk Insurance Agency specializes in serving Medicare-eligible people by helping them navigate the private plan system and offering plans to provide them with the best possible access to health care.
Susan Polk Insurance Agency, Inc.
1443 Marsh St.
San Luis Obispo, CA 93401
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