Catastrophic and long-term health care: hearings before the Committee on the Budget, United States Senate, One Hundredth Congress, first session, June 1, 1987--Warren, MI; June 22, 1987--Flint, MI; June 29, 1987-- Lansing, MI; August 28, 1987--Marquette, MI; November 11, 1987--Detroit, MI.

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U.S. Government Printing Office, 1988 - Broj stranica: 955
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Stranica 137 - ... devastating medical costs. Chart 2 shows that a Medicare beneficiary with two hospital stays would, on average, incur out-of-pocket expenses that would total nearly $3000 without private supplemental insurance and would even result in expenses over $1600 with an average insurance policy.
Stranica 165 - Medicare hospital inpatient coverage, including the lifetime reserve days, coverage of 90% of all Medicare Part A eligible expenses for a lifetime maximum of up to 365 days; and coverage of Medicare Part B coinsurance up to at least $5,000 per year, subject to a maximum annual out-of-pocket deductible of $200.
Stranica 150 - We view this element of the package as inseparable from the cap which, at $1000, is too high to adequately protect low-income beneficiaries. Under the transitional care component, we recommend: o Elimination of SNF coinsurance; o Elimination of the three-day prior hospitalization requirement for SNF eligibility; o An expanded home health care benefit; o A respite benefit to provide assistance to caregivers.
Stranica 135 - Committee found that approximately 2/3 of single older persons and 1/3 of older couples in Massachusetts were impoverished after only 13 weeks in a nursing home. As such statistics indicate, the impoverishment of a spouse in the community in order to finance the care of an institutionalized mate is one of the most serious problems facing older couples today. To be eligible for Medicaid, couples must often spend-down their combined income and assets, leaving one spouse - usually the wife - destitute....
Stranica 49 - I am Director of the Social Security Department of the International Union, United Automobile, Aerospace and Agricultural Implement Workers of America (UAW), and a member of the Health Security Action Council.
Stranica 354 - Nature of the Problem When we speak of "long term care", we are describing a wide range of medical and support services provided to individuals who have lost some or all capacity to function on their own due to a chronic illness or condition and who are expected to require these services for an extended period of time. About 70 percent of the noninstitutionalized elderly with long term care needs receive their help solely from family members and friends.
Stranica 498 - The History of the world is none other than the progress of the consciousness of Freedom; a progress whose development according to the necessity of its nature, it is our business to investigate.
Stranica 163 - Is pleased to have this opportunity to testify concerning the Important Issue of catastrophic coverage for health and long-term care needs. For many years, the AMA has advocated that catastrophic health care coverage should be Included as part of a package of minimum benefits In all health Insurance plans. Such catastrophic coverage can often be provided at relatively small additional cost. In addition, even though the vast majority of persons would never actually use the catastrophic benefit, its...
Stranica 143 - Protecting Beneficiaries Against Acute Care Catastrophic Costs It is reassuring to believe that the Medicaid program serves to protect elderly beneficiaries from potentially catastrophic acute care out-of-pocket expenditures. But this is not necessarily the case. The Congressional Budget Office (CBO) reports that in 1986 only 27% of elderly people with family incomes below $5000 were covered by Medicaid (see chart 3). How can this be? We have only to look to the variability in Medicaid's eligibility...

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