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Medicare - Other Considerations

The Balanced Budget Act of 1997 included another provision for eligible persons known as PACE (Programs of All-inclusive Care for the Elderly). PACE provides an alternative to institutional care for people aged 55 and over who require a nursing facility level of care and who meet the eligibility requirements for the program within each State. PACE functions within the Medicaid program as well as under Medicare, and is described more extensively in the Medicaid scope of services section. The individuals enrolled in PACE receive benefits solely through the PACE program. In addition to the new options and changes that were provided through the Balanced Budget Act of 1997, the BBA also enhanced Medicare prevention initiatives and rural health initiatives.

It should be noted that some health care services are not provided under any part of Title XVIII. Non-covered services under Medicare include long term nursing care or custodial care, and certain other health care needs -- such as dentures and dental care, eyeglasses, hearing aids, most prescription drugs, etc. These are not a part of the Medicare program unless they are a part of a managed care plan, or--after January 1, 1999--are selected as a part of the Medicare Advantage program.

See these topics for additional information:

·          Medicare - Overview

·          Medicare - Coverage

·          Medicare - Managed Care Plans

·          Medicare - Financing, Liabilities, and Payments

·          Medicare - Claims Processing

·          Medicare - Administration

·          Medicare - Data Summary

·          Relationship of Medicaid and Medicare

·          Medicare (Part D) Prescription Drug Coverage

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