CATASTROPHIC HEALTH INSURANCE
The primary goal
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The primary goal of the Medicare Catastrophic Coverage Act of 1989 was improved access to health care services for the elderly afflicted with chronic, catastrophic ailments.1 The Act did not provide coverage for age groups other than the elderly. Indigent persons receive catastrophic care coverage through the Medicaid program, and major medical health insurance policies provide some degree of catastrophic coverage for the majority of other Americans. Nevertheless, approximately 30 million Americans have no catastrophic health care coverage of any kind.2 Catastrophic health care coverage is essential for a number of reasons. Changes on either the funding side or the treatment side of the health care equation may easily lead to a situation wherein a patient may be denied access to a specific treatment therapy. A serious implication of this situation is the potential denial of access to necessary health care services for a large proportion of the elderly segment of the population. Mushrooming medical technology also threatens access to catastrophic care for many individuals.3 The high 1Julie Rovner, "Senate Finance Tries Revision of Catastrophic Costs Law." Congressional Quarterly, 1989, 2316 2317. 2John L. Hess, "The Catastrophic Health Care Fiasco," The Nation, 21 May 1990, 698 701; S. M. Rosen, D. Fanshel, and M. E. Lutz, (Eds.), Face of the Nation: Statistical Supplement to Encyclopedia of Social Work (Silver Spring, Maryland: National Assoc
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care Catastrophic Coverage Act concerned the way in which the Act's benefits were funded. Medicare benefits in existence prior to the implementation of the Act are funded through a combination of payroll taxes (which means that working age individuals contribute directly to Medicare funding), general revenues (which means that all taxpayers contribute indirectly to Medicare funding), and beneficiary premiums (which means that participants in the Medicare program contribute directly to Medicare funding). The new Medicare benefits included in the Medicare Catastrophic Coverage Act, however, were funded completely by Medicare participants.
The funding provision of the Medicare Catastrophic Coverage Act did not apply equally to all Medicare participants. First, all Medicare particpants who subscribed to the optional Part B coverage of the program (98 percent of all Medicare participants subscribe to Part B coverage) were chared an additional $4 per month in premiums to partly fund the benefits of the Medicare Catastrophic Coverage Act. In this context, the funding provisions of the Act were, for all practical purposes, universal. The second funding provision of the Act, however, levied a 15 percent surtax on federal income tax l
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Approximate Word count = 1428
Approximate Pages = 6 (250 words per page)
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