Medicare has changed considerably since its inception in 1965. How has this entitlement program changed over the years? Please discuss original Medicare, Medicare + Choice, Medicare Advantage and Prescription Drug Coverage in your postings. How has the coverage, delivery, and payment for these services changed with each modification? Are these good changes or bad changes for Medicare patients? Why or why not?

Health insurance plan in United States of America has been changed drastically over the years. Started in 13 July 1965, medicare services of America is still serving people in the America with the seniors affordable insurance. Since 1965 many other health benefits are also added in the Medicare program.
By having a look on the following factors we can say that the medical care program has been changed very much since 1965.
Pricing policies
Pricing policies has been drastically changed for the medicare facility. President Harry Truman was the first person to sign up for Medicare, with $3 premium which was deducted from his social security checks, now it has gone up to 104$ . Signing up earlier for the Medicare program is essential as the premium prices would go up if you sign later. There is also penalty if you don’t sign up for the Medicare program when you are age of 65. These pricing policies have been turned from ordinary to premium and these are deducted from the social security of an individual.
Tax
Medical system has been very changed in terms of taxes. In the earlier time only .35% of the tax was applied on to the Medicare system. Later it was increased by .5%. In the current condition 1.45% tax is applied on the system since 1986 as well as the self employed workers are directed to pay 2.9% of their income.
Prescriptive drugs
When the Medical program was introduced it does not have anything covering for the medicines. In December 2003 medicare approved private prescription drug plans were introduced by the president George W Bush. Medicare has been changed in several ways for better reason as it also has new guidelines for the prescription drugs and the preventive services. Seniors are allowed to choose between multiple plans available in their location buy availability and the need. Plans can be switched once a year.
Preventive care
New act which is named as affordable care act which is done by the president Obama in 2010 added multiple preventive care services to Medicare which includes Colonoscopies and mammograms. It also helps in reducing the large coverage gap in the Medicare part d and imposed higher premiums on the higher income beneficiaries or individuals.
Social security coordination
Now that is totally based on the social security system. For the people teaching higher than 65 or at the age of 65 can claim the social security. Social security does not require for signing up for Medicare. They do have collaboration with the medicare services to improve the overall situation of the society by maintaining a better and has a free medical service provision to the seniors of the society.
Some of the changes are good for the patients as they provided an extended support to the medical facility being provided to the individuals. Prescriptive drug and the affordable care act are the most important part and changes in the Medicare system which is beneficial for patients.
Premium pricing and higher pricing rate is bird change for the individuals as they have to pay extra from the social security to get the health care plan.
 
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