provides for minimum level of economic support to persons regardless of earning power in early life or when capable of working
-either provides total support or supplements low social security benefit
supplemental security income
set up as an age entitlement program
-amount of benefit calculated on persons average salary during 35 of his/her working years
social security
other late life income
- private retirement or pension plans
- invested in private sector financial instruments or in government treasury notes
federal government insurance plans
- medicare
- railroad medicare
- medicaid
- tricare
- veterans administration
- person automatically receives this when they turn 65 and have paid medicare taxes for at least 10 years
- includes blind, totally disabled, and individuals with end stage renal disease
- includes acute care, acute and short term rehab, some hospice, and some home health care
medicare part a
- eligible to apply for within 7 months of 65th bday
- covers costs associated with services provided by physicians, NPs, output services, qualified physical, speech, and occupational therapists, and some home health care providers
medicare part b
- medicare advantage plans
- use prospective payment plan including HMO’s and managed care plans
- includes medicare a&b with other services
- premium varies depending on local and range of services
- plan receives set amount for each enrollee regardless of services used
medicare part c
-elective prescription drug plan with associated out of pocket premiums and co payments
medicare part d
what does medicare not cover
custodial care
are families under legal responsibility to care for elders
no
- people often purchase these because of potentially high co payments associated with medicare
- covers only deductibles and part of coinsurance amounts based on medicare approved amounts contracted with providers
supplemental or medigap insurance policies
problem with tricare
most veteran hospitals will only cover and treat problems deemed service connected
health care for low income kids, pregnant women, permanently disabled, and people over 65
-provides long term care
medicaid
main primary prayer for long term care
medicaid and primary pay
legal term indicating that individual still has decision making capacity
competence
indicating ability to understand at level needed for decision at hand
capacity
implied consent
- taking meds
- cooperates with various treatments
- legal document
- client must be competent
- must understand problem, options, decision, consequences of decision, risk and benefits
informed consent
another person designated to act on behalf of person in matters of business and otherwise indicated
POA
another person designated to make health care related decisions for individual unable to make decisions for themselves
health care poa
individuals, agencies, or corporations appointed by the court to have care, custody, and control of a disabled person and manage personal, health care and financial affairs
guardians and conservators
controls finances of ward
conservator
responsible for the person
guardian
complex phenomenon including elder abuse, exploitation and neglect
-can be intentional, accidental, episodic, or recurrent
elder mistreatment
