Question

Barry is a 62-year old male who presented to a physician, for the evaluation of increased abdominal girth, bloating, and nausea. He was found to have cirrhosis from hepatitis C. He was unsure how he contracted the infection, however he believed either it was due to sharing syringes “in my youth” or from having sex with someone who shared needles. He has not sought health care in many years, as he did not have health insurance, working as a short-order cook. He has been told that he has approximately one year to live as his liver failure is advanced. He wants to be put on the list for a liver transplant. In the meantime, he wants to start a treatment for hepatitis C, a treatment that is several thousands of dollars per month. He plans to apply for Medicaid in order to have his treatments covered. He qualifies for MA financially as well as medically. Should MA pay for a new liver for Barry? Would it make any difference from a POLICY standpoint if he contracted hepatitis while on the job as a fire fighter? Should MA pay for his medications, but not the transplant? Should MA pay for neither treatment?

Answer 1

Medicare Advantage(MA) plans include part A that covers liver transplant when the person medically necessary. fire fighter will be covered by worker compensation for their life-threatening disease. Hepatitis C empowered the firefighter with the cultural surrounding disease in the contest of norms and beliefs of the US capitalist. it provides equal access to health care, economy, and responsibility. Medicare Advantage pay for post-transplant drugs. MA part B covers payment of immunosuppressant medication for transplant patients. MA part A partially covers a transplant if the person is qualified. Medicare part D pay for hepatitis C drugs and it covers outpatient prescription drugs to the elderly and makes benefit with equal value to the standard package.