This assignment is based on Lesson 6 of this course and the content of Chapters 4 and 5 of the textbook.

Your uncle, John Smith, is going to turn 65 in three months. He is self-employed and has owned his own homebuilding business for the past 40 years. He has purchased his own health insurance plan through an independent agent for over 20 years. Now that he will be eligible for Medicare, he wants to know more about the program. He saw a commercial about Medicare on TV, and it suggested to the viewers that they visit the Medicare website.

John went to the Medicare website, but there was so much information and unfamiliar terminology that he became frustrated and quit. He asked a few of his friends who are on Medicare how they chose their plans, and they said they just signed up for the simple plan rather than choosing something else that might not be quite right.

Your mother told your Uncle John that you were in a health-related major at the university, so he called you up for some advice.

Questions

Prepare a Medicare Choices for Uncle John grid. Your grid should be detailed and include the following:

Cost

Deductible(s)

Copayment(s)

Examples of covered services

Any other details you think are important

Make sure the grid is easy for Uncle John to understand. Also, provide your uncle with a list of websites or other services that he may want to use to help him make his decision. Current Medicare costs are available at the Medicare.gov: Medicare 2018 costs at a glance website

Below is a sample grid that you can fill in.

Topic	Medicare Part A	Medicare Part B	Medicare Advantage	Medicare Part D
Coverage
Premium (Use the latest year for which information is available)
Deductible
Copayment

What is the Medicare Part D Coverage Gap (donut hole)? Prepare a summary on how Uncle John can avoid the coverage gap (Resource: Medicare.gov: Costs in the coverage gap) (250 words).

Describe the three steps in medical necessity and utilization review (250 words).

Describe three types of cost controls used by MCOs (250 words).