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There are separate lines for basic Part A and Part B's supplementary medical coverage, each with its own date.There are no lines for Part C or D, for which additional supplemental policies are issued with a separate card.The government added hospice benefits to aid the elderly on a temporary basis in 1982, The Centers for Medicare and Medicaid Services (CMS), a component of the Department of Health and Human Services (HHS), administers Medicare, Medicaid, the Children's Health Insurance Program (CHIP), the Clinical Laboratory Improvement Amendments (CLIA) and parts of the Affordable Care Act (ACA).Along with the Departments of Labor and Treasury, CMS also implements the insurance reform provisions of the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and most aspects of the Patient Protection and Affordable Care Act (PPACA) of 2010 as amended.
They might include the costs of uncovered services—such as for long-term, dental, hearing, and vision care—and supplemental insurance premiums.
Before Medicare's creation, approximately 60% of those over 65 had health insurance, with coverage often unavailable or unaffordable to many others, because older adults paid more than three times as much for health insurance as younger people.
Many of this latter group (about 20% of the total in 2015) became "dual eligible" for both Medicare and Medicaid with the passage of the law.
Until December 31, 1993, the law provided a maximum amount of compensation on which the Medicare tax could be imposed each year, in the same way that the Social Security tax works in the United States.
Beginning January 1, 1994, the compensation limit was removed.