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Medicare is a single-payer federal program providing health insurance for individuals ages 65 and older, those meeting the definition for permanent disability within the Social Security Act, 1 and those with end-stage renal disease. 2 Medicare also covers care that is both reasonable and necessary in  connection with the diagnosis and treatment of the underlying illness or injury. 3 Medicare evolved from the Social Security Act over the course of three decades. The original Social Security Act 4 was drafted between 1934 and 1935 by the Committee on Economic Security; 5 the Committee during the first term of President Franklin Delano Roosevelt’s presidency, had been under the oversight of United States Secretary of Labor Frances Perkins.

A Brief Introduction to Medicare and the Office of Medicare Hearings and Appeals