How does the Affordable Care Act affect Medicare?
The ACA will protect and preserve Medicare as a commitment to America’s seniors.
To make sure that the quality of care for seniors is not overlooked, a group of doctors and
health care experts will be tasked with their best ideas to improve quality and
reduce costs for Medicare beneficiaries.
Seniors 65 or order are generally eligible for Medicare if:
- You or your spouse worked for at least 10 years in Medicare-covered employment
- You are 65 years or older, and
- You are a citizen or permanent resident of the United States
The new health care law will provide these benefits to seniors 65 or older:
- $250 prescription drug rebate starting in 2010
- Annual wellness exam at no cost to you
- No copayment for certain preventive services
- Coordination of care between doctors
- Improved quality of care at hospitals
- 50% discount on brand-name drugs in the coverage gap
Most plans with Medicare prescription drug coverage have a coverage
gap (called a donut hole). This means that after you and your drug
plan have spent a certain amount of money for covered drugs, you
have to pay all costs out-of-pocket for your prescriptions up to a yearly
limit. Once you have spent up to the yearly limit, your coverage gap
ends and your drug plan helps pay for covered drugs again. Under the
new Act, a 50% discount will be offered in this gap period.
There are instances where individuals might be eligible for both Medicare and Medicaid, or Medicare, regardless of their age, for instance people with disabilities, kidney failure, etc. If so, Medicaid will cover many of the services that Medicare doesn’t cover.