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Thursday, Jun 21, 2018
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Will health care reform law impact Medicare?

Nearly 50 million Americans are enrolled in Medicare, the federal health insurance program for the elderly and disabled. The 2010 health care law, known as the Affordable Care Act, will make some changes to the program. Here are some answers to frequently asked questions about Medicare and the health law.

Q: The health law creates something called a Health Insurance Marketplace. What is that and can I and others on Medicare apply for coverage on an exchange?

Answer: Medicare is not part of the health insurance marketplace, or exchanges. There is no need for you to enroll in the health law’s exchanges.

The marketplace is for individuals and employers without group coverage who will be able to shop for insurance coverage.

Seniors will still get health coverage through Medicare’s traditional fee-for-service program or Medicare Advantage plans, private health insurance plans that are approved by Medicare. Those who are enrolled in Medicare Part A, which covers hospital care or the Advantage plans, will meet the health law’s mandate for individuals to have insurance.

Q: Does the health care law offer any new benefits for Medicare beneficiaries?

Answer: Beneficiaries receive more preventative services — including a yearly “wellness” visit, mammogram, colorectal screening and more savings on prescription drug coverage. By 2020, the law will close the gap in prescription drug coverage, known as the “doughnut hole.” Seniors still will be responsible for 25 percent of their prescription drug costs.

Q: Does the law cut spending on Medicare?

Answer: Medicare spending will continue to expand as increasing numbers of baby boomers reach 65. However, the law cuts the expected growth of Medicare spending by about $716 billion over the next decade.

Those cuts are made by lowering reimbursements to nursing homes, hospitals and others. It also cuts payments to Medicare Advantage plans to bring those payments closer to what Medicare pays for care for beneficiaries enrolled in the traditional fee-for-service plan.

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