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Medicare and the New Healthcare Law

Medicare and the New Healthcare Law

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Published by KHNews

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Published by: KHNews on May 28, 2010
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MAY 2010
Medicare and the New Health Care Law
What it Means for You
A Message from Kathleen Sebelius,
Secretary of Health & Human Services
Te Afordable Care Act passed by Congress and signed by PresidentObama this year will provide you and your amily greater savings andincreased quality health care. It will also ensure accountability throughout the health care system so that you, your amily, andyour doctor—not insurance companies—have greater controlover your care.Tese are needed improvements that will keep Medicarestrong and solvent. Your guaranteed Medicare benets won’tchange—whether you get them through Original Medicare ora Medicare Advantage plan. Instead, you will see new benetsand cost savings, and an increased ocus on quality to ensurethat you get the care you need.Tis brochure provides you with accurate inormation aboutthe new services and benets to help you and your amily nowand in the uture.Te Centers or Medicare & Medicaid Services (the ederalagency that runs the Medicare, Medicaid, and Children’s HealthInsurance Program) will continue to provide you with up-to-dateinormation about these new benets and will ensure that your personalinormation is sae.Remember—rely on your trusted sources o inormation when it comesto accurate inormation about Medicare, and don’t hesitate to call1-800-MEDICARE or go on-line at Medicare.gov i you have questionsor concerns.
Don’t give your personal Medicare information to anyonewho isn’t a trusted source.
What Stays the Same
he guaranteed Medicare beneits you currently receive will remain the same. During open enrollmentthis all, you will continue to have a choice between Original Medicare and a Medicare Advantage plan.Medicare will continue to cover your health costs the way it always has, and there are no changes ineligibility. But, there are some important beneits that you and your amily can take advantage o startingthis year. Look or more details in your
 Medicare and You
coming this all.
Improvements in Medicare You Will See Right Away
More Affordable Prescription Drugs
I you enter the Part D “donut hole” this year, you will receive a one-time, $250 rebate check i youare not already receiving Medicare Extra Help. hese checks will begin mailing in mid-June, and willcontinue monthly throughout the year as beneiciaries enter thecoverage gap.Next year, i you reach the coverage gap, you will receive a 50%discount when buying Part D-covered brand-name prescription drugs.Over the next ten years, you will receive additional savings until thecoverage gap is closed in 2020.
Important New Benefits to Help you Stay Healthy
• Next year you can get ree preventive care services like colorectalcancer screening and mammograms. You can also get a ree annualphysical to develop and update your personal prevention plan basedon current health needs.
Improvements to Medicare Advantage
oday, Medicare pays Medicare Advantage insurance companies over$1,000 more per person on average than Original Medicare. heseadditional payments are paid or in part by increased premiums by allMedicare beneiciaries—including the 77% o seniors not enrolled in aMedicare Advantage plan.• he new law levels the playing ield by gradually eliminating MedicareAdvantage overpayments to insurance companies.• I you are in a Medicare Advantage plan, you will still receive guaranteed Medicare beneits.• Beginning in 2014, the new law protects Medicare Advantage members by taking strong steps to ensurethat at least 85% o every dollar these plans receive is spent on health care, rather than administrative costsand insurance company proits.
Improvements in Medicare You Will See Soon
Better Access to Care
Your choice o doctor will be preserved.he law increases the number o primary care doctors, nurses, and physician assistants to provide betteraccess to care through expanded training opportunities, student loan orgiveness, and bonus payments.Support or community health centers will increase, allowing them to serve some 20 million new patients.
Better Chronic Care
Community health teams will provide patient-centered care so you won’t have to see multipledoctors who don’t work together.I you’re hospitalized, the new law also helps you return home successully—and avoid going back—by helping to coordinate your care and connecting you to services and supports in your community.
Improvements Beyond Medicare That You and Your Family Can Count On
Improves Long-Term Care Choices
New tools and resources in the Elder Justice Act, which was included inthe new law, will help prevent and combat elder abuse and neglect, andimprove nursing home quality.he new law creates a new voluntary insurance program called CLASSto help pay or long-term care and support at home.• Individuals on Medicaid will receive improved home- and community-based care options, and spouses o people receiving home- and community-based services through Medicaid will no longer be orced into poverty.
Helps Early Retirees
 o help oset the cost o employer-based retiree health plans, the new law creates a program to preservethose plans and help people who retire beore age 65 get the aordable care they need.
Helps People with Pre-existing Conditions
 he new law provides aordable health insurance through a transitional high-risk pool program orpeople without insurance due to a pre-existing condition.Insurance companies will be prohibited rom denying coverage due to a pre-existing condition orchildren starting in September, and or adults in 2014.Insurance companies will be banned rom establishing lietime limits on your coverage, and use o annual limits will be limited starting in September.
Expands Health Coverage for Young People
 Young people up to age 26 can remain on their parents’ health insurance policy starting in September.

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