The Affordable Care Act and Medicare

HealthTN Affordable Care Act/Obamacare, Medicare

The Patient Protection and Affordable Care Act (PPACA) or the Affordable Care Act as it is commonly known, is the most significant expansion of US healthcare since the passage of Medicare and Medicaid in 1965.  Its primary goal is to decrease the number of uninsured Americans and to reduce the overall costs of healthcare.

Here are some of the ways the Affordable Care Act and Medicare interact, and how changes to the Affordable care act may affect your Medicare.

You’ll receive more preventative services, for less.  Currently, Medicare covers certain preventative services without charging you for the Part B coinsurance or deductible. Medicare recipients will see improvements in the quality of care, services that are priced accordingly and new benefits and services. These additional benefits for seniors on Medicare will help keep seniors healthier by offering more preventative services while keeping their costs lower.

Another benefit for those on Medicare addresses prescription drugs. If you are in the ‘donut hole’, you will get a 50% discount on Part D covered brand name prescription drugs. Discounts would automatically apply at your pharmacy and you don’t have to do anything to get it.  The donut hole will decrease over time and completely close by the year 2020.

Care coordination is another advantage of the Affordable Care Act. Care Coordination makes it easier for doctors to share your healthcare information with other healthcare providers or hospitals to ensure you get the right care in a timely manner.

Most importantly, Medicare coverage is protected.  Under the ACA, your existing Medicare covered benefits won’t be reduced or taken away and you can use the doctor of your choice.

Finally, the Affordable Care Act protects Medicare for many years.  Reductions in fraud, abuse and waste extends the life of the Medicare Trust Fund until at least 2029.

Changes in health care laws can be a bit difficult to understand. If you have any questions about how the Affordable Care Act affects you, you can email us or you may call us toll free at (888) 599-3001.

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