Your Source for Health Reform

Topic: Medicare

Medicare is the federal health insurance program for people 65 and older. It also covers younger people with certain disabilities. It is administered by the CMS and is America’s largest health insurance program. Medicare beneficiaries are largely unaffected by health reform, although some provisions of the ACA strengthen the program.

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Avoiding Medicare Enrollment Troubles

Using information gleaned from its national helpline, the Medicare Rights Center released this November 2014 issue brief on the common enrollment challenges facing those newly Medicare eligible. The brief provides help on coordinating Medicare with other forms of health insurance, enrolling during specified times, and avoiding late enrollment fees.

How Medicare Works with the SHOP Marketplace

Coverage options for older adults continue to get more complicated. This fact sheet from the Medicare Rights Center explains how Medicare and Small Business Health Options Program plans operate when someone has both plans, including which is primary payer, and when you should enroll in Medicare.

Evaluating a Nursing Facility

Medicare beneficiaries often need further care in a nursing facility after discharge from the hospital, but patients and families are often unhappy with these placements. This in-depth guide to finding and choosing a facility was created by the Center for Medicare Advocacy to help families locate facilities in specific geographic areas, compare services and ratings, and consider alternatives to a nursing facility.

What is a Medicare Advantage Plan?

This October 2010 information packet from CMS explains what an Advantage Plan is all about and provides information on coverage, eligibility, benefits, and Medigap policies.

The ACA, Older Adults and People with Disabilities

This August 2013 presentation from AgeOptions covers the Affordable Care Act and Medicare, including provisions already in effect for people without Medicare and changes that would be in effect in 2014 for people without Medicare.

Coverage Options for Individuals Age 65+

This full-color flow chart from Age Options and the Make Medicare Work coalition uses simple questions to help you determine how to obtain coverage through Medicare or the Health Insurance Marketplace based on your eligibility and which is more affordable.

Medicare Part D’s Lessons for the New Marketplaces

This June 2013 brief from the Robert Wood Johnson Foundation describes the lessons learned from the implementation of the Medicare Part D program as they apply to the expansion of coverage via the new health insurance exchanges and Medicaid. (more…)

Comparing Experiences of Adults 55-64 with Those on Medicare

This May 2012 issue brief from the Kaiser Family Foundation discusses provisions of the Affordable Care Act that will expand access to health coverage for those who are approaching retirement but too young for Medicare. It compares the experiences of both uninsured and privately insured adults age 55-64 with those of Medicare beneficiaries. (more…)

Medicare, Medicaid and the Deficit Debate

The Urban Institute’s April 2012 report on the relationship between Medicaid, Medicare and the federal budget deficit finds that spending in both programs has been and will continue to be significantly affected by growth in enrollment.

Benefit Value of Medicare vs. Typical Large Employer Plans: 2012

This April 2012 Kaiser Family Foundation study compares the value of Medicare’s fee-for-service benefits last year with the value of benefits in two large employer health plans – a large health plan serving federal employees and a typical large employer preferred provider organization plan.

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