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Will My Medicare Insurance Change Under The Affordable Care Act?

<p>Medicare is a form of national health insurance that currently insures over 45 million people&period; With the advent of the Affordable Care Act and the private exchanges due to roll out in January of 2014&comma; lots of people on Medicare are wondering how their coverage will be affected&period; Let’s take a look at the most common types of insurance and if or how they will change due to the new healthcare law&period;<&sol;p>&NewLine;<h2>Medigap Insurance<&sol;h2>&NewLine;<p>Medigap is a type of health insurance that pays for the portion of your medical bills that Medicare doesn’t cover&period; For example&comma; if you have Medicare and you have a surgery&comma; you will pay for 20&percnt; of the cost of the surgeon’s Medicare-approved fee&period; Medigap plans are also commonly called Medicare supplements&period;<br &sol;>&NewLine;These plans have been around for over 50 years – supplementing Original Medicare A &amp&semi; B so that people like you don’t have to spend thousands paying your share&period;<br &sol;>&NewLine;Since Original Medicare itself is not changing under the new legislation&comma; Medigap plans are not currently slated for any changes either&period;<br &sol;>&NewLine;There are a few bills lingering around Congress that if passed&comma; would change the way Medigap plans work&period; However&comma; none have made it out of committees yet&comma; and until Medicare itself is overhauled&comma; we aren’t like to see too many changes to the basic structure and workings of Medigap plans<&sol;p>&NewLine;<h2>Medicare Advantage plans<&sol;h2>&NewLine;<p>Medicare Part C&comma; commonly called Medicare Advantage&comma; is a program under which beneficiaries can choose to get their benefits through a private insurance company instead of from the federal government&period; Popular options include HMO and PPO style plans where you enroll&comma; agree to use the plan’s network of healthcare providers&comma; and just pay copays for your medical services&period;<br &sol;>&NewLine;These have been widely popular due to their extremely low cost&period; Some advantage plans cost you absolutely nothing at all&period; That’s because Medicare pays the insurance company a monthly fee to deliver your healthcare benefits&period;<br &sol;>&NewLine;While extremely popular&comma; Medicare Advantage plans have the most risk of significant change in 2014&period; One of the ways in which Obamacare itself is funded is that &dollar;120 billion in funding will no longer be allocated for Advantage plans&period;<br &sol;>&NewLine;When this money is re-routed to fund the implementation of the ACA&comma; many of the insurance carriers are likely to raise the monthly premiums they charge for their Medicare HMO and PPO plans&period; They may also institute higher copays that beneficiaries must pay when seeking services&period;<br &sol;>&NewLine;We won’t really know just how much change until sometime closer to October of 2013 when the plans roll out their new outlines and costs for next year&period;<&sol;p>&NewLine;<h2>Medicare Part D<&sol;h2>&NewLine;<p>Medicare drug plans are already benefitting from the new legislation&period; Before the ACA&comma; seniors who had drug spending over a certain annual amount fell into a &OpenCurlyDoubleQuote;coverage gap” where they had to pay for 100&percnt; of the cost of their medications for a time&period;<br &sol;>&NewLine;Although there are catastrophic coverage limits to protect people from too much drug spending&comma; the higher costs during the gap were upsetting many people&period;<br &sol;>&NewLine;Fortunately the ACA has reduced this spending&period; In 2013 when Medicare beneficiaries reach the gap&comma; they now only pay 47&period;5&percnt; of the cost of expensive brand name drugs&comma; and they also get greater discounts on generic medications&period; In addition&comma; the discounts in the gap will continue to increase until 2020&comma; when the gap is scheduled to close altogether&period;<br &sol;>&NewLine;While the success of the Affordable Care Act remains to be seen&comma; we do know that many people are already benefitting from lower drug costs&period; At the same time&comma; there are a great many people who will be negatively affected if their Medicare Advantage plan suddenly gets much more expensive next year&period;<br &sol;>&NewLine;Despite these changes&comma; Medicare itself also needs a major overhaul in order to keep it sustainable for the long term&period; Keep your eyes and ears open for further changes as Congress is very likely to address this in the months to come&period;<&sol;p>&NewLine;<h5>Featured images&colon;<&sol;h5>&NewLine;<p><span class&equals;"license">License&colon; Creative Commons<&sol;span><br &sol;>&NewLine;<span class&equals;"source">image source<&sol;span><br &sol;>&NewLine;Danielle Kunkle is an expert in Medicare-related insurance plans&period; Do you have questions about Medicare&quest; Get answers to your most pressing insurance questions today at www&period;thebenefitbuzz&period;com&period;<&sol;p>&NewLine;

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