27 April 2024

Obamacare Impact On Retirees And Medicare

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Beginning October 15th, seniors can shop for prescription drug or Medicare Advantage managed-care plans in online exchanges allowing them compare features and prices. Although very similar to the Obamacare insurance exchange that launches on October 1st, it is not the same and is causing confusion among some seniors.

A recent survey by Medicare prescription drug plan provider Express Scripts found that 20 percent of seniors think they can enroll in a medical and prescription drug plan through a health insurance exchange. And 17 percent think health exchanges could replace their Medicare plan altogether.

Some seniors on Medicare are wondering how the Affordable Care Act will impact them. The short answer is that there will be no impact. For those already on Medicare, there is no need to use the Obamacare health insurance exchanges.  It is actually illegal for insurers to sell an exchange policy to anyone on Medicare.

Although seniors will not directly access plans or services through the Affordable Care Act, it will have an impact on retirees by making important improvements to Medicare. The catastrophic-level coverage gap known as the "donut hole" will shrink and seniors will now be entitled to a free annual preventative check-up.

And if a senior is not eligible for Medicare because of age or work history, the Affordable Care Act will make it easier for them to access coverage. For those younger than 65 or who did not work for at least 10 years in a job requiring payroll taxes, they will have access to coverage through the Act. For those in this group, the law will prohibit insurers from denying coverage for pre-existing conditions and lifetime limits on coverage will be removed. 

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