| How
Health Care Reform Affects Medigap and Medicare Advantage Plans The
health care reform bill that got signed into law on March 23, 2010, will affect
all Americans. Most of the changes take place in the small group and individual
health insurance markets, but there are also changes that affect older Americans. Medicare The
new health care law cuts $575 billion from Medicare spending over the next ten
years. Unfortunately, this will affect hospital profitability and could
threaten the existence of some institutions, and it is expected that senior access
to physicians may go down. There
is a new tax on investment income on people who earn over $200,000 a year, called
a Medicare tax. However, the revenues generated by the tax are not allocated
to the medicare trust funds. On
the positive side, the "doughnut hole" in which Medicare recipients must cover
their prescription drug costs will be covered, phased in over the next 20 years. Changes
to Medicare Advantage Many
of the cuts will come from funding for the Medicare Advantage program. Medicare's
Chief Actuary predicts that over half of those on a Medicare Advantage program
(7.4 million people) will lose access to this coverage. Early
Retiree Reinsurance Program From
June 23, 2010 until January 1, 2014, businesses that provide medical coverage
to early retirees can take part in a federally-sponsored early retiree program.
This is intended to help early retirees until state health exchanges and federal
subsidies on individual health insurance are put in place. There is currently
$5 billion dedicated to this program. It will reimburse early retiree's
(and dependents) health care claims for 80% of the costs between $15,000 and $90,000
(adjusted for inflation). An
early retiree is defined as an individual who is 55 or older, not an active employee,
and not yet eligible for Medicare. The reimbursement goes to the employer,
which must pass the savings down to their employee participant. Starting
in 2014 early retirees will have the option of purchasing coverage through the
new health insurance exchange. Once you turn 65 and are no longer covered
by a retirement plan, you will want to sign up for a low-cost Medicare
Supplement plan or a no-premium Medicare
Advantage plan in place to cover any medical needs that may arise before reform
takes place. You
can get the latest information on the current health care reform issues by following
our Healthcare
Debate Blog. You can also watch videos we've created on the U.S. Healthcare
debate at Healthcare
Reform Realities. |