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    Sebelius Medicare Brochure

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    Erick Brockway
    The new healthcare law provides Americans with increased access to affordable health insurance coverage and care. It preserves Medicare benefits while adding new benefits and savings for seniors. Key provisions include closing the Medicare drug coverage gap, eliminating copays for preventive services, strengthening Medicare financing, expanding Medicaid coverage, and prohibiting insurance companies from denying coverage due to pre-existing conditions. The law aims to improve healthcare quality while reducing costs through reduced waste, fraud, and abuse.

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    Sebelius Medicare Brochure

    Uploaded by

    Erick Brockway
    316 views4 pages
    The new healthcare law provides Americans with increased access to affordable health insurance coverage and care. It preserves Medicare benefits while adding new benefits and savings for seniors. Key provisions include closing the Medicare drug coverage gap, eliminating copays for preventive services, strengthening Medicare financing, expanding Medicaid coverage, and prohibiting insurance companies from denying coverage due to pre-existing conditions. The law aims to improve healthcare quality while reducing costs through reduced waste, fraud, and abuse.

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    From http://tinyurl.com/2c7vpwb, an attempt to mislead seniors on costs.

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    The new healthcare law provides Americans with increased access to affordable health insurance coverage and care. It preserves Medicare benefits while adding new benefits and savings for seniors. Key provisions include closing the Medicare drug coverage gap, eliminating copays for preventive services, strengthening Medicare financing, expanding Medicaid coverage, and prohibiting insurance companies from denying coverage due to pre-existing conditions. The law aims to improve healthcare quality while reducing costs through reduced waste, fraud, and abuse.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    316 views4 pages

    Sebelius Medicare Brochure

    Uploaded by

    Erick Brockway
    The new healthcare law provides Americans with increased access to affordable health insurance coverage and care. It preserves Medicare benefits while adding new benefits and savings for seniors. Key provisions include closing the Medicare drug coverage gap, eliminating copays for preventive services, strengthening Medicare financing, expanding Medicaid coverage, and prohibiting insurance companies from denying coverage due to pre-existing conditions. The law aims to improve healthcare quality while reducing costs through reduced waste, fraud, and abuse.

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    Attribution Non-Commercial (BY-NC)
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    of 4

    CENTE ERVI

    Hedicareandthc tcw Hcdth CarcLaw-


    Whatit MeansforYou

    The AffordableCareAct passedby Congressand signedby President


    Obamathis yearwill provide you and your family greatersavingsand
    increasedqualrtyhealthcare.It will alsoensureaccountability
    throughout the health caresystemso that you, your family, and
    your doctor-not insurancecompanies-havegreatercontrol
    overyour care.
    Theseare neededimprovementsthat will keepMedicare
    strong and solvent.Your guaranteedMedicarebenefitswont
    change-whether you get them through Original Medicareor
    a MedicareAdvantageplan. Instead,you will seenew benefits
    and cost savings,and an increasedfocus on quality to ensure
    that you get the careyou need.
    This brochureprovidesyou with accurateinformation about
    the new servicesand benefitsto help you and your family now
    and in the future.
    The Centersfor Medicare& MedicaidServices(the federal
    agencythat runs the Medicare,Medicaid, and Children'sHealth
    InsuranceProgram)will continue to provide you with up-to-date
    information about thesenew benefitsand will ensurethat your personal
    information is safe.
    Remember-rely on your trusted sourcesof information when it comes

    f""".,"&
    to accurateinformation about Medicare,and dont hesitateto call
    l-800-MEDICARE or go on-line at Medicare.govif you havequestions
    or concerns.Don't give your personal Medicare information to anyone
    who isnit a trusted source.
    H f A L " I - i ti A f i f L A t i l ;

    The guaranteedMedicarebenefitsyou curently receivewill remain the same.During open enrollment


    this fall, you will continue to havea choicebetweenOriginal Medicareand a MedicareAdvantageplan.
    Medicarewill continue to coveryour health coststhe way it alwayshas,and there are no changesin
    eligibility. But, there are someimportant benefitsthat you and your family can take advantageof starting
    this year.Look for more detailsin your Medicareand YouHandbookcoming this fall.

    More Affordable PrescriptionDrugs


    . Ifyou enterthePartD "donuthole"thisyear,youwill receive $250rebatecheckifyou
    a one-time,
    arenot alreadyreceivingMedicareExtraHelp.Thesecheckswill beginmailingin mid-fune,andwill
    continue monthly throughout the year asbeneficiariesenter the
    coveragegap.

    . Next year,if you reachthe coveragegap,you will receivea 50o/o


    discountwhen bryrrg Part D-coveredbrand-nameprescriptiondrugs.

    . Over the next ten years,you will receiveadditional savingsuntil the


    coveragegap is closedin 2020.

    lmportantNew Benefitsto Helpyou StayHealthy


    . Next yearyou can get free preventivecare serviceslike colorectal
    cancerscreeningand mammograms.You can also get a free annual
    physical to developand updateyour personalprevention plan based
    on current health needs.

    lmprovementsto MedicareAdvantage
    . Today, Medicare paysMedicareAdvantageinsurancecompaniesover
    $1,000more per personon averagethan Original Medicare.These
    additional paymentsare paid for in part by increasedpremiums by all
    Medicare beneficiaries-including the 77o/oof seniorsnot enrolled in a
    Medicare Advantageplan.

    . The new law levelsthe plafng field by gradually eliminating Medicare


    Advantageoverpaymentsto insurancecompanies.

    . If you arein a MedicareAdvantageplan,you will still receiveguaranteed


    Medicarebenefits.
    . Beginningin 2014,the newlaw protectsMedicareAdvantagemembersby takingstrongstepsto ensure
    that at least85%of wery dollartheseplansreceiveis spenton healthcare,ratherthan administrativecosts
    andinsurancecompanyprofits.
    HIALTH C ARI LAW

    BetterAccessto Care
    . Yourchoiceofdoctorwill bepreserved.
    . Thelaw increases to providebetter
    the numberof primarycaredoctors,nurses,andphysicianassistants
    andbonuspayments.
    to carethroughorpandedtrainingopportunities,studentloanforgiveness,
    access
    allowingthemto servesome20million newPatients.
    . Supportfor communityhealthcenterswill increase,

    Better Chronic Care


    . Cornmunityhealthteamswill providepatient-centered caresoyou won't haveto seemultiple
    doctorswho don't work together.
    . If you're hospitalized,the newlaw alsohelpsyou return homesuccessfully-andavoidgoingback-by
    helpingto coordinateyour careand connectingyou to servicesand supportsin your community.

    lmprovesLong-TermCareChoices
    o New tools and resourcesin the Elder fustice Act, which was included in
    the new law, will help prevent and combat elder abuseand neglect,and
    improve nursing home quality.
    . The new law createsa new voluntary insuranceprogram called CLASS
    to help pay for long-term care and support at home.
    . Individuals on Medicaid will receiveimproved home- and community-
    basedcareoptions,and spousesof peoplereceivinghome- and community-
    through Medicaid will no longer be forced into poverty.
    basedser-\rices

    Helps Early Retirees


    retireehealthplans,the newlaw createsa programto preserve
    . To helpoffsetthe costof employer-based
    thoseplansandhelppeoplewho retirebeforeage65getthe affordablecaretheyneed.

    Helps People with Pre-existingConditions


    . The new law providesaffordablehealth insurancethrough a transitionalhigh-risk pool program for
    peoplewithout insurancedue to a pre-existingcondition.
    . Insurancecompanieswill be prohibited from denyingcoveragedue to a pre-existingcondition for
    children startingin September,and for adultsin 2014.
    . Insurancecompanieswill be bannedfrom establishinglifetime limits on your coverage,and useof
    annuallimits will be limited startingin September.

    for YoungPeople
    ExpandsHealthCoverage
    . Youngpeopleup to age26 canremainon their parents'healthinsurancepolicystartingin September.
    HEALTHCARELAW

    New Tools to Fight Fraud and Protect Your KeepsMedicare Strong and Solvent
    Medicare Benefits . Over the next 20 years,Medicare spending will
    . The new law containsimportant new tools to help continue to grow, but at a slightly slower rate as
    crack down on criminals seekingto scamseniors a result of reductionsin waste,fraud, and abuse.
    and stealtaxpayer dollars. This will extendthe life of the Medicare Trust
    Fund by L2 yearsand prcvide cost sal'ingsto
    . It reducespayment errors, waste,fraud, and
    those on Medicare.
    abuseto make Medicare more efficient and return
    savingsto the Trust Fund to strengthenMedicare . In 2018,seniorscan expectto saveon average
    for yearsto come. almost $200per year in premiums and over $200
    per year in co-insurancecomparedto what they
    . You are an important resourcein the fight against
    would have paid without the new law.
    fraud. Be vigilant and rely only on your trusted
    sourcesof information about your Medicare . Upper-income beneficiaries($8S,OOO of annual
    benefits. income for individuals or $170,000for married
    couples filing jointly) will pay higher premiums.
    . Call l-800-MEDICARE if you have any questions
    This will impact about 2o/oof Medicare
    or want to report somethingthat seemslike fraud.
    beneficiaries.

    For more information about the new health carelaw now, visit
    www.medicare.gov.If you have any questions,call I-8OO-MEDICARE
    (1-800-633-4227)or your StateHealth InsuranceAssistanceProgram(SHIP).
    Visit www.medicare.govor call l-800-MEDICARE to get their telephone
    number.TTY usersshould, call l-877-486-2048.Ifyou needhelp in a languageother than Englishor
    Spanish,say"Agent" at any time to talk to a customerservicerepresentative.
    Visit the EldercareIocator at www.eldercare.gov to find out how to access
    home-and community-
    basedservicesandbenefitscounseling,transportation,meals,homecare,and caregiversupportservices.
    You canalsocall l-800-677-Lll6. The EldercareLocator,a public serviceof the U.S.Administrationon
    Aging is your first stepfor finding local agenciesin everyU.S.community.

    CMSProductNo.11467

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