Tuesday, July 5, 2011

Medicare



Third, as we continue from July 3rd the discussion of the Patient Protection and Affordable Care Act (“Act”), another area of focus under the Act is Medicare. The Act includes provisions that impact cost-sharing for Medicare Part D prescription medications, add to and change cost-sharing obligations for Medicare Part B preventive benefits, impact cost sharing for participation in Medicare Part B and D, change payment to Medicare Advantage plans and change enrollment periods for Medicare Parts C and D.

Specifically, the "donut hole" is to be eliminated by 2020. Elimination of this coverage gap is significant for seniors. Medicare is moving away from just be about sick care and to be more inclusive of well care including annual check-ups. Enrollment period changes and premium adjustments are additional changes which serve as enhancements to Medicare and therefore to the senior population.

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