Medicare

Choosing a Medigap Policy - A Guide to Health Insurance for People with Medicare

Explains Medigap (Medicare Supplemental Insurance) policies, what they cover and how to purchase them. Also available in Spanish. This link opens a PDF document.

Extra Help with Prescription Drug Costs for Medicare Beneficiaries

More Medicare beneficiaries will soon qualify for help paying for their prescription drugs. People on Medicare may be eligible to pay no more than $2.50 for generic drugs and $6.30 for each brand name drug thanks to changes to Medicare's Low-Income Subsidy Program (also called "Extra Help") that take effect this year. Changes in the law will make it easier for Medicare beneficiaries to qualify for "Extra Help" by changing the way income and assets are counted in 2010. The Social Security Administration will no longer count life insurance policies as a resource. Also, help received from family and friends to pay for household expenses like food, mortgage, rent and utilities will no longer count as income.

Guide to Understanding Healthcare Reform for People with Disabilities

The United Spinal Association and the National Spinal Cord Injury Association have issued a guide on healthcare and insurance reforms that explains how they improve the lives of people with disabilities. The Impact of Health Care Reform on People with Disabilities has information about insurance market reforms; mandatory health plan coverage provisions; home- and community-based services; Medicare outpatient therapy caps and Medicaid eligibility requirements; and the new standards that ensure medical equipment in doctors' offices and other medical facilities are accessible. For more information on this subject read Health Reform for Americans with Disabilities in PDF format.

Information Tool Gives Consumers More Control Over Their Own Health Care

HealthCare.gov lets consumers take control of their health care by connecting them to information about quality, affordable health care coverage. HealthCare.gov is a database of health coverage options--from Medicare to the Pre-Existing Conditions Insurance Plan, and information from more than 1,000 private insurance plans. HealthCare.gov answers questions that relate to people with disabilities and health care, and also has information about insurance plans and community services in every state. Take a video tour of this website.

Medicare & The New Health Care Law - What it Means for You

Medicare beneficiaries will soon receive information in the mail about the immediate benefits they may see from the new the Affordable Care Act. The first benefit that several million Medicare beneficiaries will receive is a one-time check for $250, if they enter the Part D donut hole and are not eligible for Medicare Extra Help. The donut hole, or coverage gap, is the period in the prescription drug benefit in which a beneficiary pays 100 percent of the cost of their drugs until they hit the catastrophic coverage. Next year, all beneficiaries who enter the gap will get a 50 percent discount for covered brand name Part D drugs. Also beginning next year, Medicare beneficiaries will get preventive care services like colorectal cancer screening and mammograms without cost-sharing, in addition to an annual wellness visit. A fact sheet about Medicare and the new health care law is available in English and Spanish.

Medicare Basics: A Guide for Families & Friends of People with Medicare

Provides information related to the health and care of a person with Medicare, including planning for future health care decisions, navigating Medicare, health care choices and billing. This link opens a PDF document.

Medicare Expands Coverage for Treating Facial Lipodystrophy Syndrome in People Living with HIV/AIDS

The Centers for Medicare & Medicaid Services (CMS) has announced that it will cover facial injections for Medicare beneficiaries who experience symptoms of depression due to the stigmatizing appearance of severely hollowed cheeks resulting from the drug treatment for Human Immunodeficiency Virus (HIV). The injections included in this coverage are "fillers" that have been approved by the U.S. Food & Drug Administration (FDA). Data show that these injections can improve patient self-image, relieve symptoms of depression, and may lead to improved compliance with anti-HIV treatment.
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Navigating Medicare & Medicaid: Resource Guides for People with Disabilities, Their Families & Their Advocates

Guides developed by the Kaiser Family Foundation explain the role of Medicare and Medicaid for the roughly 20 million children, adults and seniors with disabilities.

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Summary of Coverage Provisions in the Patient Protection & Affordable Care Act and the Health Care & Education Reconciliation Act of 2010

This fact sheet from the Kaiser Family Foundation explains some of the main health coverage provisions of the recently signed health care legislation. Changes include the fact that most individuals will be required to have health insurance beginning in 2014; Individuals who do not have access to affordable employer coverage will be able to purchase coverage through a Health Insurance Exchange, Health insurers will not be allowed to deny coverage to people for any reason, including health status; and Medicaid will be expanded to 133% of the federal poverty level for all individuals under age 65. This eliminates a limitation in the program that prohibits most adults without dependent children from enrolling in Medicaid. This link opens a PDF document.

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