Posts Tagged ‘Medicare catastrophic coverage threshold’

What affect does the Government shutdown have on Medicare?

JeffBaderWhat affect does the Government shutdown have on Medicare? On October 1, 2013 the United States federal government entered a government shutdown.  It has been widely reported that this shutdown is the result of Obamacare, http://blog.eindividualhealth.com/health-insurance/health-care-reform-what-do-i-absolutely-need-to-know   but what about Medicare?

There have been some Medicare related programs that have been deemed “non-essential” and therefore temporarily postponed or cut-back.  The U.S. Department of Health and Human Services (HHS) has instituted a contingency staffing plan under which approximately half of their workforce has been furloughed, including reduced staff at the Center for Medicare and Medicaid Services (CMS) and some health services may be cancelled.  The only Medicare services affected so far are the Annual Influenza Program that provides flu shots through Medicare is delayed and the Government website will not be updated until further notice.

Health Insurance Marketplace will launch October 1st

JeffBaderHealth Insurance Marketplace will launch October 1st. California’s is called Covered California, and some important pieces of healthcare reform, the Affordability and Accountability Act (ACA), will take effect January 1st.   Many people are questioning the impact ACA has on the senior health marketplace as there are parts of the new law that affect Medicare coverage.

Donut Hole Changes

One of the biggest changes under healthcare reform will be prescription costs in the coverage gap, often called the “donut hole,” which occurs in some Medicare Prescription Drug Plans. Once the cost for your prescriptions reaches a certain amount (based on $2970 in 2013 retail cost – not the portion you paid), then you enter the coverage gap where your share of cost becomes considerably higher until you reach the “catastrophic coverage” threshold.

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