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The Affordable Care Act (ACA) and Medicare

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by

Anne Meyer

on 19 November 2012

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Transcript of The Affordable Care Act (ACA) and Medicare

The Affordable Care Act
& Medicare Presented By Anne Meyer & Sandra Baum Medicaid vs. Medicare Parts of Medicare What's the ACA? The "Donut Hole" Preventive Care What's the ACA's affect on Medicare? Why does this information matter right now? Both programs were created by Congress in 1965 as part of the Social Security Amendments of 1965. Part A
Helps cover inpatient care in hospitals, skilled nursing facility care, hospice, and home health care.
It does not cover everything, though!
Part B
Helps cover medical insurance (doctor services and preventive services.)
Part C
Through Part C, you get your Medicare benefits through private companies approved by Medicare. It includes Part A and Part B and in most cases Part D.
Part D
Helps cover prescription drugs. It's often referred to as the Affordable Care Act (ACA), or more colloquially as “Obamacare.” The Medicare Part D "Donut Hole"
Preventive Care and Screening Before and After the ACA Post-ACA, Medicare now covers mammograms and colonoscopies without charging you for the Part B coinsurance or deductible.

You also can get a free yearly "Wellness" visit. Medicare Open Enrollment is October 15th! Medicaid Medicare Medical bills are paid from federal, state and local tax funds.
Patients sometimes don't pay any costs for covered medical expenses, but in other instances, a co-pay is required. Seniors' medical bills are paid from funds which those covered have paid into.
People of 65 are covered, regardless of their income...but it is not free.
Patients pay part of the costs through deductibles for hospital stays and they are required to pay monthly premiums health care services.
Because Medicare is run by the federal government, its coverage, rules and regulations are basically the same everywhere in the United States. Medicaid is a financial assistance program for low-income people.
Medicaid is based on need and social welfare.
There is no age limit Medicare is an insurance program that provides medical care to people over 65 who are eligible for Social Security (though they need not be collecting it). (cc) image by anemoneprojectors on Flickr Medicare has 4 Parts: The federal Patient Protection and Affordable Care Act (P.L. 111-148), was signed March 23, 2010 and amended by the Health Care and Education Reconciliation Act, signed March 31, 2010. It is a 900+ page law amending the healthcare system, particularly health insurance, in the United States... containing many different provisions with various effective dates. There are two areas, in particular, that the ACA affects... The "Donut Hole" is the common term for the gap in coverage of prescription drugs under Medicare Part D 2010 2020 2009 2013 2011 2012 2014 The enactment of the ACA
One time only, untaxed, $250 reimbursement for anyone who falls into the donut hole 50% discount on brand-name drugs in the donut hole
pay less and less for your generic Part D drugs in the donut hole you will pay less and less for your brand-name Part D prescription drugs in the donut hole the coverage gap will be closed, meaning there will be no more “donut hole,” and you will only pay 25% of the costs of your drugs until you reach the yearly out-of-pocket spending limit. Reduce the out-of-pocket amount that qualifies an enrollee for catastrophic coverage in Medicare Part D (effective through 2019) Prior to the ACA, Medicare didn't cover certain preventive services
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