Have Medicare? The Top 5 Things You Need to Know About the Affordable Care Act

Have Medicare? The Top 5 Things You Need to Know About the Affordable Care Act

Whether you’re one of the 1.7 million Michiganders already receiving Medicare or you’ll be enrolling this year, you might be a little frustrated or confused. It’s important to be as informed as possible about your options, but sometimes Medicare can be difficult to navigate. Throw in the new Affordable Care Act and you might not have any idea what benefits you’re eligible for. To help you out, we’ve highlighted the top things you need to know about the Affordable Care Act if you are enrolled in Medicare.

  1. Medicare coverage options will not change. Medicare is not part of the Health Insurance Marketplace. No matter what Medicare plan you have (Original or Advantage Plan), if you like the plan you have, you don’t have to change. The Affordable Care Act will not impact your Medicare options.
  2. You can save money on prescriptions. For those in the “donut hole*” – the gap in Part D prescription drug coverage – you’ll now receive a 55 percent discount when buying Part D-covered brand-name prescription drugs and a 35 percent discount for Part-D covered generic drugs. The discount is applied automatically at the counter of your pharmacy—you don’t have to do anything to get it.
  3. There are more preventive services. The new law encourages older adults to stay healthy by covering certain preventive services like mammograms, colonoscopies, screenings for diabetes, high blood pressure and high cholesterol and smoking and tobacco use cessation counseling* at no charge. You also can get a free yearly “wellness” visit. Learn more about Medicare’s free preventative services here*.
  4. You do not need to switch doctors. The law does not affect your preferred hospitals, doctors or pharmacies, so continue going to the ones you prefer. Looking for a new physician? Use our Find a Doctor tool to search for a doctor or hospital near you.
  5. The ACA ensures the protection of Medicare for years to come. The Medicare Trust Fund was extended to 2029 because of a reduction to waste, fraud and overall costs. This, according to gov*, will provide Medicare recipients with future savings on premiums and coinsurance.

Do you have other questions about Medicare coverage as it relates to the Affordable Care Act? Leave them in the comments below!

*Blue Cross Blue Shield of Michigan does not control this website and is not responsible for its content.

The benefit information provided is a brief summary, not a complete description of benefits. For more information, contact the plan. Limitations, copayments, and restrictions may apply. [Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance] may change on January 1 of each year.

Medicare Plus BlueSM, BCN AdvantageSM and Prescription BlueSM are PPO, HMO, HMO-POS and PDP plans with Medicare contracts. Enrollment in Medicare Plus Blue, BCN Advantage and Prescription Blue depends on contract renewal. 

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