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Published byBelinda Foster Modified over 9 years ago
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Find Your Way Around The Health Care Law
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2 Agenda People with health insurance People who are uninsured or buy their own coverage People with Medicare People planning for their long-term care
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3 People with Health Insurance
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Ends discriminatory insurance practices Insurance companies can’t drop coverage if you get sick (Now) Insurance companies have to justify increases to premiums (Now) No one can be denied coverage for a pre-existing condition (2014) 4
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5 Eliminates lifetime and annual coverage limits Insurance companies can’t place lifetime limits on your coverage (Now) Insurance companies can’t place annual limits on your coverage (2014)
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6 Requires coverage for more preventive services Mammograms Immunizations Screening for cancer or diabetes
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7 People Who Are Uninsured Or Buy Their Own Coverage People Who Are Uninsured Or Buy Their Own Coverage
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8 Makes it Easier to Buy Health Insurance Offers health insurance plans by 2014 Creates The Health Insurance Marketplace Creates The Health Insurance Marketplace
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Comprehensive benefits Several levels of coverage 9 Creates Health Insurance Marketplaces
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Starting 2014 For health insurance purchased through the Marketplace Must meet income limits to be eligible 10 Provides help paying for insurance
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Extends coverage to young adults 11 Adult children can stay on your family policy until age 26 even if they: No longer live with you Are married Are no longer in school
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Options for States to Expand Medicaid Your state has the option to expand coverage to more people Starts in 2014 Must meet income limits to be eligible 12
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13 People Who Have Medicare
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Protects guaranteed Medicare benefits Improves Medicare benefits Lowers out-of-pocket costs for prescription drugs 14 For People with Medicare
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15 Lowers out-of-pocket drug costs 2020: Coverage gap will disappear Part D cost sharing will remain 2020: Coverage gap will disappear Part D cost sharing will remain 2013: 52.5% discount on brand name drugs 21% discount on generics 2013: 52.5% discount on brand name drugs 21% discount on generics
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Medicare Drug Coverage 52.5% discount for Brand Name and 21% for Generic Initial BenefitCatastrophic Benefit You pay: Deductible and 25% of drug costs You pay: 5% of drug costs Doughnut Hole
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www.aarp.org/doughnuthole
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18 Medicare covers more preventive services Expands coverage for preventive care No copayments or deductibles for Medicare-approved preventive care Call Medicare at 1-800-633-4227 www.medicare.gov Call Medicare at 1-800-633-4227 www.medicare.gov
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19 People Planning for Long-Term Care
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Makes it easier to select a nursing home Makes it easier to file complaints 20 More information about nursing homes www.medicare.gov/NHcompare
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Increases consumer protections Makes it easier to find health insurance Improves Medicare-covered benefits Increases protections for people in nursing homes 21 Key points to remember:
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www.HealthLawAnswers.org
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The health care law www.HealthLawAnswers.org www.miLeyDeSalud.org Medicare www.medicare.gov 1-800-633-4227 The Marketplace in your state www.healthcare.gov 1-800-318-2596 23 For More Information
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24 Has the Health Care Law helped you? Share your personal story www.aarp.org/ShareYourThoughts
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25 Upcoming Web Events www.aarp.org/HealthWebinars
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