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The Health Care Law: Things You Need To Know. 2 Agenda People with health insurance People who are uninsured or buy their own coverage People with Medicare.

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Presentation on theme: "The Health Care Law: Things You Need To Know. 2 Agenda People with health insurance People who are uninsured or buy their own coverage People with Medicare."— Presentation transcript:

1 The Health Care Law: Things You Need To Know

2 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

3 3 Supreme Court Decision The individual mandate is constitutional States have the option to expand Medicaid

4 4 What’s Next?

5 5 People with Health Insurance

6 Ends discriminatory insurance practices Insurance companies can’t drop coverage if you get sick (Now) Insurance companies have to justify increases to premiums (Now) Children under age 19 can’t be denied coverage for a pre-existing condition (Now) 6

7 7 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)

8 8 Requires coverage for preventive services  Applies to most insurance plans  Covers more preventive care  Mammograms  Immunizations  Screening for cancer or diabetes

9 9 People Who Are Uninsured Or Buy Their Own Coverage People Who Are Uninsured Or Buy Their Own Coverage

10 10 Makes it Easier to Buy Health Insurance Offers health insurance plans by 2014 Creates Health Insurance Marketplaces

11 Comprehensive benefits Several levels of coverage 11 Creates Health Insurance Marketplaces

12 Starting 2014 For health insurance purchased through an exchange 12 Provides help paying for insurance

13 Extends coverage to young adults 13 Adult children can stay on your policy until age 26 even if they: No longer live with you Are married Are no longer in school

14 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 14

15 15 People Who Have Medicare

16 Protects guaranteed Medicare benefits Improves Medicare benefits Lowers out-of-pocket costs for prescription drugs 16 For People with Medicare

17 17 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

18 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

19 www.aarp.org/doughnuthole

20 20 Medicare covers more preventive services Adds a free annual wellness visit 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

21 21 People Planning for Long-Term Care

22 Makes it easier to file complaints Extends financial protections 22 More information about nursing homes www.medicare.gov/NHcompare

23 Increases consumer protections Makes health insurance more accessible Improves Medicare-covered benefits Increases protections for people in nursing homes 23 Key points to remember:

24 www.aarp.org/healthlawguide

25  The health care law www.aarp.org/healthlawguide www.aarp.org/guiadelaleydesalud  Medicare www.medicare.gov 1-800-633-4227  Insurance plans in your state State Health Insurance Assistance Program www.SHIPtalk.org 1-800-677-1116 25 For More Information

26 26 Has the Health Care Law helped you? Share your personal story www.aarp.org/ShareYourThoughts

27 27 Upcoming Web Events www.aarp.org/HealthWebinars


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