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Newly Effective Health Reform Benefits for Older Americans

  • Synopsis: Published: 2010-09-23 - National Senior Citizens Law Center Statement on Newly Effective Health Reform Benefits for Older Americans - National Senior Citizens Law Center.

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National Senior Citizens Law Center Statement on Newly Effective Health Reform Benefits for Older Americans.

The National Senior Citizens Law Center welcomes the Patients' Bill of Rights provisions of the Affordable Care Act, that take effect today, along with other provisions securing important benefits for older Americans.

Protections Against Chronic Insurance Abuses That Plague Older Adults

No demographic group has suffered more from insurance abuses than older adults who are not yet eligible for Medicare.

Those protections include:

Protections against common insurance industry practices that avoid covering treatment for the ill and injured

Barring insurers from arbitrarily canceling coverage after illness or injury strikes, or that requires expensive treatment

Barring lifetime caps on coverage amounts

Requiring insurers to cover preventive care, such as mammograms, colonoscopies, and immunizations, with no out-of-pocket cost - no deductibles, co-payments, or co-insurance

Denying or canceling coverage due to a pre-existing medical condition

Protection Against Arbitrary Cutbacks in Eligibility, Quality, and Availability of Long-Term Care Services.

One important element to older adults takes effect immediately. States are barred until 2014 from cutting back eligibility for long-term care services. This means that seniors receiving Medicaid coverage for critical services will have their eligibility guaranteed for at least the next three years.

Provisions Effective in 2011 That Confer Critical Benefits on Older Americans

And, in 2011, a number of other positive provisions for low income older adults that NSCLC supports will take effect:

Support for Care at Home. The law will make it easier for lower income people with Medicaid to get long-term care at home instead of in a nursing home by providing extra federal funds to states that provide in-home services.

Improved Nursing Home Quality. Some nursing home quality standards will be improved and there will be enhanced training for workers who care for seniors. Over half of all Americans will reside in nursing homes for some period during their lives, and two of every three nursing homes receive all or part of their financial support from Medicaid.

Phasing Out the Donut Hole. If you do not qualify for the low-income subsidy under Medicare Part D, you may be subject to the donut hole. In 2011, you'll pay only half of what your plan charges for brand-name drugs - a 50% discount.

Better Coordination for Dual Eligibles. The law provides for a new office in the federal government that will ensure that people who have both Medicare and Medicaid receive the best possible care.

In addition, there will be new protections against elder abuse, neglect, and financial exploitation as well as free wellness visits under Medicare and incentives to providers to coordinate care - all taking effect in 2011.

National Senior Citizens Law Center is the only national non-profit whose principal mission is to protect the rights of low income older adults. Through advocacy, litigation, and the education and counseling of local advocates, we make the law work to ensure their health, economic security and continued access to the courts. NSCLC has offices in Washington, DC, Oakland and Los Angeles, CA. For more information, visit www.nsclc.org

Related Information:

  1. How Will Health Care Reforms Affect Me
  2. Putting Power Over Health Care Into Hands of Americans
  3. Health Insurance Reform Medicare Advantage for Seniors


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