Take control of your brain health with Staying Sharp! Visit today.
by Patricia Barry, AARP Bulletin, April 23, 2010
The new law guarantees that your existing basic benefits will not change, regardless of whether you receive them through traditional Medicare or a private Medicare Advantage plan.
New Part B benefits: Starting in 2011, if you're in traditional Medicare, you can get an annual physical and many preventive services free. If you're in Medicare Advantage, check with your plan to see if these will be free.
Part D doughnut hole: If you enter the coverage gap this year, you receive $250 toward your drug costs. Starting in 2011, you get a 50 percent discount on all brand-name and biologic drugs you buy in the gap. Over 10 years, you'll gradually receive more discounts for generic drugs as well as brands until the gap closes in 2020.
Part B premiums: In the next 10 years more people will likely be required to pay higher-income premiums because the current income levels on which they're based will be frozen until 2020. Those levels start at $85,000 for a single person or $170,000 for married couples filing joint tax returns.
Part D premiums: For the first time, people with higher incomes (the same as those for Part B above) will pay higher premiums for drug coverage, starting next year.
Medicare Advantage health plans: Medicare currently pays more for people enrolled in many of these private plans than for those in traditional Medicare. The overpayments will gradually be phased out and replaced with a payment system that rewards plans that meet certain quality standards for care and customer service. Also, starting in 2014, plans must spend at least 85 percent of the money they take in from premiums on medical care; and they will no longer be able to charge higher copayments than traditional Medicare for certain services. These changes may prompt some plans to raise premiums, drop extra benefits such as routine vision care and health club memberships, or leave Medicare.
Medigap supplemental insurance: No change. You will not be required to buy a private medigap policy. If you buy medigap insurance outside of the limited time frames when full federal protections apply, insurers can still deny coverage or require you to pay higher rates because of your health and preexisting conditions.
Coverage for people under 65 with disabilities: The two-year waiting period between qualifying for Social Security disability and becoming eligible for Medicare remains unchanged. Early proposals to do away with this delay did not make it into the final law.
Medicare solvency: Cost savings from the new law should keep Medicare financially stable almost a decade longer than if no law had been passed, according to official estimates.
Other Insurance Situations
More Insights About the New Health Care Law
Please leave your comment below.
You must be logged in to leave a comment.
Enter address, city, state, or ZIP code.
Driver Safety (0)
Tax Aide (0)
Entertainment & Dining (0)
Healthcare & Insurance (0)
Financial Services & Insurance (0)
Member Local Offers (0)
Visit the AARP state page for information about events, news and resources near you.
Members can take a free confidential hearing test by phone.
25% off device and online privacy protection plans
25% off the first healthy meal delivery of $99+.
AARP members receive exclusive member benefits & affect social change.
You are leaving AARP.org and going to the website of our trusted provider. The provider’s terms, conditions and policies apply. Please return to AARP.org to learn more about other benefits.
Your email address is now confirmed.
Manage your email preferences and tell us which topics interest you so that we can prioritize the information you receive.
Explore all that AARP has to offer.
In the next 24 hours, you will receive an email to confirm your subscription to receive emails
related to AARP volunteering. Once you confirm that subscription, you will regularly
receive communications related to AARP volunteering. In the meantime, please feel free
to search for ways to make a difference in your community at