This graphic compares how financial assistance for out-of-pocket health care costs changes when individuals move into Medicare from health insurance marketplace coverage or their state’s expanded Medicaid program.
The Affordable Care Act (ACA) improved insurance affordability and access for all Americans, including those eligible for Medicare, Medicaid, and private coverage offered through the health insurance marketplace. It strengthened Medicare in many ways — by closing the Part D prescription drug doughnut hole, offering free preventive services, and extending the life of the Medicare trust fund. However, the ACA’s improvements to Medicaid and private market insurance highlight longstanding shortfalls in programs that assist low-income Medicare beneficiaries with their health care costs.
Four Strategies for Improving Programs that Help Low-Income Medicare Beneficiaries with Health Care Costs
Low-income people with Medicare often struggle with high out-of-pocket health care costs. This brief identifies four strategies that advocates and policymakers can use to improve the programs that help these beneficiaries.
Explains the Qualified Individual (QI) program and provides a 50-state look at how people benefit, including how many people get help and how much money QI puts in their pockets.
Explores why low-income people with Medicare struggle to pay for their health care and offers three ways to enable more Medicare beneficiaries to afford the care they need.
Find out which key issues you'll want to tackle in your state this year and get tips on how to stay involved.
Explains how the Affordable Care Act will improve coordination of care for patients with both Medicare and Medicaid ("dual eligibles");provides detailed guidance for advocates.