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August 2014

Medicare’s Financial Assistance for Out-of-Pocket Health Care Costs

The Medicare program provides vital health insurance coverage to 41 million older Americans and 9 million non-elderly people with permanent disabilities. It is especially critical for low-income beneficiaries, many of whom have serious health needs.

Low-income individuals under 250 percent of the federal poverty level who receive subsidies in the health insurance marketplace or who are enrolled in their state’s expanded Medicaid program  may see the type of financial assistance for which they are eligible change when they move into Medicare. Important programs such as the Medicare Savings Program can help defray health care costs for these low-income individuals, many of whom will still struggle to pay for their health care.

Our graphic illustrates how financial assistance changes when individuals move into Medicare. Our related blog post explains this issue more in-depth.