How Did the Affordable Care Act Affect the Qualifications for Medicare?


Quick Answer

The Affordable Care Act did not actually affect qualifications for Medicare; instead, it allowed participating states to expand qualifications for Medicaid. The expansion of Medicaid qualifications focused on income limits, increasing to 133 percent of the federal poverty level, and providing Medicaid coverage for low income individuals without children.

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Full Answer

There were changes that were made to Medicare as a result of the Affordable Care Act. For example, the Affordable Care Act resulted in changes to coverage related to preventative services including colonoscopies and mammograms. These services are now covered with no out of pocket payment for coinsurance or deductibles, and consumers also receive an annual wellness visit at no charge.

Additional changes made to Medicare as a result of the Affordable Care Act include a 55 percent discount on prescription coverage and the extension of the Medicare Trust Fund until 2029. The discount on prescription coverage applies to medications covered by Medicare Part D, and it is applied automatically at the time the prescription is filled. The extension of the Medicare Trust Fund is designed to help consumers save on their out of pocket coinsurance costs and premiums associated with Medicare coverage.

Medicare.gov does state that recipients of Medicare coverage are able to retain the same benefits that they have always had, and that plans are available through both original Medicare and Medicare Advantage.

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