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Kevin Ramos
December 28, 2022

I’m over 65. How does the legislation affect seniors?

The Affordable Care Act (ACA), also known as Obamacare, is a significant piece of legislation that was designed to reform the U.S. healthcare system and increase access to healthcare for millions of Americans. In this blog post, we will explore how the ACA affects seniors, specifically those who are over the age of 65.

Before the ACA, seniors were often faced with significant barriers to accessing healthcare, including high costs and limited coverage options. The ACA made several changes to the healthcare system that were intended to help seniors access affordable and high-quality healthcare. In this section, we will discuss some of the key provisions of the ACA that affect seniors.

Medicare: The ACA made several changes to Medicare, which is the federal healthcare program for individuals who are over the age of 65 or who have certain disabilities. The ACA increased funding for Medicare and made several improvements to the program, including:

Closing the Medicare Part D "doughnut hole," which was a gap in prescription drug coverage that required seniors to pay a higher out-of-pocket cost for their medications. The ACA gradually closed the doughnut hole by providing seniors with discounts on their prescription drugs.

Expanding preventive care services, such as annual wellness visits and cancer screenings, which are now covered by Medicare at no cost to the beneficiary.

Implementing delivery system reforms, such as the creation of the Medicare Shared Savings Program, which incentivizes hospitals and doctors to work together to improve the quality and efficiency of care.

Long-term care: The ACA made several changes to long-term care, which includes a range of services and support for individuals who need ongoing medical, personal, or social support due to a chronic condition, disability, or aging. The ACA increased funding for long-term care programs, such as the Medicaid program and the Community First Choice Option, which provides home and community-based services to seniors and individuals with disabilities. The ACA also implemented the CLASS Act, which was a voluntary long-term care insurance program that was intended to provide financial protection for individuals who needed long-term care services. However, the CLASS Act was later repealed due to concerns about its sustainability.

Prescription drugs: The ACA made several changes to the prescription drug market that were intended to make medications more affordable for seniors. The ACA:

Provided seniors with discounts on their prescription drugs through the Medicare Part D "doughnut hole" closing.

In conclusion, the Affordable Care Act (ACA) has made significant changes to the healthcare system that have helped to improve access to affordable and high-quality healthcare for seniors. The ACA has made improvements to the Medicare program, increased funding for long-term care programs, and made changes to the prescription drug market to make medications more affordable. While the ACA has made progress in improving access to healthcare for seniors, there are still challenges and issues that need to be addressed, such as the high cost of long-term care and the lack of comprehensive coverage for certain services. Overall, the ACA has made significant progress in improving access to healthcare for seniors and has helped to ensure that they have the support and resources they need to maintain their health and well-being.

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