Recently the Commonwealth Fund http://www.commonwealthfund.org/ *reported: “ recipients in theory don’t have to worry about obtaining coverage on health law insurance exchanges and, moreover, can’t. Except that is not always the reality.
The notion that the worlds of Medicare and exchange coverage never overlap is a fallacy, a new federal document shows.
Most Americans 65 or older need not be concerned about exchange coverage, according to the 15-page document entitled “Frequently Asked Questions Regarding Medicare and the Marketplace.”
Typically, seniors who have Medicare Part A and Part B are in compliance with the mandate in the health law (PL 111-148, PL 111-152) that people have health insurance. And it’s against the law for someone who knows that to sell or issue such a person a marketplace policy
But there are a few instances when an individual can choose a marketplace plan instead of Medicare.
For example, individuals who didn’t pay Medicare taxes while they worked have to pay a premium of up to $426 a month for Part A of Medicare, which covers hospital and skilled nursing stays, hospice care and some home care. They now have the option of dropping Part A and Part B, which covers doctors.”
* to read the full Commonwealth Fund article “CMS Moves to Define Where Medicare and Exchange Plans Overlap” by John Reichard, highlight and click on open hyperlink
https://www.google.com/?gws_rd=ssl#q=%E2%80%A2%09CMS+Moves+to+Define+Where+Medicare+and+Exchange+Plans+Overlap
Doctor, Did You Wash Your Hands? ™ provides information to consumers on understanding, managing and navigating health care options.
Jonathan M. Metsch, Dr.P.H., is Clinical Professor, Preventive Medicine, Icahn School of Medicine at Mount Sinai; and Adjunct Professor, Baruch College ( C.U.N.Y.), Rutgers School of Public Health, and Rutgers School of Public Affairs and Administration
This blog shares general information about understanding and navigating the health care system. For specific medical advice about your own problems, issues and options talk to your personal physician.