How does the Affordable Care Act Benefit Seniors?

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  • In 2010, a $250 rebate for Medicare Part D prescription drugs was provided if your cost exceeded $2,700—that is, if you fall into the “donut hole.” This amount has increased each year and the donut hole will be completely closed by 2020
  • All guaranteed Medicare benefits remain intact, and reforms help the program remain solvent for years to come
  • 50% discount on brand-name drugs
  • Co‐payments and deductibles eliminated for annual check-ups, preventive services and screening—such as mammograms and colonoscopies
  • Investments in training more primary care providers, which will provide greater access to doctors
  • Stronger incentives for hospitals to reduce avoidable, harmful re-admissions, reduce medical errors, and prevent acquired infections from medical settings
  • Annual wellness visits allow you take steps to stay healthy
  • Return to fairness as subsidies to Medicare Advantage plans reduced back in-line with traditional Medicare
  • Advantage plans required to spend at least 85% of its revenue from premiums and subsidies on medical claims
  • Medicare Advantage plans that meet certain quality standards will receive bonuses; this creates incentives to provide quality care
  • Medicare Advantage plans cannot reduce basic, guaranteed Medicare benefits, but some extras—such as free eyeglasses and gym memberships—will likely be reduced

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