Increase Affordability

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Reduce or eliminate the Part B lifetime late enrollment penalty

Erroneously delaying Medicare enrollment can have lifetime consequences—currently, a lifetime premium penalty of 10 percent is levied for every year a person should have been enrolled in Medicare […]

May 20th, 2015|Categories: 50 Medicare Wishes, Increase Affordability, Streamline Enrollment|

Allow appeals on the Part D specialty tier

When medically necessary, people with Part D have the right to request that their plan allow them to pay less for high-cost medications when a similar, lower-cost medicine […]

Create a publicly-administered Part D benefit

The Medicare prescription drug program is operated solely by private health plans. Adding a public drug benefit to the Part D program would diminish confusion among beneficiaries who […]

Prohibit Medicare Advantage plans from dropping doctors mid-year without cause

Beneficiaries enrolled in MA plans should be able to count on stability in their plan networks and the knowledge that their doctors will be there when they need […]

Do away with the three-day stay required for skilled nursing facility care

Medicare will only cover a beneficiary’s medically necessary stay in a skilled nursing facility if that person is first an inpatient in a hospital for three days—a rule […]

May 5th, 2015|Categories: 50 Medicare Wishes, Increase Affordability, Modernize Benefits|

Count time spent in observation (outpatient) status toward the three-day rule for nursing care

Absent elimination of the three-day stay rule, Congress should count all time a patient spends in the hospital—as an inpatient or outpatient—toward the three-day rule. Shifting hospital practices […]

May 4th, 2015|Categories: 50 Medicare Wishes, Increase Affordability, Modernize Benefits|

Eliminate the homebound requirement for Medicare coverage of home health care services

Medicare coverage for care at home currently requires that a person be “homebound” and that they meet several other technical requirements. Medicare Rights often hears from beneficiaries who […]

May 3rd, 2015|Categories: 50 Medicare Wishes, Increase Affordability, Modernize Benefits|

Decrease limitations on coverage for Durable Medicare Equipment (DME) outside the home

Medicare only covers DME that is needed inside the home. This limitation restricts access to DME for those who are in skilled nursing facilities and altogether ignores a […]

May 2nd, 2015|Categories: 50 Medicare Wishes, Increase Affordability, Modernize Benefits|

Exclude the sale of a primary home from the calculation for premiums based on income

Higher-income individuals are required to pay a higher amount in Medicare Part B and Part D premiums. These amounts are calculated based on income tax information from two […]

April 30th, 2015|Categories: 50 Medicare Wishes, Increase Affordability|

Provide Medicare coverage for continuous glucose monitors

Medicare does not currently cover monitoring devices for people with diabetes whose blood sugar can rapidly change. Many Medicare beneficiaries and family caregivers contact Medicare Rights about the […]

April 29th, 2015|Categories: 50 Medicare Wishes, Increase Affordability, Modernize Benefits|