Ease Your Concerns by Separating Incorrect or Misleading Statements From Fact

Medicare Pathways is aware of the many concerns regarding the Patient Protection and Affordable Care Act (referred to as “Affordable Healthcare Act”) and wants to provide you with the Affordable Healthcare Act Facts.  Medicare Pathways is not only dedicated to providing agents that are highly trained and motivated to aid with your Medicare insurance needs, but also strives to address the concerns that you voice while speaking with our Benefit Specialist.  Medicare Pathways strives to make each Benefit Specialist aware of the facts regarding issues that cause concern, especially regarding the future of original Medicare.  Rest assured that when speaking with a Medicare Pathways Benefit Specialist you will receive the most accurate and up-to-date information available.  Many people voiced concerns regarding original Medicare and the Affordable Healthcare Act during the Annual Election Period (October 15, 2012, through December 7, 2012); therefore, Medicare Pathways has prepared the following Affordable Healthcare Act Facts to address some of these concerns. 

The following is a list of the most common concerns regarding the Affordable Healthcare Act and the facts regarding each issue.  Some items have already been put in place and many are in “the works” and others will take place in years to come. 

Does the Affordable Healthcare Act cut 700 billion from original Medicare? 

Affordable Healthcare Act Facts:

The Affordable Healthcare Act does NOT cut original Medicare for beneficiaries. The Affordable Care Act achieves savings in the original Medicare program through a series of payment reforms, service delivery innovations, and increased efforts to reduce fraud, waste, and abuse. However, the projected reduction in original Medicare spending is largely a result of reducing payments to private Medicare Advantage plans.  If you have a Medicare Advantage plan this could have an effect on your plan in the future.

Does the Affordable Healthcare Act address original Medicare’s future problems?

Affordable Healthcare Act Facts: 

The Affordable Healthcare Act actually extends the life of the original Medicare trust fund by about a decade.

Is the Affordable Healthcare Act Government Takeover?

Affordable Healthcare Act Facts: 

The Affordable Healthcare Act will help people buy private insurance.  The Affordable Healthcare Act allows individual states to set up “exchanges,” or marketplaces, where private insurance companies will compete to offer affordable health coverage for those who do not have and cannot afford it currently. People who have insurance can keep their plans, but will have more consumer protections as a result of Affordable Healthcare Act, including a ban on coverage denials due to preexisting conditions.

Will the Affordable Care Act add to our nation’s deficit?

Affordable Healthcare Act Facts:  

The Congressional Budget Office (CBO) has estimated that The Affordable Healthcare Act will actually reduce the deficit by over $130 billion in the next decade through a series of payment and quality reforms. The Congressional Budget Office also reported that repealing The Affordable Healthcare Act would increase the deficit.

Will the Affordable Healthcare Act Change my Medicare Part D Benefits?

Affordable Healthcare Facts: 

The Affordable Healthcare Act improves benefits in original Medicare.  The Affordable Healthcare Act outlines new benefits and improvements to the original Medicare program, including eliminating the coverage gap (also known as the “donut hole”) for prescription drugs, adding an annual wellness visit, and increasing free preventive services for beneficiaries.

Are Medicare Part B premiums set to jump to $247 in 2014 under The Affordable Healthcare Act?

Affordable Healthcare Act Facts: 

The Affordable Healthcare Act did NOT change the calculation of original Medicare’s Part B premium at all.  The Balanced Budget Act of 1997 permanently set standard original Medicare’s Part B premiums to cover 25% of projected per capita original Medicare’s Part B program costs for beneficiaries aged 65 and older.  If projected original Medicare’s Part B costs increase or decrease, the premium rises or falls.  The Affordable Healthcare Act did not change this. There is no way to predict the premium for future years, as they are based around total costs and are tied to the cost-of-living. The Centers for Medicare and Medicaid Services (also known as “CMS”) announces the original Medicare Part B premiums for the next year at the end of the prior year. Monthly original Medicare Part B premiums may increase, may stay the same, or may even decrease, depending on formulas in place before the Affordable Healthcare Act was signed into law.


When contacting a Medicare Pathways Benefit Specialist for assistance with your Medicare insurance you can rest assured each Benefit Specialist has been through extensive training and is well educated regarding the factors that are affecting original Medicare, if applicable.  If a Medicare Pathways Benefit Specialist is asked a question and is not certain of the correct answer, we will research and find the answer for you.  You can place the utmost trust in a Medicare Pathways Benefit Specialist to work with you and find the most appropriate and most affordable Medicare insurance for your needs.  



Stay Informed! Visit our Medicare News Blog!

Medicare Pathways 1-866-466-9118