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Medicare cost-sharing requirements.

in F r e i s t i l 18.02.2019 02:55
von xuezhiqian123 • 3.383 Beiträge

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Medicare supplemental health plans, popular among politically powerful retirees, could come under the budget knife being wielded by the special deficit-reduction panel of the U.S. Congress, according to sources keeping close watch on its work.


The so-called “Medigap” insurance plans shield the elderly — many living on fixed incomes — from costly deductibles and other expenses not covered by the traditional fee-for-service Medicare healthcare program.


“This one is clearly on the table,” said a lobbyist who has been following “super committee” deliberations on ways to trim federal budget deficits by at least $1.2 trillion over 10 years.


But super committee Democrats are unlikely to vote to saddle retirees with new out-of-pocket expenses if Republicans refuse to embrace tax increases for the wealthy.


While the elderly buy the private plans, studies suggest they boost government Medicare costs as the extra coverage for deductibles and co-pays encourages greater use of medical services. That, in turn, pushes up costs for Medicare, which has to pay for its portion of the care.


As a result, proposals to limit the plans have been included in a number of deficit reduction packages, including one proposed by President Barack Obama.


A congressional aide, who did not want to be identified, told Reuters it was one of the ideas being reviewed by the super committee.


Medigap plans are popular among people who choose not to enroll in Medicare Advantage plans, which deliver Medicare benefits through private insurers, or have no employer-backed retirement health benefits. Some Medigap plans pay nearly all the relatively high Medicare cost-sharing requirements.


The federal government already regulates Medigap plans, which are offered by insurers such as United Healthcare Insurance, a unit of UnitedHealth Group Inc , and Bankers Life and Casualty Company, a unit of CNO Financial Group Inc. .


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