What Does Your Dream Look Like?

Starting January 1, 2020, Medigap plans sold to new people through Medicare will not be allowed to cover Part B deductibles. Plans C and F are not, and Medicare is paid for by the federal government, not private insurance companies or private health plans.

To achieve universal coverage through a premium-funded public option, as Buttigieg proposes, we would have to automatically include the uninsured in these plans, and then charge them for services that they never signed up for. In the short term, public options would cost much less per person than private insurance plans, but they lack a detailed transition plan. If they make private insurers uncompetitive, they are likely to create a new market for private health insurance in the US, but not for Medicare Advantage plans 2021.

In 2009, the House passed a version of the Affordable Care Act that would have established public health insurance, but the Senate did not.

Moreover, it did not try to outdo insurers by imposing big cuts on providers. Indeed, the Congressional Budget Office estimated that the public plan would have had a net benefit of $1.5 trillion over the next decade, but only about 6 million Americans would choose to participate. Had it survived in the Senate, however, those plans would not have been available to 90% of those already insured, because the House bill limited eligibility for the plans to a small minority of Americans who had self-insured through their employer or health insurance.

These estimates assume that the federal government will be forced to ensure administrative efficiencies by eliminating unnecessary private insurance bureaucracies. A plan aimed at ensuring universal, comprehensive health care without disrupting private insurers and imposing large pay cuts on hospitals and doctors would have been far more expensive. Analysis of the House and Senate bills by the Congressional Budget Office suggests that such a plan would amount to only about $1.5 trillion, or less than one-third, over the next decade.

Democratic activists have come out in favor of Medicare for all the above reasons, but it is an accurate description of Biden’s plan. While this is a sure campaign theme for “Medicare for All,” most Americans will not be allowed to keep private insurance, at least not for long.

As Pete Buttigieg and Joe Biden have described, the former would achieve universal coverage by allowing Americans to participate in a public option, thereby accepting the loss – and refusing to stick to lousy private plans. By contrast, “Medicare for All” would force Americans to adopt what would ostensibly be an “approach” to “universal coverage.” If the debate is embedded in the framework outlined above, public options trump Medicare, and polls suggest the activists are right.

On Thursday, President Donald Trump accused Democrats of “completely wiping out” Medicare and presented himself as a defender of the program as he took the first steps toward expanding private insurance options for Medicare.

Medicare announced in September that Medicare Advantage premiums in 2018 are expected to fall by 23%, the lowest in the last 13 years, and that average monthly premiums will be lower than in any of the previous three years – the average for 2019, 2020 and 2021 – because more than 24 million people are expected to enroll in Medicare Advantage plans in 2020, Medicare said Friday. The announcement of the premium comes amid growing uncertainty about upcoming legislation to curb drug costs for seniors. According to the Centers for Medicare and Medicaid Services, deductibles for inpatient care and hospital admissions in Part I will increase by 44%, from $1,364 in 2019 to $1,408 in 2020.

If you are enrolled in Medicare Part B, you must change your plans if you do not behave and do not use Medicare Part A. If you enroll in Medicare Part A and behave like yourself, you cannot enroll in Medicaid Part I or Medicare Part B and C.

Note: You will not qualify for the special enrollment period if you missed the deadline to enroll in a Medicare health or drug plan under COVID 19.

You can begin Medicare coverage as soon as you turn 65, when you get Social Security or the Railroad Retirement Board. If you have a disability under the age of 65, you are eligible under COVID 19, but you may not be eligible for Medicare until you turn 65 or have taken out Social Security or the railroad pension.

You can catch the wave of changes in Social Security and Medicare, or you can forget them and cancel all your benefits like Medicare, Medicaid and the Railroad Retirement Board (RRB).

Against this background, it is important to know how social security will change in 2020 and beyond. Many of us are counting down the days until we can retire from full-time employment, and for many of you, Social Security will be an important part of your retirement income.