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Friday, Jul 11, 2014
Health & Fitness

Seniors should steer clear of new Insurance Marketplace


Published:

As the Obama administration steps up its efforts to encourage uninsured Americans to enroll in health coverage from the new online Insurance Marketplace, officials have another message for millions of seniors: Please stay away — don’t call and don’t sign up.

“We want to reassure Medicare beneficiaries that they are already covered, their benefits are not changing and the marketplace doesn’t require them to do anything,” said Michele Patrick, Medicare’s deputy director for communications.

To reinforce the message, she said the 2014 “Medicare & You” handbook — the 100-plus-page guide sent to 52 million Medicare beneficiaries this month — contains a prominent notice: “The Health Insurance Marketplace, a key part of the Affordable Care Act, will take effect in 2014. It’s a new way for individuals, families, and employees of small businesses to get health insurance. Medicare isn’t part of the Marketplace.”

Still, it can be easy to get the wrong impression.

“You hear programs on the radio about the health care law and they never talk about seniors and what we are supposed to do,” said Barbara Bonner, 72, of Reston, Va. “Do we have to go sign up like they’re saying everyone else has to? Does the new law apply to us seniors at all and, if so, how?”

Enrollment in health plans offered on the marketplace begins Tuesday and runs for six months. Meanwhile, the two-month sign-up period for private health plans for millions of Medicare beneficiaries begins Oct. 15. In that time, seniors can shop for a private health plan known as Medicare Advantage, pick a drug insurance policy or buy a supplemental Medigap plan.

Since many of the same insurance companies offering coverage for seniors also will sell and advertise policies in the marketplaces, seniors may have a hard time figuring out which options are for them.

“Over the next six months seniors will be bombarded with information, and a lot of it will be conflicting and confusing,” said Nick Quealy-Gainer, Medicare task force coordinator for Champaign County Health Care Consumers, an Illinois advocacy group.

While Medicare officials steer seniors away from the marketplaces, there is nothing in the health law that prevents beneficiaries from signing up for marketplace plans. If they do, they will not qualify for premium tax credits for the marketplace plans.

These plans may appeal to wealthy seniors who pay higher premiums for Medicare based on their income and assets.

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