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From: Medicare Watch [mailto:medicarewatch@...]
Sent: Thursday, June 21, 2018 1:34 PM
Subject: As Expected, House Budget Plan Targets Medicare and Medicaid
Developed by the Medicare Rights Center, Medicare Watch is a weekly newsletter providing Medicare news and policy developments, as well as useful Medicare reminders. We hope you enjoy this week's issue.
June 21, 2018 | Volume 9, Issue 24
As Expected, House Budget Plan Targets Medicare and Medicaid
This week, House Republicans unveiled a 2019 budget proposal that would balance the federal budget in nine years—largely by significantly cutting and fundamentally restructuring Medicare and Medicaid. This approach is not unexpected. Lawmakers were clear that after passing a costly tax bill that drives up deficits, they would use these higher deficits to justify cuts to programs like Medicare.
In the House budget resolution, they are keeping that promise: the budget would end Medicare and Medicaid as we know them.
New ACA Repeal Framework Resurrects Damaging Ideas from 2017
This week, the Health Policy Consensus Group—a consortium of think tanks and former and current lawmakers—put forward a new plan to repeal the Affordable Care Act (ACA) that would end Medicaid expansion and eliminate the ACA’s robust consumer protections for individuals with preexisting conditions, adults over 50, and women. If this sounds familiar, it should. Last year saw several plans to end the ACA’s Medicaid funding and consumer protections, often couched in language promising states more “flexibility.” These proposals would have caused millions of Americans to lose access to critical services, pay more for care, or even lose health coverage entirely.
Upcoming Webinar: How to Navigate Medicare and Make Smart Financial Decisions
June 28, 2018 | 3 PM Eastern Time | Space is limited!
Learn the ins and outs of Medicare enrollment and coverage, and gain the necessary tools to weigh Medicare options and make smart financial decisions during the Medicare Rights Center’s next webinar, How to Navigate Medicare and Make Smart Financial Decisions.
Webinar Fee: $40 per person for the live webinar and recording, or $30 per person for the recording only.
Medicare Rights’ experts will cover the following topics:
- Making Medicare enrollment decisions
- Medicare costs
- Medicare costs for people with higher incomes (IRMAA)
- Job-based and retiree insurance options
- Medicare and Health Savings Accounts (HSAs)
- Making Medicare coverage decisions
- Original Medicare
- Medicare Advantage
- Medicare Supplemental Insurance (Medigaps)
- Part D prescription drug coverage
A second opinion is when you ask a doctor other than your regular doctor for their view on symptoms, an injury, or an illness you are experiencing in order to better help you make an informed decision about treatment options.
Medicare covers second opinions if a doctor recommends that you have surgery or a major diagnostic or therapeutic procedure.
Note: Medicare does not cover second opinions for excluded services, such as cosmetic surgery.
Medicare will also cover a third opinion if the first and second opinions are different from each other. The second and third opinions will be covered even if Medicare will not ultimately cover your procedure (unless it is an excluded service).
If the first and second opinions were the same but you want a third opinion, you may be able to see a third doctor for a confirmatory consultation. Medicare may cover a confirmatory consultation if your doctor submits the claim correctly and the services are reasonable and necessary (even if Medicare will not ultimately cover them).
Note: If you are in a Medicare Advantage Plan, your plan may have different cost and coverage rules for second and third opinions. Contact your plan for more information.
Visit Medicare Interactive to learn more about getting quality care.