Affordable Care Act Senior Question

Answer to a question from one our blog readers

by Ray Wilson+ on Aug 31, 2013

We have been receiving frequent questions about senior health care and we’ve decided to publish questions and answer them on the site.

QUESTION: For seniors on medicare, making under 20K per year, now paying $4K for a medigap plan, wouldn’t Obamacare be an option?And would be free, with the subsidy, at this income level. Obamacare would be secondary payer, Medicare primary payer. What am I missing?


Seniors Don’t Use ObamaCare Plans

We know that this can be confusing. The basic answer is the new ACA plans don’t apply to persons over 65. So even if someone made under 20k per year, ObamaCare subsidies would not be available for them. The new subsidies are only available for those under 65 purchasing the new metal plans known as ObamaCare Bronze, Silver, Gold, and Platinum Health Plans.

Medicaid Helps Seniors

Seniors who need financial help may qualify for Medicaid. It depends on the state a senior resides to know if they qualify, because some states have expanded Medicaid, while others have blocked its expansion. If you do qualify, Medicaid may cover your Original Medicare deductibles and coinsurance.

Medigap Fills in Gaps

Since Medigap is there to cover the gaps that Original Medicare leaves open you don’t need both Medigap and Medicaid, however Medigap is a great option if you make too much money to qualify for Medicaid. Medigap plans can cover deductibles, coinsurance, excess charges, and foreign emergency care.

Please email in your question and we will try to answer it on our blog. Also if you would like to learn more about Medigap or Medicare call 800-930-7956 or contact Senior65.

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