Fact Sheets

December 14, 2016

If the Affordable Care Act is Repealed, What Happens to Medicare and Seniors?

End to Free Annual Wellness Exams  

Prior to the Affordable Care Act (ACA), Medicare allowed for a one-time free check-up when seniors first joined the Medicare program.  The ACA has provided free annual wellness exams for seniors since 2011.

End to Free Preventive Screenings

Thanks to the ACA, Medicare beneficiaries have not been required to pay for any portion of Medicare-covered preventive services recommended by the U.S. Preventive Services Task Force and rated A or B.  The ACA also waived the Medicare deductible for colorectal cancer screening tests.

End of Prescription Drug Discounts  

Prior to the ACA, when beneficiaries fell into doughnut hole, they had to pay 100% of the costs of their prescription medications.  The ACA provides drug discounts and subsidies to help fill in the doughnut hole.  In 2017, the doughnut hole will be between $3700 and $4950. Under the ACA, seniors and disabled beneficiaries who fall in the Part D drug doughnut hole will receive a 60% discount on the price of their brand name drugs and a 49% subsidy toward the purchase of generic drugs.  By 2020, the doughnut hole gap will be closed.  However, if the ACA is repealed seniors will lose these discounts and subsidies.

No Protections against Discrimination for Pre-existing Conditions

The ACA prohibits insurance companies from discriminating against people with pre-existing conditions.

No Protections against Rising Insurance Prices

Prior to the ACA, insurers often charged seniors five times more than they charged a young person for their health care.  The ACA limited what insurers could charge to no more than three times what they charge a young individual for comparable coverage.

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Topics: Affordable Care Act

6 thoughts on “If the Affordable Care Act is Repealed, What Happens to Medicare and Seniors?”

  1. I am not for what Mr. Trump wants to do with the care Act at all he should leave it alone, it’s bad enough what is going on in the world. Let alone to hurt us poor people, I hope you put a stop to it Thank you Diane Parker

  2. Keep the ACA. I support Medicare for all, with options to supplement with private insurance. At very least Republicans need to devise a replacement to the ACA, put it out for public consideration BEFORE any consideration of changes to the ACA

  3. Good afternoon,please can you add my name to the retirement pay rise for all retirees, I don’t have the $10.00 cost fee, i am on a tight budget and can’t afford the cost,but please add my name on the name ballot for the rise, God Bless, Thank You, Joseph

  4. It is important that Obama Care is not replaced. Some tweaking may be needed but to start over is a mistake.

    It is an outrage that the two parties could not agree on a plan together for the good of all Americans.

    Time for all politicians to experience the cost that we have to pay compared to their coverage.

    Robert J. Sternot

    1. A big AMEN!! to all you had to say. It truly is sad when both parties can’t come together for all seniors.

  5. Due to radiation for breast cancer I now have parathyroidism and had 2 parathyroid glands removed, but calcium remains high. Doctor says I musthas take a 30 day QL medication called Sensipar (no other medication exists for this problem, no generic is made and Medicare pays $710/mo for it, and I pay out-of-pocket amount of $35/mo.). We pay also for husband who has to take insulin for diabetes (Medicare pays $699/mo., out-of-pocket $35). Also between both of us we take 10 other generic meds. It is a struggle to cover these amount even wit part D medicare and AARP supplement ($453.52 premium for both each mo.). The biggest worry is in June of 2017 we will both be in “doughnut hole” and have to quit these meds because we cannot afford the 50% amount charged for these drugs. I guess 76 & 78 are old enough as far as health insurance sees it.

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