I am enrolled in a Medicare Advantage plan. Did the ACA make changes to this program?
Yes, the law did make some changes to the Medicare Advantage program. This program is an alternative to traditional Medicare, where people on Medicare can choose a private plan, such as an HMO or PPO, to receive Medicare-covered benefits. The law reduced federal payments to these plans to bring them closer to the average costs of traditional Medicare. These payment reductions were fully implemented as of 2017. The law also provided additional payments to plans that earn high quality ratings.
In addition, the law also limited how much cost sharing plans can charge enrollees for certain services, and limited how much plans can spend on administrative expenses and profits (referred to as “medical loss ratio” requirements.)
To learn more about how your coverage options under Medicare, including all of the Medicare Advantage plans, Part D drug plans, and Medigap supplemental policies available in your area, you can go to the Medicare Plan Finder on www.Medicare.gov or call 1-800-MEDICARE.