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Medicare Part D Plans in Ohio and PPACA

Medicare Part D Plans in Ohio and in the other states, as well, is facing big changes due to the Patient Protection and Affordable Care Act. The PPACA was signed into law in 2010, and part of its function is to phase out Medicare Advantage, or Medigap insurance.

Medicare Advantage was enacted in 2003 to begin privatizing Medicare. The 12 policies available are about evenly divided between HMO and PPO policies. These utilize medical networks that provide the private insurance companies discounts in return for guaranteed payment of the agreed upon amounts. This, and Part D for prescription drugs, which was enacted in 2006, are administered by private insurance companies.

In the past, Part D premiums were the same for everyone. Seniors with a lower income could receive help from the government in paying the premiums.

PPACA means that Medicare Part D Plans in Ohio will now charge higher premiums to seniors with more income, with aid still there for seniors with lower income. The income level is set at 2010 levels. This means that as the years pass, more and more people will qualify as “wealthy”, therefore paying the higher premiums.

The donut hole has had a lot of press, and is undergoing a great deal of change. With Medicare Part D Plans in Ohio and elsewhere, you will now get a 50% discount on all prescriptions when you are in the donut hole. This is a significant change from the 100% prior to PPACA. Once you are out-of-pocket $4,550, you are out of the donut hole. At this point, you have reached catastrophic coverage, and will only pay a small copay for the rest of your prescriptions. These expenses do not apply to your monthly premiums. By the year 2020, the gap will be closed, and you should only be paying 25% of your prescriptions.

For a free insurance quote, contact HealthInsuranceChaser.com. You can call 877-775-4321 toll free, and have a quote on Medicare Part D Plans in Ohio within minutes.

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