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Your Guide to Understanding MACRA

Posted by Melissa

GPM Life writes, “MACRA stands for the Medicare [1] Access and CHIP Reauthorization Act of 2015. The rule states that as of Jan. 1, 2020, newly-eligible Medicare [1] beneficiaries won’t be able to purchase Medicare [1] supplement plans that cover the Part B deductible. This includes Medicare [1] supplement Plans C, F, High-Deductible F (and Minnesota and Wisconsin Part B deductible coverage). [...] Plus a new Medicare [1] supplement Plan High-Deductible G will be available effective Jan. 1 where offered.”

How Does This Affect You?

  • If you are eligible for Medicare [1] through 12/31/19- Your Medicare [1] options continue to be the same. You can purchase any plan that covers the Part B deductible, or,  keep your existing plan. This includes Supplemental Plans A, B, C, D, F, High-Deductible Plan F, G, and N.

  • If you are eligible for Medicare [1] starting 1/1/2020-  Since you are considered “newly eligible” you cannot purchase a plan that covers the Part B deductible. Your new plan choices now include cost-sharing. In addition, MACRA has Plans D & G be the guaranteed types of plans for the newest Medicare [1] eligible beneficiaries. Other possible Supplemental Plans include A, B, and N.

In addition to the change in plan offerings, the payment system for doctors who treat Medicare [1] patients will change to a pay-for-performance program to be focused on quality, value and accountability.  MACRA was also responsible for the new Medicare [1] cards being issued to all beneficiaries without the use of Social Security numbers.  This will help prevent stolen identities.

Contact Baygroup Insurance [2] or call us at 410-557-7907 for more information on MACRA.

Source

Your Guide to MACRA for Your Medicare [1] Supplement Clients. GPM Life. 25 May 2019.

Tags: 
MACRA [3]
Medicare Supplement (Medigap) [4]

Source URL (retrieved on 06/01/2025 - 3:15pm): https://www.baygroupinsurance.com/blog/your-guide-understanding-macra

Links:
[1] https://www.baygroupinsurance.com/glossary#Medicare
[2] https://www.baygroupinsurance.com/forms/contact-us
[3] https://www.baygroupinsurance.com/tags/tags/macra
[4] https://www.baygroupinsurance.com/tags/insurance-products/medicare-supplement-medigap