Are Medicare Home Health Service Copayments Coming Back?

The Medicare home health benefit does not impose a copayment on its beneficiaries, but many in Congress and the Administration are weighing the possibility of saddling a vulnerable population with additional out-of-pocket costs. Despite having Medicare, people 65 or older are most likely to say that cost poses a barrier to care, according to a study by the Commonwealth Fund. Nineteen percent said cost was the reason they did not visit a doctor; they skipped a medical test or treatment recommended by a doctor; did not fill a prescription; or skipped doses.

In fact, home health beneficiaries are older, poorer, sicker, and more likely to be from a minority population than Medicare beneficiaries as a whole. Data from Avalere Health indicates that 24% of home health recipients are over 85 compared to just 12% of all other Medicare beneficiaries. Sixty-six percent of home health seniors live at or below 200% of the Federal Poverty Level compared to just 48% of all other Medicare beneficiaries.

Additionally, 75% of seniors who get the Medicare home health benefit have four or more chronic conditions compared to just 49% of the general Medicare population. Eric Berger, CEO of the Partnership for Quality Home Healthcare, said, “Congress repealed the home health copayment in 1972 for a very good reason. It failed to reduce healthcare costs and instead drove seniors to higher-cost institutional settings. Re-imposition of such failed policy has the potential to compel poor seniors to forego cost-effective home healthcare simply because they cannot pay.” For more information, visit http://www.homehealth4america.org/

Last Updated 10/20/2021

Arch Apple Financial Services | Individual & Family Health Plans, Affordable Care California, Group Medical Insurance, California Health Insurance Exchange Marketplace, Medicare Supplements, HMO & PPO Health Care Plans, Long Term Care & Disability Insurance, Life Insurance, Dental Insurance, Vision Insurance, Employee Benefits, Affordable Care Act Assistance, Health Benefits Exchange, Buy Health Insurance, Health Care Reform Plans, Insurance Agency, Westminster, Costa Mesa, Huntington Beach, Fountain Valley, Irvine, Santa Ana, Tustin, Aliso Viejo, Laguna Hills, Laguna Beach, Laguna Woods, Long Beach, Orange, Tustin Foothills, Seal Beach, Anaheim, Newport Beach, Yorba Linda, Placentia, Brea, La Habra, Orange County CA

12312 Pentagon Street - Garden Grove, CA 92841-3327 - Tel: 714.638.0853 - 800.731.2590
Email:
Jay@ArchApple.com
Copyright @ 2015 - Website Design and Search Engine Optimization by Blitz Mogul