Healthcare registration has opened

Open Enrollment for the Health Insurance Marketplace has begun and will last until Jan. 31, 2016. During this time, individuals may sign up for health insurance at healthcare.gov.

Red tile with number seven
Be aware, the Medicare deadline is earlier than the Marketplace.

According to Medicare.gov, Medicare enrollment has an earlier deadline, Dec. 7.

For those continuing their Marketplace plans, changes must be made by Dec. 15.

HealthCare.gov Stock imagery says to "Update & compare plans for 2016."
HealthCare.gov Stock imagery says to “Update & compare plans for 2016.”

 

 

Individuals can locate and compare plans at the Health Insurance Marketplace. Those who have not used the Marketplace before can learn more here.

On the Health and Human Services blog, Cynthia Robinson, a self-employed mother who had congenital joint problems and several spinal surgeries, reduced health insurance costs for herself and her daughter from $1200 a month, to $438 monthly.

Tiles over money read, Save.
There are several ways for people who have low income to potentially save money at the Marketplace.

According to HealthCare.gov, some people qualify for Advanced Premium Tax Credits, which are “based on your estimate of your expected household income for 2016,” and can “lower your monthly insurance bill (or ‘premium’).”

The higher-priced Silver plan may offer additional savings in fewer costs per visit. “If you have a Silver plan and qualify for out-of-pocket savings, the deductible is thousands of dollars less than a typical Bronze plan’s,” according to the website.

If you’d like to know if your income qualifies you for additional savings, click here.

According to the Substance Abuse & Mental Health Services Administration, coverage “includes prevention, early prevention, and treatment of mental and/or substance use disorders as an ‘essential health benefit’ that must be covered by healthplans” offered through the Marketplace.

Quote from Dr. Seuss: I know, up on top you are seeing great sights, but down here at the bottom we, too, should have rights.
Children’s book author Dr. Seuss was ahead of his time recognizing the rights of all.

About half of all Americans meet the criteria for mental illness at some point in their lives, according to the agency.

Picture of man who resembles Santa Clause.
Navigating healthcare can be a challenge for seniors, advocates, and people with disabilities.

“The Open Enrollment Period is the only time all year when every Medicare beneficiary can change coverage, and the options can be confusing,” according to Justice in Aging, an organization that “fights senior poverty through law.”

The organization has created a resource for advocates serving low-income, Medicare-eligible clients.

According to Medicare.gov, the process to apply for Medicare has been simplified and doesn’t require a visit to the Social Security office. “Use our online application to sign up for Medicare. It takes less than 10 minutes. In most cases, once your application is submitted electronically, you’re done.”

Individuals needing it may apply for Medicare at this link.

According to Medicare.gov, people with disabilities who already collect benefits “automatically get Part A and Part B after you get disability benefits from Social Security or certain disability benefits from the RRB for 24 months.” People who have Lou Gehrig’s Disease “automatically get Part A and Part B the month your disability benefits begin.” Pending meeting some requirements, those with End-Stage Renal Disease may qualify for Medicare.

Need more help? You can call staff at Healthcare.gov with questions between 9 a.m.-7 p.m., Monday-Friday, Eastern Time, at 1-800-706-7893 (TTY: 711).

 

 


 

 

 

 

Advertisements

President’s council reveals startling overcharges for hearing aids and solutions

The President’s Council of Advisors on Science and Technology released a report on age- related hearing loss with recommendations to the president.

According to the report, “Aging American & Hearing Loss: Imperative of Improved Hearing Technologies,” “Only a fraction of consumers who need assistance with hearing obtain and use hearing aids, in large part because of high cost, complex dispensing procedures, social stigma, and performance shortfalls.”

Red hearing symbol
According to the report, hearing aids cost thousands to consumers, but only $100 or less to manufacturers.

The report focuses on making access to affordable technology more available. According to the report, cost keeps people from seeking out assistive technology for hearing loss. “A 2014 survey found that the average price of one hearing aid was $2,363, with premium models costing $2,898. Many, if not most, individuals need two hearing aids, one in each ear, doubling the cost.”

“One survey found that 64 percent of people with the most serious hearing loss reported that they could not afford a hearing aid, and over 75 percent identified financial factors as a barrier,” according to the report.

For older Americans, legislative action is required to allow Medicare to pay for hearing aids. One survey finds “50 percent of consumers identifying lack of insurance coverage as a barrier to their acquiring a hearing aid. That failure dates from the original 1966 Medicare amendments to the Social Security Act, which bar Medicare from covering hearing aids. Congressional action is required to change this policy . . .”

Blue hearing aid
Congress will have to make a law to allow Medicare coverage for hearing aids. First, they must be more affordable.

According to the report, legislation to permit Medicare coverage for hearing aids has been introduced by both political parties, but cost has prevented Congress from adopting the laws because of the number of Americans who could potentially need the technology. “If market forces were to lower costs, the analysis and potential for Congressional action would change.”

“When compared in complexity to today’s smartphones costing a few hundred dollars each, even premium-model hearing aids are simple devices but can cost several thousand dollars,” according to the report. “A 2010 study suggested that a hearing aid’s components then cost less than $100; the number today is likely less.”

Picture of pink piggy bank with one dollar symbol
Costco may offer the best prices on hearing aids.

There is room for innovation, according to the report, especially when there are only six manufacturers of hearing aids in the country. Which is the most affordable? “Costco now accounts for about 10 percent of all hearing aids sold, and it sells its house brand (reportedly manufactured by one of the big six manufacturers) for about one-third of the typical retail price. . .”

Asian woman has hand over ear.
Education is needed so that more seniors embrace having hearing aids.

Besides cost, seniors may avoid getting hearing aids because they are worried about how others will perceive them. “Public education can play a role in expanding use, and the arrival of the Baby Boomers as new seniors with different attitudes, including greater familiarity with wearable electronics and greater use, may shift attitudes toward social acceptance,” according to the report.

In a recent email, the Hearing Loss Association of America said it “enthusiastically endorses ” the new report, which it says will “serve to open the market for new innovation in hearing device technologies and also increase choice for consumers with hearing aids…”

Otoscope, or device used to check ears
What would happen if people didn’t have to visit doctors to get hearing aids?

According to the association’s email, the report makes four claims. Two regard the Food and Drug Administration, or FDA. One claim is that the FDA “should approve a class of hearing aids for “over-the-counter sales” without requiring an audiologist or doctor.  Another is that the FDA should withdraw a “draft guidance on Personal Sound Amplification Products that would forbid the manufacturers “from making truthful claims about the functionality of the product in certain situations…”

Potential problems with this would be some individuals might purchase hearing devices not understanding non-age-related potential causes of hearing loss, including earwax, fluid, or a condition that may be causing hearing loss as a side effect.

Audiogram, or hearing test profile showing hearing loss levels
Shareable hearing tests would allow people to share their hearing needs with their vendor of choice.

According to association’s email, the report also recommends that the Federal Trade Commission should require hearing-aid dispensers to “provide the customer with a copy of their results at no additional cost” and “define a process to authorize hearing aid vendors to obtain a copy of a customer’s hearing test results . . . from any audiologist who performs such a test . . .”

While the council’s report recommends changes affecting the hearing aid marketplace, Congress, the Food and Drug Administration, and the Federal Trade Commission, it closes with the alternative: “the costs and risks of inaction with respect to untreated hearing loss in the aging U.S. population are large.”

Resulting changes would make hearing aids more affordable for all, while enabling Congress to finally allow Medicare to cover hearing aid purchases.