New Medicare Part E Health Plans and Cost Relief
This act introduces new Medicare Part E health plans, available to most citizens, including through employers. It ensures a broader range of benefits, including reproductive services, and sets out-of-pocket spending limits for those using traditional Medicare. It also increases financial assistance for health insurance for lower-income individuals.
Key points
New Medicare Part E Health Plans: Available to most citizens, including through exchanges and employers, offering comprehensive health benefits, including reproductive services.
Medicare Out-of-Pocket Cap: Establishes an annual out-of-pocket spending limit (starting at $6,700 in 2027) for individuals with traditional Medicare, protecting against high medical costs.
Increased Financial Assistance for Insurance: Boosts tax credits and reduces out-of-pocket costs for individuals purchasing insurance on exchanges, especially for lower-income individuals, by basing assistance on 'gold' plans instead of 'silver' plans.
Insurance Rate Control: Strengthens oversight of insurance rates to prevent excessive, unjustified, or unfairly discriminatory increases, with state or federal intervention possible.
Reinsurance Fund: Creates a $30 billion fund for 2026-2028 to help states lower insurance costs and support market stability.
Status:
Introduced
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