California and the ACA’s Medicaid expansion: eligibility, enrollment and benefits

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Medicaid expansion has raised concerns about overburdening the health care system with a flood of new patients and challenging the financial viability of the program. An Oregon study released in early 2014 reinforced those fears. The study showed more use of primary care and about a 40 percent increase in emergency room visits among the newly insured. However, a recent study by the UCLA Center for Health Policy Research found that the spike in emergency room use was temporary — dropping by two-thirds after two years. The study also found that primary care use did not climb in response to the drop off of emergency room use — meaning overall utilization tapered off. Lead author Jerry Kominski summarized the study this way: “What our findings say to the country is (that) concerns about Medicaid expansion being financially unsustainable into the future are unfounded.”
Source: healthinsurance.org

Medicare.gov: the official U.S. government site for Medicare

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Source: medicare.gov

Understanding Medicare Eligibility in California

Original Medicare includes Part A, which is hospital insurance that covers any inpatient stays in a hospital and Part B medical insurance that covers doctor’s visits and outpatient services. These are included in original Medicare, but many who are eligible for Medicare opt for Medicare Advantage to get the most out of Medicare eligibility. California Medicare Advantage plans often include Part D insurance as well, which is coverage for prescription drugs. Original Medicare does not include this coverage, although there are separate Part D drug plans available for purchase. There are a number of reasons that Medicare Advantage is often opted for with Medicare eligibility. California Medicare Advantage plans can include:
Source: healthmarkets.com

California Medicare Age Eligibility

Medicare Advantage plans can be purchased/selected in addition to Original Medicare (Parts A and B), and become primary to Original Medicare. Advantage plans are required to cover everything that Original Medicare covers, with the exception of hospice care, which is covered by Original Medicare even if you are in a Medicare Advantage Plan.
Source: camedicare.com

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