HEARING - U.S. Senate Special Committee on Aging
HEARING - U.S. Senate Special Committee on Aging HEARING - U.S. Senate Special Committee on Aging
91 "Medicare will cover everything' was the second most frequent reason why they do not buy Medigap. State agencies in Washington, Wisconsin and Idaho already are operating successful education programs and other states are considering this approach. The Department of Health and Human Services could provide Information to newly enrolled Medicare beneficiaries, Including comparisons of coverage, loss ratios, and exclusions of private plans that meet the applicable state and federal standards. In addition. beneficiary education could emphasize that neither Medicare nor Medigap are designed to cover long term care. Alternately, senior groups or Medicare contractors could provide educational outreach. These programs could inform beneficiaries about existing options to minimize their expenses, such as HMOs/CMPs, and could help beneficiaries compare the value of Medigap policies. Secretary Bowen's report recommends education for long term care, but that also would be a relatively Inexpensive approach to Inform beneficiaries of the need for catastrophic coverage of acute-care expenses. Long Term Care Catastrophic Protection The lack of long term care protection is the largest catastrophic coverage gap for the elderly. While Medicare and Medigap provide the elderly with reasonable protection from catastrophic acute-care expenses, long term care Is the elderly's largest single out-of-pocket health expense. The private sector is beginning to respond to this need. The Blue Cross and Blue Shield organization recently completed a major effort to determine the feasibility of long term care insurance. Though multiple impediments exist, we believe insurance is workable. Indeed, one Blue Cross and Blue Shield Plan has begun to offer this coverage, and several other Plans have pilot programs. 8
92 However, public awareness is needed. Neither Medicare nor Medigap were designed to cover long term care but most elderly persona incorrectly believe these programs will cover them. Thus, consumer education and financial incentives appear necessary. Therefore, we strongly support the thrust of Secretary Bowen's recent recommendations to protect the elderly from catastrophic costs of long term care by having the federal government encourage private solutions through; o Working with the private sector to educate the public about the risks, costs and financing options for long term care, and the coverage limitations of Medicare and Medigap. o Encouraging personal savings for long term care through tax-favored Individual Medical Accounts. o Encouraging development of private long term care insurance through: 1) A 50 percent tax credit for persons over age 55 who purchase such insurance; 2) Favorable tax treatment for long term care insurance reserves; and 3) Removal of the DEFRA statutory barriers to employers' prefunding of long term care coverage for retirees. We believe these federal activities would result in substantially increased purchase of private long term care insurance. In addition to protecting the elderly from catastrophic expenses, widespread purchase of long term care insurance would reduce federal and state expenses for Medicaid payments to nursing homes. We urge you to explore these proposed governmental incentives for private sector solutions, and would be pleased to work with you on this important issue. 9
- Page 43 and 44: 40 finding out is that it is very l
- Page 45 and 46: 42 industry's role in providing cat
- Page 47 and 48: 44 Senator HEINZ. So things are wor
- Page 49 and 50: 46 Chairman MELCHER. In exactly the
- Page 51 and 52: 48 plement policy, what should that
- Page 53 and 54: 50 - 2 - I am Robert Shapland, Vice
- Page 55 and 56: 52 - 4 - CATASTRIPC PROTECTION IiDE
- Page 57 and 58: 54 -6- MiCIGAP INSJRANCE: A RPL1C/P
- Page 59 and 60: 56 To ensure that all of these cont
- Page 61 and 62: 58 - 10 - The HJAA also endorses Me
- Page 63 and 64: 60 - 12 - Finally, given that Congr
- Page 65 and 66: 62 - 14 - A recent HLAA survey of o
- Page 67 and 68: 64 Chairman MELCHER. Senator Heinz.
- Page 69 and 70: 66 Mr. SHAPLAND. I think we are in
- Page 71 and 72: 68 Those problems are real problems
- Page 73 and 74: 70 Mr. SHAPLAND. Oh, no. There are
- Page 75 and 76: 72 comprehension, and it is growing
- Page 77 and 78: 74 that educational process, and we
- Page 79 and 80: 76 So we have supported and activel
- Page 81 and 82: 78 Mr. SHIAPLAND. How much would nu
- Page 83 and 84: 80 rently being offered by the indu
- Page 85 and 86: 82 Recently, Karri Lynn has started
- Page 87 and 88: 84 Mr. Chairman and Members of the
- Page 89 and 90: 86 standards for voluntary certific
- Page 91 and 92: 88 non-group subscribers of reporti
- Page 93: 90 We believe a new federal program
- Page 97 and 98: 94 Item 3 Testi~ony of GAIL SHEARER
- Page 99 and 100: 96 to Secretary Bowen's proposals c
- Page 101 and 102: 98 -4- most-states do not monitor t
- Page 103 and 104: 100 Catastrophic Protection within
- Page 105 and 106: 102 - a - participants and in part
- Page 107 and 108: 104 - 2-- Consumers Union suV orts
- Page 109 and 110: 106 29), but fails to acknowledge t
- Page 111 and 112: 108 explore all alternatives to lon
- Page 113 and 114: 110 adds to the complexity of Medic
- Page 115 and 116: 112 - 10- Consider first the propos
- Page 117 and 118: 114 - 12- insurance premiums and me
- Page 119 and 120: Consunmer Unon Pubtishcr of Consume
- Page 121 and 122: FOR RELEASE AT 9:00 P.M. H2ST) TUES
- Page 123 and 124: 120 Itema I CENTER FOR MEDICARE ALw
- Page 125 and 126: Page 3 122 aide services, however,
- Page 127 and 128: Page 5 state treasuries." 124 Judge
- Page 129 and 130: 126 462 6485 New Developments 10,05
- Page 131 and 132: 128 462 6-85 New Developments 10,05
- Page 133 and 134: 130 462 6-85 New Developments 10,05
- Page 135 and 136: 132 10,930 New Developments tI.PZ ;
- Page 137 and 138: 10,932 134 New Davelopments 492 346
- Page 139 and 140: 136 10,934 New Developments It! ;6
- Page 141 and 142: 10,936 138 New Developmenlt I. Thc
- Page 143 and 144: 140 10,938 New Development. 492 S-8
92<br />
However, public awareness is needed. Neither Medicare nor Medigap were designed to<br />
cover l<strong>on</strong>g term care but most elderly pers<strong>on</strong>a incorrectly believe these programs will<br />
cover them. Thus, c<strong>on</strong>sumer educati<strong>on</strong> and financial incentives appear necessary.<br />
Therefore, we str<strong>on</strong>gly support the thrust of Secretary Bowen's recent<br />
recommendati<strong>on</strong>s to protect the elderly from catastrophic costs of l<strong>on</strong>g term care by<br />
having the federal government encourage private soluti<strong>on</strong>s through;<br />
o Working with the private sector to educate the public about the risks, costs and<br />
financing opti<strong>on</strong>s for l<strong>on</strong>g term care, and the coverage limitati<strong>on</strong>s of Medicare and<br />
Medigap.<br />
o Encouraging pers<strong>on</strong>al savings for l<strong>on</strong>g term care through tax-favored Individual<br />
Medical Accounts.<br />
o Encouraging development of private l<strong>on</strong>g term care insurance through:<br />
1) A 50 percent tax credit for pers<strong>on</strong>s over age 55 who purchase such insurance;<br />
2) Favorable tax treatment for l<strong>on</strong>g term care insurance reserves; and<br />
3) Removal of the DEFRA statutory barriers to employers' prefunding of l<strong>on</strong>g term<br />
care coverage for retirees.<br />
We believe these federal activities would result in substantially increased purchase of<br />
private l<strong>on</strong>g term care insurance. In additi<strong>on</strong> to protecting the elderly from<br />
catastrophic expenses, widespread purchase of l<strong>on</strong>g term care insurance would reduce<br />
federal and state expenses for Medicaid payments to nursing homes. We urge you to<br />
explore these proposed governmental incentives for private sector soluti<strong>on</strong>s, and would<br />
be pleased to work with you <strong>on</strong> this important issue.<br />
9