HEARING - U.S. Senate Special Committee on Aging

HEARING - U.S. Senate Special Committee on Aging HEARING - U.S. Senate Special Committee on Aging

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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

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

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