Chart for Senate Medicare for All Act Transition Period

KEY:

MFA = Medicare for All**

IHS = Indian Health Service

Medicaid = availability depends on income, status* and state

CHIP = Children’s Health Insurance Plan*

Tricare = insurance for military families

VA = Veteran’s Administration

Enhanced Medicare = available to those 65 years of age and over and those with disabilities who qualify. Cap on deductible is $1,500/yr ($0 for inpatient), Cap on Rx is $305/yr, Covers 80% dental, hearing and vision. Two year wait for Medicare disability benefits is waived.

Medicare Advantage = a private health insurance plan through the Medicare system

Transition Medicare Buy In = includes Medicare Advantage Plans (have to include drug benefits – MA-PD Plan), available to those who meet the age requirement, pay monthly premium. No dependents.

FEHBP = Federal Employee Health Benefits Plan

Private insurance (PHI) = as an employee, on the health exchanges*  or as a dependent

Public option = called a Medicare Transition Plan (MTP), only available to those who are eligible to purchase health insurance on the Health Exchange, equivalent to a Platinum Plan.*

 

If you don’t qualify for any of the above, you are uninsured.

*Residents with citizenship or permanent legal status only.

** Covers “all residents” but leaves the definition of residents up to the Secretary of Health, so it may not include undocumented immigrants.

 

Age in years Year 1 Year 2 Year 3 Year 4
0-18 Eligible for MFA or can stay in IHS, Medicaid, CHIP, FEHBP, Tricare, PHI or MTP. * Same Same All in MFA (those covered by IHS can continue to use that system).
19-34 Choices based on eligibility are IHS, VA, Medicaid, FEHBP, Tricare, PHI or MTP. * Same Same All in MFA (those covered by IHS or VA can continue to use that system).
35-44 Choices based on eligibility are IHS, VA, Medicaid, FEHBP, Tricare, PHI or MTP. * Same Same and also eligible for Transition Medicare Buy-in. All in MFA (those covered by IHS or VA can continue to use that system).
45-54 Choices based on eligibility are IHS, VA, Medicaid, FEBHP, Tricare, PHI or MTP.* Same and also eligible for Transition Medicare Buy-in. Same and also eligible for Transition Medicare Buy-in. All in MFA (those covered by IHS or VA can continue to use that system).
55-64 Choices based on eligibility are IHS, VA, Medicaid, FEBHP, Tricare, PHI, MTP and Transition Medicare Buy-in.* Same. Same. All in MFA (those covered by IHS or VA can continue to use that system).
65 and up Enhanced Medicare or Medicare Advantage. Enhanced Medicare or Medicare Advantage. Enhanced Medicare or Medicare Advantage. All in MFA (those covered by IHS or VA can continue to use that system).