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How Medicare Could Provide Dental, Vision, and Hearing Care for Beneficiaries.

Abstract The Medicare program specifically excludes coverage of dental, vision, and hearing services. As a result, many beneficiaries do not receive necessary care. Those that do are subject to high out-of-pocket costs.
PMID
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Authors

Mayor MeshTerms
Keywords
Journal Title issue brief (commonwealth fund)
Publication Year Start




PMID- 29345890
OWN - HSR
STAT- MEDLINE
DCOM- 20180122
LR  - 20180122
IS  - 1558-6847 (Electronic)
IS  - 1558-6847 (Linking)
VI  - 2018
DP  - 2018 Jan 1
TI  - How Medicare Could Provide Dental, Vision, and Hearing Care for Beneficiaries.
PG  - 1-12
AB  - Issue: The Medicare program specifically excludes coverage of dental, vision, and
      hearing services. As a result, many beneficiaries do not receive necessary care. 
      Those that do are subject to high out-of-pocket costs. Goal: Examine gaps in
      access to dental, vision, and hearing services for Medicare beneficiaries and
      design a voluntary dental, vision, and hearing benefit plan with cost estimates. 
      Methods: Uses the Medicare Current Beneficiary Survey, Cost and Use File, 2012,
      with population and costs projected to 2016 values. Findings and Conclusions:
      Among Medicare beneficiaries, 75 percent of people who needed a hearing aid did
      not have one; 70 percent of people who had trouble eating because of their teeth 
      did not go to the dentist in the past year; and 43 percent of people who had
      trouble seeing did not have an eye exam in the past year. Lack of access was
      particularly acute for poor beneficiaries. Because few people have supplemental
      insurance covering these additional services, among people who received care,
      three-fourths of their costs of dental and hearing services and 60 percent of
      their costs of vision services were paid out of pocket. We propose a basic
      benefit package for dental, vision, and hearing services offered as a
      premium-financed voluntary insurance option under Medicare. Assuming the benefit 
      package could be offered for $25 per month, we estimate the total coverage costs 
      would be $1.924 billion per year, paid for by premiums. Subsidies to reach
      low-income beneficiaries would follow the same design as the Part D subsidy.
FAU - Willink, Amber
AU  - Willink A
AD  - Roger C. Lipitz Center for Integrated Health Care at the Johns Hopkins Bloomberg 
      School of Public Health.
FAU - Shoen, Cathy
AU  - Shoen C
AD  - New York Academy of Medicine.
FAU - Davis, Karen
AU  - Davis K
AD  - Roger C. Lipitz Center for Integrated Health Care at the Johns Hopkins Bloomberg 
      School of Public Health.
LA  - eng
PT  - Journal Article
DEP - 20180101
PL  - United States
TA  - Issue Brief (Commonw Fund)
JT  - Issue brief (Commonwealth Fund)
JID - 101087100
SB  - T
MH  - Cost Sharing
MH  - Dental Health Services/economics
MH  - Hearing Disorders/*economics/therapy
MH  - Humans
MH  - Income
MH  - Insurance Benefits/*economics
MH  - Insurance Coverage/*organization & administration
MH  - Insurance, Dental/*economics
MH  - Medicare/*economics
MH  - United States
MH  - Vision Disorders/*economics/therapy
EDAT- 2018/01/19 06:00
MHDA- 2018/01/23 06:00
CRDT- 2018/01/19 06:00
PHST- 2018/01/19 06:00 [pubmed]
PHST- 2018/01/23 06:00 [medline]
PHST- 2018/01/19 06:00 [entrez]
PST - epublish
SO  - Issue Brief (Commonw Fund). 2018 Jan 1;2018:1-12.