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Health Care Reform:

Health Insurance & Affordable Care Act

How Health Reform Affects Arthritis Care Costs

Paying for Arthritis Medicine

Prescription drug coverage is one of 10 essential health benefits under the new law. That means it must be part of any policy that you buy through your state's health insurance Marketplace.

 

Managing Pain

You may benefit from other essential health benefits.  For instance, to care for your arthritis you may need:

If you're on Medicare, your coverage also includes the essential health benefits. So does Medicaid. Also, any plan you buy through your state's insurance Marketplace must offer these benefits. If you get insurance through your job, check your health plan to confirm the details of your coverage.

Related Care

Your arthritis may lead to other health issues. The Affordable Care Act can help with some of the care you may need to treat those conditions, too.

For instance, you can get a free screening for depression. This is part of your preventive care benefits. Check with your health plan for details on how to use this resource.

You will also be able to get free counseling on healthy eating.  Losing weight can ease arthritis pain.

Savings on Drug Costs for Seniors

If you're on Medicare and take medicine for arthritis, you may be pleased to know that the donut hole -- the gap in Medicare coverage for prescription drugs -- is slowly going away. It will be gone by 2020. Then  you will only pay 25% of the cost of your brand-name and generic medications until you hit a yearly limit. See "What Medicare Costs, Part D" to get the details, including what discounts are available until the donut hole closes.

WebMD Medical Reference

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