Short Takes On News & Events

Seniors Missing Out On Some New Medicare Benefits

By Phil Galewitz

June 11th, 2012, 4:15 PM

Next time President Obama vacations in Hawaii– his usual Christmas destination –he might want to tell seniors there about how his health law provides free annual wellness visits for people enrolled in Medicare.

(Photo by ArcticPenguin via Flickr)

So far, just 1 percent of Medicare beneficiaries who live there, or 890 people, have used the benefit this year, the lowest percent of any state, according to figures released Monday by the Centers for Medicare & Medicaid Services.

In contrast, about 8 percent of seniors in Rhode Island have taken advantage of wellness visits in the first five months of 2012, the most of any state. Nationally, about 3.6 percent of beneficiaries, or 1.1 million seniors, have used the visits since January. The wellness visit is not a physical exam. Instead, it’s a time for the doctor to draw up an individual health plan for the patient, including setting up a schedule to get certain screenings and updating a patient’s family and medical history.

There is also wide variation in how seniors in different states use other new preventive services covered by Medicare as a result of the health law. For example, half of Florida seniors this year have used a free benefit that waives the cost of services such as mammograms and colorectal cancer screenings, the highest of any state. Nationally, 43 percent of Medicare beneficiaries, or about 14 million people, have taken advantage of the free care this year.  For all of 2011, about 32 million people in Medicare received one or more preventive benefits free of charge.

In an interview with KHN at the White House Monday, Jonathan Blum, a Medicare deputy administrator, said he can’t explain the state variations, but suggested rates might vary based on each state’s “physician culture” and use of Medicare managed care plans.

Blum he said he is pleased more seniors are becoming aware of the additional Medicare benefits under the law, but noted there is still more work to be done.

“Most seniors don’t know what’s in the law,” said Jim Firman, CEO of the National Council on Aging, a nonprofit advocacy group, at a White House event Monday highlighting benefits to seniors in the health law. Of the new wellness visit benefit, he said: “This is a really good benefit, but you have to use it to maximize the opportunity.”


3 Responses to “Seniors Missing Out On Some New Medicare Benefits”

  1. rick says:

    “Seniors Missing Out On Some New Medicare Benefits”


    As a result of the Supreme Court Ruling regard the Citizen’s United case, the anti-Obamacare groups have huge war chests filled with anonymous donations from wealthy lobby groups and wealthy corporations. Their main objective is to spin as many lies as possible about the Affordable Care Act (ACA) so that seniors remain confused and ignorant about the many great benefits they could access through the new law. Meanwhile, the Obama administration and Democrats are doing very little to get seniors educated about these new benefits. If you ask me, the ACA will eventually go down in flames because Republicans can lie a whole lot better than Democrats and Republicans have unlimited amounts of money to do so. As we have seen in the past decade of unnecessary and unfunded wars and unfunded and failed “trickle down” tax cuts for wealthy 1 percent, Republicans are masters at the spin game!

  2. Would be helpful to have an article with clear outline of what the “Welcome to Medicare” exam consists of and the ICD code to match.

  3. danielle says:

    As a healthcare provider, the laws are just as confusing to us as it is to the Medicare population. The thing that most people Don’t know is that Medicare doesn’t pay for a complete physical, provider actually looking, listening and feeling on them to see if anything is wrong with them or if they are stable with their health care conditions. The Wellness visits are great, but it would be much better to have a complete physical included.