MedPac is making several recommendations:
- Placing a deductible on both A & B services of $500.
- Placing a Maximum Out of Pocket on Medicare A & B.
- Replacing Co-Insurance with Co-Payments, depending on the type of service.
- Charge an additional amount for Medicare Beneficiaries who elect to purchase Medigap insurance (5% to 20% of Part B premium).
Most likely, a proposal this sweeping would need to be introduced by a new Congress in 2013, however, there is support from both Democrats and Republicans to fundamentally change Medicare’s benefit structure.