Democratic Primaries
In reply to the discussion: Which do you Favor and Why: Medicare for All or ACA expansion? [View all]yellowdogintexas
(22,277 posts)is a giant step and is a key element in the ACA and in Medicare Part B
Screening mammograms, PAP, PSA antigen, colonoscopies, bone densities, annual physical exam are all covered at 100% of contracted rate with no copay or deductible. No out of pocket cost is a huge incentive to have these screenings. The # obstacle to obtaining these services is $$$$$
Medicare also covers flu shots and pneumonia vaccines without copay or deductible.
When I was a claims examiner for Part B services back in the 70s, there were NO screening services covered except mammograms and PAP smears (not the whole well woman visit, just the PAP) and no preventative coverage either (I must have denied a zillion flu shots and Pneumovax in the 5 years I processed claims)
I have worked for many other small group and individual plans which do not cover any thing other than screening Mammograms and Paps IF their state of residence had a state mandate to cover it. This also goes for well child care. ACA covers well child universally. If Medicare is opened to anyone who wants it, it would need to be updated to include services currently not addressed in Medicare.
primary today, I would vote for: Joe Biden