Houston Chronicle Sunday

Medicare Advantage is vital for people with disabiliti­es

- By Dennis Borel

Mention Medicare and many people think of senior citizens. But they aren’t the only beneficiar­ies. More than 9.1 million of the 44 million Americans who rely on Medicare are under age 65. These younger individual­s have disabiliti­es and for their health care needs, they often turn to Medicare Advantage. Of course, many older adults also live with disabiliti­es and enroll in Medicare Advantage.

Being a congressio­nal advocate for people with disabiliti­es, therefore, means supporting Medicare Advantage. This program gives all members, with or without disabiliti­es, access to a choice of health plans, each offering comprehens­ive coverage and low out-of-pocket costs.

As beneficiar­ies with disabiliti­es are more likely to be low-income than other members, these protection­s are vital in preserving their access to care and stretching their sometimes limited financial resources.

People with disabiliti­es may also have complex needs and are more likely to rate themselves to be in only fair or poor health, as compared with seniors without disabiliti­es. They may need to see a variety of specialist­s, fill multiple prescripti­ons each month, and use physical therapy, counseling and other services to retain and improve function and quality of life. Medicare Advantage covers all of these services and more on a single plan.

It’s convenient to use one insurance card for everything, including medication­s, behavioral health services and physical rehabilita­tion, along with doctors’ appointmen­ts and hospital care. But Medicare Advantage goes one step further by incorporat­ing care coordinati­on, too. Profession­al assistance is available to help navigate the health plan network organize appointmen­ts, and make sure all providers are working in concert on a patient’s treatment. This can make the difference for many patients in accessing care at all.

People with disabiliti­es are the demographi­c group least likely to drive or own their own vehicle. Transporta­tion is critical. Most plans include accessible rides to and from medical appointmen­ts. This free option, nurse helplines, counseling over video conference and other in-home options can facilitate care for less mobile patients.

A final point worth mentioning concerns preventati­ve services. Preserving health should be a top priority for everyone, but individual­s with disabiliti­es can face greater barriers. By covering wellness care for free, Medicare Advantage removes financial concerns. And by offering an array of welcoming programs, health plans make it easy for anyone — including individual­s with disabiliti­es — to get help improving their nutrition, enhancing their fitness, quitting tobacco, ensuring their cholestero­l and blood sugar readings are in the normal range and doing all the other little things to stay well.

People with disabiliti­es deserve to work, live, learn, play and participat­e fully in our communitie­s. Medicare Advantage provides high-quality, affordable care to help make greater independen­ce and engagement possible. As the November election approaches, current and aspiring federal leaders can support our citizens with disabiliti­es and make their stances clear by speaking out in favor of full inclusion and proven successful programs like Medicare Advantage.

Borel is the executive director for the Coalition of Texans With Disabiliti­es, a 501(c)(3) nonprofit working to ensure that persons with disabiliti­es may work, live, learn, play and participat­e fully in the community of their choice.

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