{"id":19082,"date":"2020-04-21T14:45:03","date_gmt":"2020-04-21T18:45:03","guid":{"rendered":"https:\/\/avalere.com\/?p=19082"},"modified":"2022-07-19T13:49:13","modified_gmt":"2022-07-19T17:49:13","slug":"nearly-23m-individuals-may-be-eligible-for-medicare-coverage-under-biden-proposal","status":"publish","type":"post","link":"https:\/\/advisory.avalerehealth.com\/press-releases\/nearly-23m-individuals-may-be-eligible-for-medicare-coverage-under-biden-proposal","title":{"rendered":"Biden\u2019s Medicare at 60 Proposal Could Cover 23M Under Medicare"},"content":{"rendered":"
[vc_row][vc_column][vc_column_text]On April 9, as part of a broader response to the economic downturn and unemployment resulting from the COVID-19<\/a> pandemic, presumptive Democratic nominee Joe Biden<\/a> revealed a proposal that would make individuals aged 60 and older eligible for Medicare. Newly eligible individuals would have the option to enroll in Medicare, continue receiving health insurance through their existing source of coverage (i.e. employer, exchanges, Medicaid), or access insurance through Biden\u2019s proposed public option.<\/p>\n

By extending Medicare eligibility to individuals aged 60 and older, Biden\u2019s proposal could potentially shift enrollment into Medicare from a variety of existing health insurance coverage sources, depending on consumer decision-making. Specifically, 13.4M individuals enrolled in employer-sponsored insurance, 3.8M in Medicaid, 3.2M in the individual market, and 600K in other government insurance programs (e.g., TRICARE, Veteran\u2019s Affairs, Indian Health Services) could become eligible for Medicare under Biden\u2019s plan.<\/p>\n

Notably, Medicare expansion could provide access to another form of insurance for 1.7M previously uninsured individuals ages 60\u201364.[\/vc_column_text][vc_single_image image=”19084″ add_caption=”yes” img_caption=”Figure 1. Composition of Individuals Newly Eligible for Medicare Under Biden Proposal, Ages 60\u201364, 2018 ” css=”.vc_custom_1587494675399{margin-top: 50px !important;margin-bottom: 20px !important;}”][vc_column_text]\u201cExpanded Medicare eligibility could provide one more option to older Americans, helping reduce the number of uninsured or underinsured in the market,\u201d said Chris Sloan, associate principal at Avalere Health. \u201cUptake will vary by state, depending on the cost of other forms of coverage, number of uninsured individuals over 60, and level of subsidies to reduce beneficiary out-of-pocket spending.\u201d[\/vc_column_text][vc_single_image image=”19085″ add_caption=”yes” img_caption=”Figure 2. Newly Eligible Medicare Beneficiaries by State, Ages 60\u201364, 2018 ” css=”.vc_custom_1587494694357{margin-top: 50px !important;margin-bottom: 20px !important;}”][vc_column_text]Decisions to enroll in Medicare would depend on both the generosity and cost of Medicare plans compared to existing coverage, as beneficiaries will weigh relative cost sharing and premiums. The policy does not provide details on the availability of Medicare Advantage or Medigap plans for newly eligible beneficiaries.<\/p>\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n
Table 1. Composition of Individuals Newly Eligible for Medicare By State Under Biden Proposal, Ages 60\u201364, 2018<\/caption>\n
State<\/th>\nTotal<\/th>\nEmployer-Sponsored Insurance<\/th>\nMedicaid<\/th>\nIndividual Market<\/th>\nOther Government<\/th>\nUninsured<\/th>\n<\/tr>\n<\/thead>\n
National<\/td>\n23M<\/td>\n59%<\/td>\n17%<\/td>\n14%<\/td>\n3%<\/td>\n7%<\/td>\n<\/tr>\n
AL<\/th>\n320K<\/td>\n62%<\/td>\n12%<\/td>\n13%<\/td>\n5%<\/td>\n9%<\/td>\n<\/tr>\n
AK<\/th>\n50K<\/td>\n53%<\/td>\n24%<\/td>\n5%<\/td>\n8%<\/td>\n11%<\/td>\n<\/tr>\n
AZ<\/th>\n470K<\/td>\n51%<\/td>\n21%<\/td>\n14%<\/td>\n5%<\/td>\n9%<\/td>\n<\/tr>\n
AR<\/th>\n190K<\/td>\n53%<\/td>\n19%<\/td>\n15%<\/td>\n5%<\/td>\n8%<\/td>\n<\/tr>\n
CA<\/th>\n2.7M<\/td>\n52%<\/td>\n27%<\/td>\n14%<\/td>\n2%<\/td>\n6%<\/td>\n<\/tr>\n
CO<\/th>\n400K<\/td>\n56%<\/td>\n16%<\/td>\n17%<\/td>\n5%<\/td>\n7%<\/td>\n<\/tr>\n
CT<\/th>\n280K<\/td>\n66%<\/td>\n16%<\/td>\n13%<\/td>\n0%<\/td>\n4%<\/td>\n<\/tr>\n
DE<\/th>\n70K<\/td>\n67%<\/td>\n18%<\/td>\n9%<\/td>\n3%<\/td>\n3%<\/td>\n<\/tr>\n
DC<\/th>\n40K<\/td>\n54%<\/td>\n30%<\/td>\n9%<\/td>\n1%<\/td>\n5%<\/td>\n<\/tr>\n
FL<\/th>\n1.5M<\/td>\n51%<\/td>\n12%<\/td>\n21%<\/td>\n4%<\/td>\n13%<\/td>\n<\/tr>\n
GA<\/th>\n640K<\/td>\n61%<\/td>\n10%<\/td>\n13%<\/td>\n4%<\/td>\n12%<\/td>\n<\/tr>\n
HI<\/th>\n100K<\/td>\n66%<\/td>\n16%<\/td>\n13%<\/td>\n3%<\/td>\n2%<\/td>\n<\/tr>\n
ID<\/th>\n120K<\/td>\n59%<\/td>\n8%<\/td>\n19%<\/td>\n3%<\/td>\n11%<\/td>\n<\/tr>\n
IL<\/th>\n910K<\/td>\n63%<\/td>\n16%<\/td>\n13%<\/td>\n2%<\/td>\n6%<\/td>\n<\/tr>\n
IN<\/th>\n460K<\/td>\n64%<\/td>\n14%<\/td>\n13%<\/td>\n3%<\/td>\n6%<\/td>\n<\/tr>\n
IA<\/th>\n230K<\/td>\n65%<\/td>\n15%<\/td>\n16%<\/td>\n1%<\/td>\n4%<\/td>\n<\/tr>\n
KS<\/th>\n200K<\/td>\n68%<\/td>\n6%<\/td>\n16%<\/td>\n3%<\/td>\n8%<\/td>\n<\/tr>\n
KY<\/th>\n300K<\/td>\n56%<\/td>\n26%<\/td>\n11%<\/td>\n3%<\/td>\n5%<\/td>\n<\/tr>\n
LA<\/th>\n330K<\/td>\n53%<\/td>\n24%<\/td>\n12%<\/td>\n3%<\/td>\n8%<\/td>\n<\/tr>\n
ME<\/th>\n110K<\/td>\n64%<\/td>\n8%<\/td>\n17%<\/td>\n4%<\/td>\n6%<\/td>\n<\/tr>\n
MD<\/th>\n450K<\/td>\n68%<\/td>\n15%<\/td>\n10%<\/td>\n3%<\/td>\n4%<\/td>\n<\/tr>\n
MA<\/th>\n530K<\/td>\n64%<\/td>\n24%<\/td>\n9%<\/td>\n1%<\/td>\n2%<\/td>\n<\/tr>\n
MI<\/th>\n760K<\/td>\n64%<\/td>\n18%<\/td>\n13%<\/td>\n1%<\/td>\n4%<\/td>\n<\/tr>\n
MN<\/th>\n410K<\/td>\n64%<\/td>\n17%<\/td>\n13%<\/td>\n2%<\/td>\n3%<\/td>\n<\/tr>\n
MS<\/th>\n190K<\/td>\n54%<\/td>\n16%<\/td>\n14%<\/td>\n4%<\/td>\n12%<\/td>\n<\/tr>\n
MO<\/th>\n410K<\/td>\n64%<\/td>\n9%<\/td>\n16%<\/td>\n3%<\/td>\n8%<\/td>\n<\/tr>\n
MT<\/th>\n90K<\/td>\n49%<\/td>\n16%<\/td>\n21%<\/td>\n5%<\/td>\n10%<\/td>\n<\/tr>\n
NE<\/th>\n130K<\/td>\n71%<\/td>\n4%<\/td>\n18%<\/td>\n2%<\/td>\n5%<\/td>\n<\/tr>\n
NV<\/th>\n200K<\/td>\n55%<\/td>\n19%<\/td>\n12%<\/td>\n4%<\/td>\n9%<\/td>\n<\/tr>\n
NH<\/th>\n110K<\/td>\n71%<\/td>\n9%<\/td>\n11%<\/td>\n2%<\/td>\n7%<\/td>\n<\/tr>\n
NJ<\/th>\n660K<\/td>\n66%<\/td>\n15%<\/td>\n11%<\/td>\n1%<\/td>\n7%<\/td>\n<\/tr>\n
NM<\/th>\n150K<\/td>\n48%<\/td>\n29%<\/td>\n13%<\/td>\n5%<\/td>\n6%<\/td>\n<\/tr>\n
NY<\/th>\n1.5M<\/td>\n59%<\/td>\n26%<\/td>\n9%<\/td>\n1%<\/td>\n4%<\/td>\n<\/tr>\n
NC<\/th>\n660K<\/td>\n60%<\/td>\n11%<\/td>\n16%<\/td>\n4%<\/td>\n9%<\/td>\n<\/tr>\n
ND<\/th>\n60K<\/td>\n68%<\/td>\n10%<\/td>\n14%<\/td>\n4%<\/td>\n4%<\/td>\n<\/tr>\n
OH<\/th>\n880K<\/td>\n65%<\/td>\n16%<\/td>\n11%<\/td>\n2%<\/td>\n6%<\/td>\n<\/tr>\n
OK<\/th>\n250K<\/td>\n57%<\/td>\n9%<\/td>\n12%<\/td>\n10%<\/td>\n11%<\/td>\n<\/tr>\n
OR<\/th>\n320K<\/td>\n55%<\/td>\n22%<\/td>\n16%<\/td>\n3%<\/td>\n5%<\/td>\n<\/tr>\n
PA<\/th>\n990K<\/td>\n64%<\/td>\n16%<\/td>\n15%<\/td>\n1%<\/td>\n5%<\/td>\n<\/tr>\n
RI<\/th>\n80K<\/td>\n59%<\/td>\n26%<\/td>\n11%<\/td>\n1%<\/td>\n3%<\/td>\n<\/tr>\n
SC<\/th>\n340K<\/td>\n58%<\/td>\n12%<\/td>\n15%<\/td>\n4%<\/td>\n10%<\/td>\n<\/tr>\n
SD<\/th>\n60K<\/td>\n65%<\/td>\n3%<\/td>\n20%<\/td>\n6%<\/td>\n6%<\/td>\n<\/tr>\n
TN<\/th>\n460K<\/td>\n59%<\/td>\n13%<\/td>\n13%<\/td>\n4%<\/td>\n10%<\/td>\n<\/tr>\n
TX<\/th>\n1.7M<\/td>\n58%<\/td>\n11%<\/td>\n13%<\/td>\n3%<\/td>\n15%<\/td>\n<\/tr>\n
UT<\/th>\n170K<\/td>\n65%<\/td>\n8%<\/td>\n19%<\/td>\n1%<\/td>\n6%<\/td>\n<\/tr>\n
VT<\/th>\n60K<\/td>\n55%<\/td>\n23%<\/td>\n14%<\/td>\n2%<\/td>\n6%<\/td>\n<\/tr>\n
VA<\/th>\n580K<\/td>\n64%<\/td>\n7%<\/td>\n15%<\/td>\n6%<\/td>\n7%<\/td>\n<\/tr>\n
WA<\/th>\n540K<\/td>\n60%<\/td>\n17%<\/td>\n14%<\/td>\n4%<\/td>\n5%<\/td>\n<\/tr>\n
WV<\/th>\n150K<\/td>\n54%<\/td>\n21%<\/td>\n12%<\/td>\n3%<\/td>\n9%<\/td>\n<\/tr>\n
WI<\/th>\n440K<\/td>\n61%<\/td>\n14%<\/td>\n18%<\/td>\n3%<\/td>\n4%<\/td>\n<\/tr>\n
WY<\/th>\n40K<\/td>\n64%<\/td>\n9%<\/td>\n16%<\/td>\n3%<\/td>\n8%<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

Methodology<\/h2>\n

To estimate the number of newly Medicare-eligible enrollees, Avalere analyzed the number of individuals aged 60\u201364 in each state by using the American Community Survey 2018 1-year sample of health insurance coverage in the United States.<\/p>\n

To receive Avalere updates, connect with us<\/a>.[\/vc_column_text][\/vc_column][\/vc_row]\n<\/div>","protected":false},"excerpt":{"rendered":"

[vc_row][vc_column][vc_column_text]On April 9, as part of a broader response to the economic downturn and unemployment resulting from the COVID-19 pandemic, presumptive Democratic nominee Joe Biden revealed a proposal that would make individuals aged 60 and older eligible for Medicare. Newly eligible individuals would have the option to enroll in Medicare, continue receiving health insurance through…<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[7],"tags":[993],"content-categories":[259],"class_list":["post-19082","post","type-post","status-publish","format-standard","hentry","category-press-releases","tag-archive","content-categories-policy","entry","no-media"],"acf":[],"yoast_head":"\nBiden\u2019s Medicare at 60 Proposal Could Cover 23M Under Medicare | Avalere Health Advisory<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/advisory.avalerehealth.com\/press-releases\/nearly-23m-individuals-may-be-eligible-for-medicare-coverage-under-biden-proposal\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Biden\u2019s Medicare at 60 Proposal Could Cover 23M Under Medicare | Avalere Health Advisory\" \/>\n<meta property=\"og:description\" content=\"[vc_row][vc_column][vc_column_text]On April 9, as part of a broader response to the economic downturn and unemployment resulting from the COVID-19 pandemic, presumptive Democratic nominee Joe Biden revealed a proposal that would make individuals aged 60 and older eligible for Medicare. 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