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Medicare in Dist. of Columbia

Medicare in Dist. of Columbia - By the Numbers

Medicare provides health insurance coverage for people age 65 or older, or for those under age 65 who suffer from specific medical disabilities. Consider the following Medicare statistics from Dist. of Columbia:

Percentage of Dist. of Columbia residents enrolled in Medicare - 13%
Dist. of Columbia residents enrolled in Medicare Advantage - 7,533
Dist. of Columbia residents eligible for Medicare Part D - 75,291

Data provided by the Kaiser Family Foundation:
Medicare Enrollment as a Percent of Total Population, 2008
Total Medicare Advantage (MA) Enrollment, 2009
Medicare Beneficiaries with Creditable Prescription Drug Coverage by Type, as of February 2009

Health Care Reform and Medicare

In 2010, the President signed into law the Patient Protection and Affordable Care Act, which includes the following changes to the Medicare program:

  • Phasing out the "Donut Hole" - More than 8 million seniors in 2007 hit the "donut hole", which is the gap in prescription drug coverage in Medicare Part D. In 2010, beneficiaries who hit the donut hole will receive a $250 rebate. Beginning in 2011, the Act institutes a 50 percent discount on brand name drugs in the donut hole, and the Act will completely close the donut hole for all prescription drugs by 2020.
  • Improved Preventive Care - Eliminates deductibles, copayments, and other cost-sharing for preventive care in Medicare, and provides free annual wellness check-ups starting in 2011. Today, seniors must pay 20 percent of the cost of many preventive services and office visits.

Data provided by the US Senate:
"Strengthening Medicare for Our Nation's Seniors" available at

Dist. of Columbia Medicare Resources

Dist. of Columbia seniors and those eligible for Medicare can also refer to the following resources for additional information on Medicare within Dist. of Columbia.

Dist. of Columbia Medicare Savings Programs

Dist. of Columbia residents can save money on Medicare each year through savings programs for people with limited income or resources who pay some or all of Medicare's premiums and may pay Medicare deductibles and coinsurance.

Dist. of Columbia State Health Insurance Counseling and Assistance Program (SHIP)

Provides information to Dist. of Columbia residents about Medicare including assistance on understanding your Medicare rights/protections and how to submit a complaint about medical care or treatment.

How Healthy Is Dist. of Columbia?

Washington DC is a unique place in the U.S. as it is considerably more urban than all of the 50 states. Washington DC's strength as a healthy state is helped by its low prevalence of smoking as well as lower prevalence of obesity than most states. Two challenges facing Washington DC are its high violent crime rate as well as high percentage of children in poverty.

Source: America's Health

  • Medicare evaluates plans based on a 5-Star rating system. Star Ratings are calculated each year and may change from one year to the next.
  • Not every plan is available statewide or in all service areas.
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Medicare has neither reviewed nor endorsed this information.

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