How reform affects you

What you need to know about how your family will benefit, what you'll really pay, whether you'll get better or worse care, and what could go wrong from here.

4 of 4
A retired couple
A retired couple
Ages: 68 and 65
Income: $95,000
Work status: Neither working
Insurance: Medicare
What's changing:

Within a year:
  • They'll get a free annual exam, plus no co-pays or deductibles for preventive screenings.
  • Since they have Part D drug coverage and each spends more than $3,000 a year on medicine, they'll each get a rebate of $250 in 2010 for prescription costs in the so-called doughnut hole, the gap in coverage for drug expenses between $2,830 and $6,440.
  • In 2011 they'll get 50% off brand-name prescriptions in the doughnut hole.
By 2020:
  • No more doughnut hole. They'll pay 25% co-insurance on drugs until their costs hit a catastrophic level, and 5% thereafter.
The bottom line: They'll save $500 on medicine this year; premiums for drug coverage probably will rise just $1 to $2 a year.

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Last updated April 21 2010: 5:35 PM ET
Source: Milliman
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