What is the Medicare Improvement for Patients and Providers Act?

Discover how MIPPA supports caregivers and low-income beneficiaries with healthcare costs, offering resources like Medicare Savings Programs and application assistance.
Published on
August 6, 2024
Presented by Givers
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Key Takeaways

Is your family constantly juggling the cost of prescriptions with other necessary expenses because of a tight budget? The federal government offers relief through the Medicare Improvement for Patients and Providers Act (MIPPA), which aids family caregivers and care recipients with limited incomes.

What is MIPPA?

The Medicare Improvement for Patients and Providers Act assists low-income Medicare beneficiaries in affording healthcare costs. The program offers many consumer benefits, including assistance with applications for Medicare Preventative Services and mental health services.

The program also supports disability resource centers and care plans at accredited facilities catering to persons with disabilities. Meeting the requirements of MIPPA opens access to fundamental healthcare benefits for those who need it most.

Primary goal of MIPPA

Signed into law in July 2008, MIPPA provides funding to help Medicare beneficiaries apply for two valuable benefits: the Low-Income Subsidy "Extra Help" (LIS/Extra Help) and the Medicare Savings Program (MSP).

Federal MIPPA funding is given to Area Agencies on Aging (AAAs), Health Insurance Counseling and Advocacy Programs (HICAPs), and Aging and Disability Resource Connections (ADRCs) to expand outreach and awareness efforts to adults with low incomes who are unaware of these benefits.

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Benefits offered under MIPPA

The Medicare Improvements for Patients and Providers Act covers prescription costs and other essential health services for eligible beneficiaries, including adults with disabilities. Your loved one must meet clear income limits and have a care plan.

Benefits and services include:

  • Outreach and education: Provides grants to states and tribes to educate Medicare beneficiaries about available programs and benefits, particularly for low-income individuals, people with disabilities, and those in rural areas.
  • Medicare Savings Programs (MSPs): Supports state-run programs that help eligible beneficiaries pay Medicare premiums and deductibles.
  • Medicare Part D low-income subsidy (LIS): This program helps people with limited income and resources pay Medicare Part D premiums, deductibles, coinsurance, and other costs.
  • Preventive services: Promotes awareness of Medicare's preventive benefits, such as annual wellness visits and screenings.

Benefits for beneficiaries

The Medicare Improvements for Patients and Providers Act reduces out-of-pocket costs through programs such as the Medicare Savings Programs (MSPs) and Low-Income Subsidy (LIS).

The program enhances access to Medicare Preventative Services, including preventive care and screenings, so beneficiaries maintain good health and detect potential health issues early. It provides education and support to assist beneficiaries in navigating the complex Medicare system.

Aging and disability resource centers

MIPPA's support includes Aging and Disability Resource Centers, which act as valuable resources for beneficiaries seeking information and assistance related to long-term care facilities, federal funding, and a range of benefits available through Medicare and Social Security.

Under MIPPA, beneficiaries who are eligible for these services also benefit from the support of community service providers and improved access to diagnostic laboratory services. Medicare beneficiaries receive the necessary services, information, and resources to make informed decisions and access the individualized care they need.

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How caregivers and families can access MIPPA support

Find local resources

  • State Health Insurance Assistance Programs (SHIPs): Caregivers can connect with their local SHIP to receive free, unbiased assistance in understanding Medicare benefits and the options available for additional support.
  • Area Agencies on Aging (AAAs): These agencies provide information and resources tailored to the needs of older adults and their caregivers, including assistance with accessing MIPPA-funded services.

One-on-one counseling

  • Personalized support: Through SHIPs, caregivers can schedule individual counseling sessions with trained advisors to get tailored advice on navigating Medicare and accessing financial assistance.
  • Application assistance: Advisors can help caregivers complete applications for programs that reduce healthcare costs, such as Medicare Savings Programs and Extra Help for prescription drugs.

Collaboration with healthcare providers

  • Doctor and pharmacy partnerships: Healthcare providers can inform caregivers about available MIPPA resources and refer them to appropriate local services for further assistance.

A note from Givers

MIPPA offers essential resources and financial assistance that can make a significant difference in managing healthcare needs. By connecting with local organizations and utilizing available support, caregivers can ensure their families receive the care they deserve, reducing stress and enhancing well-being.

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