Medicare Blog

how does the government shutdown affect medicare

by Junius Gerhold Published 2 years ago Updated 1 year ago
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The Centers for Medicaid and Medicaid (CMS) has announced that there will be no disruption in the processing and payment of Medicare claims due to the partial government shutdown.

Is Medicare affected by the partial government shutdown?

The Centers for Medicare and Medicaid Services has been funded through September 30, 2019, and its programs (Medicare and Medicaid) haven’t been affected by the partial government shutdown. Claims continue to be processed as usual. Medicare enrollment, which is processed through the Social Security Administration, hasn’t been affected, either.

How do I contact Medicare if there is a government shutdown?

You can continue to contact Medicare’s toll-free 800-Medicare number (800-633-4227) with any questions on the program, although the phone lines tend to be busy early in the year; some other resources might be easier to reach, regardless of the shutdown.

How will a government shutdown affect Social Security disability recipients?

A government shutdown will likely affect Social Security disability recipients who are applying for Medicare. By law, Social Security disability recipients must wait two years from the date of their receipt of disability benefits to qualify for Medicare.

Will the government shutdown affect the Affordable Care Act (ACA)?

The U.S. Department of Veterans Affairs has been funded through fiscal year 2019 and is not affected by the shutdown. The Department of Health and Human Services, which also has been funded for fiscal year 2019, runs the ACA marketplaces, and subsidy payments will not be disrupted.

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Does government shutdown affect Medicare benefits?

Yes, Social Security benefits will continue to go out in the event of a government shutdown. That's because Social Security, Medicare and Medicaid are among the mandatory spending that isn't subject to annual appropriations from Congress.

What happens to Social Security payments if the government shuts down?

During a government shutdown, recipients will continue to receive their Social Security and SSI checks. However, a shutdown suspends the issuance of Social Security cards.

What programs are affected by a government shutdown?

There are nine federal departments affected by the Trump Shutdown: Homeland Security, Treasury, Agriculture, Interior, Housing and Urban Development, Justice, Commerce, Transportation, and State.

Is Medicare controlled by the government?

Medicare is a federal program. It is basically the same everywhere in the United States and is run by the Centers for Medicare & Medicaid Services, an agency of the federal government. For more information regarding Medicare and its components, please go to http://www.medicare.gov.

Is the government going to stop Social Security?

As a result of changes to Social Security enacted in 1983, benefits are now expected to be payable in full on a timely basis until 2037, when the trust fund reserves are projected to become exhausted.

Will Social Security payments stop?

According to the 2022 annual report of the Social Security Board of Trustees, the surplus in the trust funds that disburse retirement, disability and other Social Security benefits will be depleted by 2035. That's one year later than the trustees projected in their 2021 report.

What does a government shutdown mean for us?

Government shutdowns, in United States politics, refer to a funding gap period that causes a full or partial shutdown of federal government operations and agencies. They are caused when there is a failure to pass a funding legislation to finance the government for its next fiscal year or a temporary funding measure.

When did the government shutdown last?

The United States federal government shutdown from midnight EST on December 22, 2018, until January 25, 2019 (35 days) was the longest U.S. government shutdown in history and the second and final federal government shutdown involving furloughs during the presidency of Donald Trump.

How many times has the US government been shut down?

List of federal shutdownsShutdownDaysAgencies affected1995–199621some201316allJan 20183all2018–1935some6 more rows

Does Medicare take money from Social Security?

Yes. In fact, if you are signed up for both Social Security and Medicare Part B — the portion of Medicare that provides standard health insurance — the Social Security Administration will automatically deduct the premium from your monthly benefit.

What will Medicare not pay for?

Medicare doesn't provide coverage for routine dental visits, teeth cleanings, fillings, dentures or most tooth extractions. Some Medicare Advantage plans cover basic cleanings and X-rays, but they generally have an annual coverage cap of about $1,500.

What is the highest income to qualify for Medicaid?

Federal Poverty Level thresholds to qualify for Medicaid The Federal Poverty Level is determined by the size of a family for the lower 48 states and the District of Columbia. For example, in 2022 it is $13,590 for a single adult person, $27,750 for a family of four and $46,630 for a family of eight.

Medicare and Medicaid Funding Remains Mandatory

Funding for Medicare and Medicaid is mandatory, meaning it is not subject to annual appropriations that lapse during a shutdown.

CMS Has Mandatory Funding to Continue ACA Implementation

The HHS shutdown contingency plan for FY2012 stated that, “Operations of the Center for Consumer Information and Insurance Oversight would continue as funding was provided through the Affordable Care Act.” This includes insurance rate reviews, assessment of a portion of insurance premiums that are used on medical services, establishment of exchanges, operation of the pre-existing condition insurance program and the early retiree reinsurance program.

Conclusion

Although a government shutdown for any period of time could result in delays in claims processing, audits, and other administrative functions, most essential functions of Medicare, Medicaid, and ACA implementation will continue to operate under emergency and mandatory funding.

When did the Social Security Administration stop processing new applications?

During the 1995-96 government shutdown, the Social Security Administration stopped processing new applications for benefits, although as the shutdown dragged on, the agency eventually brought in more employees and renewed the process. It may be harder to get questions answered and problems dealt with.

How long does it take for Social Security to close?

By law, Social Security disability recipients must wait two years from the date of their receipt of disability benefits to qualify for Medicare. Delays in decisions caused by the shutdown could have a significant impact on these individuals.

How much was sequestration cut in 2013?

In 2013, sequestration cut about $85 billion in equal parts from national security and other spending. Unless Congress acts, similar cuts will hit early in 2014 and for eight subsequent years.

What happened to the credit rating in 2011?

A delay in raising the debt ceiling before near default in 2011 resulted in the first-ever downgrade in the U.S. credit rating and a sharp drop in the stock market.

How many federal employees were furloughed in 1995?

But many facilities will close and many services will be unavailable. In a five-day shutdown in 1995, 800,000 federal employees were told not to report to work. Several weeks later, 240,000 employees were furloughed in a 21-day shutdown. 4.

What government services are still in service?

This means that the military, air traffic controllers, the Border Patrol, the FBI, prison guards and many other U.S. government employees will remain on duty. But many facilities will close and many services will be unavailable.

Is Obamacare still funded?

Some members of Congress are still determined to withhold funding for the health care law, often called Obamacare. Some made it a reason for the government shutdown, some want to make that a condition for raising the debt ceiling.

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