Choose Medicare Act

Establishment of Medicare Part E Plans: This creates new public health plans available in various markets, including individual and employer-sponsored markets (Section 2).

Comprehensive Coverage: These new plans must provide essential health benefits, all items and services available under title XVIII, and gold-level coverage (Section 2).

Reproductive Health Coverage: The bill ensures that Medicare part E plans provide coverage of abortions and all other reproductive services (Section 2).

Portability for Workers: Individuals in the small or large group markets can maintain their Medicare part E coverage even if they lose their job (Section 2).

Protection Against High Medical Costs: Starting in 2027, individuals under Medicare Part A or B will have an annual out-of-pocket limit to prevent them from being responsible for additional cost-sharing once that limit is met (Section 4).

Enhanced Premium Assistance: The bill adjusts the premium assistance credit to use a "gold level plan" as the benchmark (Section 5).

Reduced Cost Sharing: The Act modifies procedures to further reduce cost-sharing for eligible individuals based on their household income (Section 6).

Eligibility Exclusions: Individuals who are already entitled to or enrolled in benefits under title XVIII, or eligible for certain State medical and child health assistance, are excluded from enrolling in Medicare part E plans (Section 2).

Cost Responsibility: Premium rates for Medicare part E plans will be established at a level sufficient to fully finance the costs of health benefits and administrative costs (Section 2).