Which statement is true regarding the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) and Medigap plans?

The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) introduced significant changes to how Medicare payments and benefits are structured, particularly in relation to Medigap plans. One of the key aspects of MACRA is that it specifically impacts the way certain Medigap plans cover the Part B deductible for new beneficiaries starting from January 1, 2020. This change means that new Medigap plans sold after that date cannot cover the Part B deductible, thus shifting the landscape of available Medigap options.

The statement that it affects Medigap plans starting in 2021 aligns with this context, as the implementation details regarding Medigap changes became widely recognized and operational around that time, particularly for plans being sold to those who were newly eligible for Medicare.

Furthermore, MACRA also emphasizes the need to address low-income beneficiaries by providing clear guidelines and protections that shape the future offerings of Medigap plans, but its implications are broader and not limited to just low-income individuals.

Therefore, the assertion that all of the above statements are true encapsulates how MACRA fundamentally changes the structure of Medigap options and introduces complexities into the landscape of Medicare coverage. The combination of the removal of specific coverage options, its