Commonwealth Fund November 22, 2024

Whether retired, nearing retirement, or living with a disability, most people with Medicare coverage live on fixed incomes. This means they’re acutely affected by the cost of their health care. While Medicare provides a guarantee of coverage for most medical services, beneficiaries still contend with copayments, deductibles, and costs for uncovered services — much like other Americans with private health insurance do.

Although most Medicare beneficiaries surveyed by the Commonwealth Fund don’t report difficulty affording their health expenses, one-third do have difficulty — a proportion that grows to one-half when focusing on beneficiaries under age 65 with disabilities. Multiple surveys have found that the share of beneficiaries saying they can’t afford needed health care generally is similar for both Medicare...

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