Researchers from Korea University Describe Findings in Insurance (Effects of Medicare Eligibility At Age 65 Among Individuals With and Without Functional Disability: Medicare Coverage and Functional Disability): Insurance

2026 MAY 28 (NewsRx) -- By a News Reporter-Staff News Editor at Health Policy and Law Daily -- Researchers detail new data in Insurance. According to news reporting originating in Seoul, South Korea, by NewsRx journalists, research stated, “Medicare coverage at age 65 improves access to and use of care and alleviates financial hardship for the general population. However, less is known whether the effects differ between individuals without and with functional disability.”

Financial support for this research came from Ministry of Science & ICT (MSIT), Republic of Korea.

The news reporters obtained a quote from the research from Korea University, “To examine the effects of Medicare eligibility at age 65 on health insurance coverage, financial burden of care, and access to care among individuals without and with functional disability. We used a regression discontinuity design, which exploits the discontinuity in eligibility for Medicare at age 65 and compares individuals just before and after age 65. Our analysis included 19,876 individuals (aged 59-71) without functional disability and 8376 individuals with functional disability from the 2014-2021 Medical Expenditure Panel Survey. We assessed health insurance coverage, financial burden of care, and access to care. Medicare eligibility led to increases in any and Medicare coverage for both groups, but those with functional disability had a decrease in Medicaid coverage by -2.6 percentage points. Medicare eligibility resulted in lower financial burden of care for both groups, but the effects were greater among those with functional disability (-$578 vs.-$344 for out-of-pocket spending, -3.7 vs. -4.9 percentage points for cost-sharing, and -2.5 vs.-0.8 percentage points for paying medical bills over time). Although Medicare eligibility led to a decrease in delayed medical care among those without functional disability (-2.1 percentage points), no change was observed among those with functional disability. Notably, access to care remained limited among those with functional disability after obtaining Medicare eligibility (8.6% and 3.9% for being unable to get medical care and experiencing delay in getting medical care). Medicare coverage can reduce financial hardship, especially for individuals with functional disability.”

According to the news reporters, the research concluded: “However, there is a need to develop policies that ensure equitable access to care for those with functional disability.”

This research has been peer-reviewed.

For more information on this research see: Effects of Medicare Eligibility At Age 65 Among Individuals With and Without Functional Disability: Medicare Coverage and Functional Disability. Journal of General Internal Medicine, 2025;40(5):1132-1140. Journal of General Internal Medicine can be contacted at: Springer, One New York Plaza, Suite 4600, New York, Ny, United States. (Wiley-Blackwell - http://www.wiley.com/; Journal of General Internal Medicine - http://onlinelibrary.wiley.com/journal/10.1111/(ISSN)1525-1497)

Our news correspondents report that additional information may be obtained by contacting Sungchul Park, Korea University, Dept. of Health Policy and Management, College of Health and Science, Seoul, South Korea.

The direct object identifier (DOI) for that additional information is: https://doi.org/10.1007/s11606-024-09060-7. This DOI is a link to an online electronic document that is either free or for purchase, and can be your direct source for a journal article and its citation.

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