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The Effect of Medicare Eligibility on Spousal Insurance Coverage

Author

Listed:
  • Marcus Dillender

    (W.E. Upjohn Institute for Employment Research)

  • Karen Mulligan

Abstract

A majority of married couples in the United States take advantage of the fact that employers often provide health insurance coverage to spouses. When the older spouses become eligible for Medicare, however, many of them can no longer provide their younger spouses with coverage. In this paper, we study how spousal eligibility for Medicare affects the health insurance and health care access of the younger spouse. We find spousal eligibility for Medicare results in the younger spouse having worse insurance coverage and reduced access to health care services.

Suggested Citation

  • Marcus Dillender & Karen Mulligan, 2015. "The Effect of Medicare Eligibility on Spousal Insurance Coverage," Upjohn Working Papers 15-216, W.E. Upjohn Institute for Employment Research.
    • Handle: RePEc:upj:weupjo:15-216
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    File URL: http://research.upjohn.org/cgi/viewcontent.cgi?article=1233&context=up_workingpapers
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    References listed on IDEAS

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    1. David Card & Carlos Dobkin & Nicole Maestas, 2009. "Does Medicare Save Lives?," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 124(2), pages 597-636.
    2. Guy David & Phil Saynisch & Victoria Acevedo‐Perez & Mark D. Neuman, 2012. "Affording To Wait: Medicare Initiation And The Use Of Health Care," Health Economics, John Wiley & Sons, Ltd., vol. 21(8), pages 1030-1036, August.
    3. Currie, Janet & Madrian, Brigitte C., 1999. "Health, health insurance and the labor market," Handbook of Labor Economics, in: O. Ashenfelter & D. Card (ed.), Handbook of Labor Economics, edition 1, volume 3, chapter 50, pages 3309-3416, Elsevier.
    4. David A. Wise, 1996. "Introduction to "Advances in the Economics of Aging"," NBER Chapters, in: Advances in the Economics of Aging, pages 1-8, National Bureau of Economic Research, Inc.
    5. David Card & Carlos Dobkin & Nicole Maestas, 2008. "The Impact of Nearly Universal Insurance Coverage on Health Care Utilization: Evidence from Medicare," American Economic Review, American Economic Association, vol. 98(5), pages 2242-2258, December.
    6. Finkelstein, Amy & McKnight, Robin, 2008. "What did Medicare do? The initial impact of Medicare on mortality and out of pocket medical spending," Journal of Public Economics, Elsevier, vol. 92(7), pages 1644-1668, July.
    7. Chad D. Meyerhoefer & Samuel H. Zuvekas & Richard Manski, 2014. "The Demand For Preventive And Restorative Dental Services," Health Economics, John Wiley & Sons, Ltd., vol. 23(1), pages 14-32, January.
    8. Robin L. Lumsdaine & James H. Stock & David A. Wise, 1996. "Why Are Retirement Rates So High at Age 65?," NBER Chapters, in: Advances in the Economics of Aging, pages 61-82, National Bureau of Economic Research, Inc.
    9. Sudano Jr., J.J. & Baker, D.W., 2003. "Intermittent lack of health insurance coverage and use of preventive services," American Journal of Public Health, American Public Health Association, vol. 93(1), pages 130-137.
    10. David A. Wise, 1996. "Advances in the Economics of Aging," NBER Books, National Bureau of Economic Research, Inc, number wise96-1.
    11. Wallace, N.T. & Carlson, M.J. & Mosen, D.M. & Snyder, J.J. & Wright, B.J., 2011. "The individual and program impacts of eliminating medicaid dental benefits in the oregon health plan," American Journal of Public Health, American Public Health Association, vol. 101(11), pages 2144-2150.
    12. Richard W. Johnson, 2007. "What Happens to Health Benefits after Retirement?," Work Opportunity Briefs wob_7, Center for Retirement Research, revised Feb 2007.
    13. Lamster, I.B., 2004. "Oral Health Care Services for Older Adults: A Looming Crisis," American Journal of Public Health, American Public Health Association, vol. 94(5), pages 699-702.
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    More about this item

    Keywords

    Health Insurance; Medicare; Individual Market; Marriage; Employer Benefits; ACA;
    All these keywords.

    JEL classification:

    • I13 - Health, Education, and Welfare - - Health - - - Health Insurance, Public and Private
    • J3 - Labor and Demographic Economics - - Wages, Compensation, and Labor Costs

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