Abstract
Our work with older adults, particularly those with limited incomes, has provided significant insight into the complexities of Medicare and the American healthcare system. This paper provides a brief history and overview of Medicare, describes the array of insurance choices Medicare beneficiaries face, and considers the impact of income, race, and health literacy on an individual's ability to navigate Medicare. We discuss that health is more than healthcare service delivery and that it takes community efforts to ensure that older adults not only understand their insurance but also have access to other basic needs that impact their health, such as safe, affordable housing, food security, and transportation.
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