10/17/2025
Dear Valued Patients,
We are issuing an urgent alert about potential changes to your health coverage due to the political stalemate over federal funding and the looming expiration of key health care provisions. These actions threaten to increase costs and reduce access to care for millions.
Key Impacts on Your Coverage
1. Affordable Care Act (ACA) Subsidies are at Risk. The enhanced premium tax credits that make ACA Marketplace plans affordable for low- and middle-income Americans are set to expire at the end of this year.
Skyrocketing Premiums: If Congress doesn't act, you may face more than double your current premium costs, as many subsidies will be drastically reduced or disappear entirely.
Loss of Coverage: This increase will push millions of people to drop their health insurance, creating a substantial health risk for our communities.
2. Medicaid and Medicare Face Cuts
While not immediately tied to a short-term funding lapse, legislative proposals threaten the long-term stability of these programs.
Medicaid: Proposed massive federal cuts could force states to reduce eligibility, eliminate essential benefits (like behavioral health), and lower provider payment rates. This would make it harder for the most vulnerable to access care.
Medicare: Non-stop budget disputes raise the possibility of automatic cuts to Medicare provider payments, which could impact the availability and quality of services you rely on.
We are committed to helping you maintain your health and access to care. However, the most effective way to secure these programs is by urging your elected officials to act.
Take Action: Contact Your Representatives Your voice is critical right now. Lawmakers need to hear from constituents about the direct impact these cuts and expirations will have on their lives.
How to Find & Contact your representatives:
Call the U.S. Capitol Switchboard: (202) 224-3121. Ask to be connected to your Senator or Representative. Urge them to immediately extend the enhanced ACA premium tax credits and oppose any cuts to Medicare and Medicaid funding.
Find Your Specific Officials (Local Offices for faster response) House of Representatives: Visit https://conta.cc/43lZsej and enter your ZIP code.
U.S. Senate: Visit https://conta.cc/4o038ea and select your state.
Contact them by phone or email. Tell a personal story about how a premium increase or loss of coverage would affect you or your family.
FOR OUR CURRENT PATIENTS:
During a government shutdown, we can continue to provide you with the medical equipment you need. However, please be advised that there may be a delay in payment for these services from Medicare. We are required to have you sign an Advance Beneficiary Notice of Non-coverage (ABN) for any services that may not be reimbursed by Medicare.
The ABN is a standard form that informs you of your potential financial responsibility if Medicare does not cover the service.
We understand that this is a stressful situation and we are committed to continuing to provide you with the highest quality of care.
PS: All Medicare DME providers, like us, have been paying a mandatory 2% tax on all prosthetics and orthotics since 2011 for the last government shut down and has no end date. Please contact your representatives to voice your opinion on this shut over health care subsidies. Refusing to extend the enhanced ACA subsidies is unconscionable.
BE SAFE AND WELL!!
CGS provides a variety of services for Medicare beneficiaries, healthcare providers, and medical equipment suppliers in 38 states, supporting the needs of over 24 million Medicare beneficiaries and 100,000 healthcare professionals nationwide.
