The Patient Protection and Affordable Care Act will dramatically reduce the number and variety of health-care plan choices available to seniors and reduce benefits and enrollment, with Louisiana taking the biggest hit, according to a study released by a conservative think tank.

The report by the American Action Forum says by 2017 nearly all of those enrolled in Medicare Advantage will find their current plan is no longer available and/or is available with reduced benefits and higher out-of-pocket costs.

The report says the average person in a Medicare Advantage plan would lose $3,700 in health-care services per year. Louisiana residents would have the biggest loss in benefits, estimated at $5,092.