Medicare Expects Transition to New Drug Plans to Go Smoothly for
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Jan. 4, 2008 - Senior Citizens who have chosen to change their health and drug coverage for 2008 should experience very few difficulties when getting their covered prescription drugs through Medicare Part D, the Centers for Medicare Medicaid Services has announced. The CMS has taken multiple steps to ensure that pharmacies can obtain accurate enrollment information in 2008, particularly for low-income beneficiaries.
CMS Acting Administrator Kerry Weems.
CMS has improved procedures for getting accurate plan information into the E1 eligibility system, which is the computer system that pharmacists use to identify current plan enrollment, often for beneficiaries who were reassigned to new plans, or who may not have received their new drug card.
Medicare drug plan.
The CMS also has worked aggressively to ensure a smooth transition for low-income subsidy (LIS) eligible beneficiaries who would be responsible for paying a portion of their plan premium in 2008. Earlier this fall, these beneficiaries received letters explaining steps they could take to remain in their plan by paying a small premium and a list of all the zero premium plans available in their community.
Blue reassignment letters were mailed to people who qualify for the full extra help and who will be reassigned to a new plan in 2008. Tan letters were sent to beneficiaries receiving the LIS who selected a plan, but who will be responsible for paying a portion of their plan premium beginning in January 2008 unless they join a new plan. Beneficiaries who received one of these letters can receive personalized assistance at their local State Health Insurance Assistance Program (SHIP) office.
This is Medicare's free, secure online service for accessing your Medicare information. In order to use this service, you must be a registered user. As a registered user of MyMedicare.gov, you will have access to personalized information regarding your Medicare benefits and services.
You can use MyMedicare.
At the Pharmacy: National and local chains and independent pharmacies have worked closely with beneficiaries to provide information and assistance during the open enrollment period. Thousands of pharmacies have helped beneficiaries through in-store informational days, medication reviews, and community presentations.
For example, Rotz Pharmacy, an independent pharmacy in Winchester , Va. , provides a navigation guide to the www.medicare.
Medicare Drug Plan Finder, other comparison tools as well as personalized consultation to beneficiaries who need help in finding a plan that best suits their needs. In-person counseling and other enrollment assistance has been provided nationwide and regionally by many chains, including: CVS; Kroger; Longs Pharmacy; Medicine Shoppe International; Rite-Aid; Target; Stop Shop, Giant Foods and Giant Food Stores; Walgreens; and Wal-Mart.
In-person: At more than 10,000 events held nationwide, Medicare has worked closely with its partner organizations, including the National Aging Services network of state, local and community service providers, to provide enrollment counseling and sign-up opportunities where people with Medicare live, work, play and pray.
The 2007 CMS Mobile Office Tour visited 128 communities across the nation sharing information about Part D with beneficiaries. That tour highlights the personalized assistance provided by the many thousands of partners across the country who are helping beneficiaries compare their drug plan options and change enrollment if necessary.
Through the Secret Shopper initiative, CMS officials have attended over 220 events to ensure that health plans are adhering to marketing and enrollment guidelines.
Recent surveys show that a large majority of seniors enrolled in the Medicare drug benefit are satisfied with their plan and few intend to change their plan in 2008. A Wall St. Journal /Harris Interactive survey of U.S. adults age 65 or older shows that 87 percent of Medicare drug benefit enrollees are satisfied with their plan.
Weems.
The annual open enrollment period for prescription drug coverage began on November 15 and ended December 31, 2007.
Medicare Advantage Enrollment Still Open
For Medicare Advantage plans only, beneficiaries can make one change in enrollment -- enrolling in a new plan, changing plans or canceling a plan - between January 1 and March 31, 2008. However, beneficiaries cannot join or drop Medicare drug coverage during this time.
Beneficiaries eligible for the LIS have the ability to change plans at any time. They can continue to visit www.medicare.
Users can compare plans based on costs, coverage, customer service and quality of each plan. They can also receive the same online information by calling 1-800-MEDICARE.
For more information on where to find a SHIP counselor available to provide free one-on-one help with your Medicare questions or problems, visit www.medicare.gov/contacts/static/allStateContacts.
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Related: Medicare Expects Transition to New Drug Plans to Go Smoothly for
Additional information:
From www.seniorjournal.com:
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