Medicare Part D Doesn't Have To Be Confusing
As of Jan. 1, 2006, the federal government expanded Medicare
coverage with the launch of the Medicare Part D program. This
program enables seniors to get the prescriptions they need, when
they need them with the benefit of an insurance program that can
really help lessen the annual costs for drugs. To take advantage
of the program, however, Medicare recipients have to navigate a
system that seems a little confusing on the surface.
To begin to understand how the new Medicare program works, it's
important to first understand a few basic facts. Part D is
available to everyone on Medicare. Period. There are no other
eligibility requirements. A Medicare recipient cannot be denied
Part D coverage for medical reasons or income level. If you're
enrolled in Medicare, the prescription coverage is available.
The choice to participate, however, is up to the individual.
The caveat here, however, is the coverage is voluntary. You have
to enroll to get it, but don't worry about denials, because they
won't be forthcoming. For those who already have solid
prescription coverage from other sources, it's important to
carefully weigh the benefits of both. A private policy might in
fact cover more for a lesser financial impact on the individual
Medicare recipient, but it may not. Look to see which plan works
better for your particular situation.
When enrolling in Medicare prescription coverage, the first
thing recipients will notice is there are several options to
choose from. There is no single drug plan and what's even better
is that Medicare doesn't administer them - private drug plan
companies do. For those on very limited incomes, the new
coverage will allow Medicare to cover most of the drug costs.
For those with very high drug expenses, there's even a Medicare
plan that will cover about 95 percent of the costs beyond a
deductible each year.
To review the different plans available, it's a good idea to
speak directly to Medicare or check out the agency's web site.
The plans are diverse and are meant to assist as many different
people and situations as possible. Ideally, the best way to
approach studying the different plans is to look at each of the
options while keeping your personal circumstances in mind.
For those who decide to use the Part D coverage, it's important
to note that the discount cards issued in the past are not the
same thing. Those cards only provided discounts, not insurance.
The new Part D coverage replaces those on a permanent basis.
Since Part D is new and it is a little confusing for Medicare
clients to understand coming out of the gate, it's important for
interested seniors to get informed advice on choosing plans,
benefits and so on. Medicare has promised to provide information
to its clients each year prior to the annual open enrollment
period, which will include a list of plans available and their
benefits.
For other help, Medicare Part D recipients or those who want to
enroll in coverage should visit the Medicare web site or call
1-800-633-4227. State agencies and the Social Security
Administration may also be able to provide informed advice.
Visit the Medicare web site here
http://www.medicare.gov/medicarereform/drugbenefit.asp.