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 2006 Medicare Prescription Drug Program Guide

SeniorJournal.com Information for Senior Citizens on Medicare Part D

More Senior Citizen News and Information on Medicare Than Any Other Source - SeniorJournal.com


 

This was the guide published for the first year of Medicare's Part D Prescription Drug Program. Some of the basics may still be helpful but readers should check our information for 2007 - click here.

 
 

If you are on Medicare, you have to make a decision about the new prescription drug program (Medicare Part D). Well, actually it may be several decisions. This page will provide links to information that will, hopefully, make your decisions easier and smarter.

 

Easy Online Guide to Select Medicare Drug Plan

By Tucker Sutherland, Editor, SeniorJournal.com

Nov. 15, 2005 - There is just no question that the new Medicare Prescription Drug Program is complicated – it’s very complicated. It is a challenge because of the many choices a senior has to consider in reaching the final decision to enroll in one of the private insurance drug plans or Medicare Advantage plans. This confusing program was designed by the Bush Administration and Congress. But, the Medicare administrators have done a good job of making the selection process as easy as possible with their online tools. Let us guide you through it. Read more...

 

Getting Started

Step 1: In considering the Medicare Prescription Drug Program, you must first understand where you are today and the options available. Follow the link below.

Getting Started on Making Your Decision on Medicare Drug Plan

Step 2: Those considering the options in the program, need to understand how the basic plan works. Follow the link below.

How the Basic Medicare Drug Plan Works

Step 3: Before signing up for any of the plans, those with limited resources should see if they qualify for help. Follow the link below.

Medicare Drug Plan: Extra Help for People with Limited Resources

Step 4: Many seniors are taking another look at Medicare Advantage.

Medicare Advantage: Is it Time for an HMO or PPO in Your Future?

More to come

Key Dates for Enrollment in 2006

May 2005

• Social Security Administration (SSA) began mailing and accepting applications for those who may qualify for the low-income subsidy.

September 2005

• Medigap (supplemental) insurance companies sent notices to policyholders with drug coverage informing them of their options.

• Employers/unions who provide prescription drug coverage to their retirees will directly notify them about their prescription drug coverage choices.

October 2005

• Comparative information about Medicare prescription drug plans will be available at www.medicare.gov, 1-800-MEDICARE or through state health insurance assistance programs and other local organizations.

• Medicare Advantage plans notify plan enrollees about enhanced drug plan coverage options.

• People with Medicare and Medicaid will get information about how they will be automatically enrolled in a plan if they do not choose one on their own.

November 2005

• Enrollment for Medicare prescription drug plans begins November 15.

January 2006

• Medicare prescription drug coverage begins January 1 for those who enrolled in a plan by December 31, 2005.

May 15, 2006

The deadline to enroll to get coverage this year is May 15, 2006.

For the complete Fact Sheet on the Medicare Drug Program - Click Here

 

This graph depicts the break-even point on the average prescription drug plan. See table and more on the basic plan - click here.

Below are links to find more help.

Tips and tools by Medicare to help you make your drug program decisions.

    Medicare Drug Program Tips and Tools


This is an interactive site by Medicare to help you estimate your cost.

    Medicare Prescription Drug Plan Cost Estimator


My.Medicare.gov - the Medicare Beneficiary Portal is an internet portal allowing registered beneficiaries the ability to view entitlement, enrollment, deductible, and address of record information. Additionally, it provides beneficiaries with preventive service information and the option for web chat assistance for any technical questions. My.Medicare.gov is currently in the fifth phase of a national rollout to be completed this month. At present, the Medicare Beneficiary Portal is available to beneficiaries in the following states and territories: Alabama, Arkansas, Colorado, Connecticut, Delaware, District of Columbia, Florida, Georgia, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, New Hampshire, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, Puerto Rico, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Vermont, Virgin Islands, Virginia, West Virginia, Wyoming and Wisconsin.

    My.Medicare.gov National Rollout Underway


Here is where you can go to find the plans available in your area.

    Medicare Plan Map


This is the Medicare Drug Plan program, which is a system designed by Medicare to help walk you through your decision-making about a plan to join. You can also join on this page when enrollment begins.

    Finding a Medicare Plan


The Medicare Rx Education Network provides information and assistance with outreach and enrollment for the new Medicare Part D prescription drug benefit.

    Medicare Rx Education Network


These books differ by region, because in the back of each book is information on the specific prescription drug plans available in that area. Follow this link to find the book for your area.

    Medicare and You 2006


There is local help available in your area.

    Local Medicare Help in Your State (SHIP agencies)


For additional information about the benefit, contact a Medicare representative by calling

1-800-MEDICARE (1-800-633-4227).

Or call Eldercare Locator (1-800-677-1116) to locate local one-on-one counselors and resources.

Medicare Drug Card Not Necessary to Get Drugs on January 1

Medicare says if you've joined but don't have insurance card don't worry

Dec. 27, 2005 – It's crunch time. Senior citizens are still signing up for the Medicare prescription drug plan that is set to begin on Jan. 1 and most will not have an insurance card to show their pharmacy. Medicare says don't worry. You can get your prescription filled before you receive you membership card. Read more...

Seniors Who Don't Take Drugs Can Wait Until May 15 to Join Medicare Plan

Find a plan that will cost the least for not using it before enrollment ends

By Tucker Sutherland, editor

Dec. 27, 2005 – Senior citizens who do not take any prescription drugs may want to wait until 2006 to join a Medicare prescription drug plan. You are penalized for the rest of your life for not joining during this initial enrollment period, but this does not end until May 15, 2006, although the plans begin coverage on Sunday, Jan. 1, 2006. The strategy is to also find the plan that will cost you the least for not using it. Read more...

 

For all the latest News on the Medicare Drug Program - click here.



More LINKS

Official U.S. government web site about Medicare

Basic Medicare Questions and Answers

Help For Those With Limited Income and Resources (CMS)

Help With Medicare Prescription Drug Costs (SSA)

Benefits Checkup to Help You Find Government Help (HHS)

Your Basic Choices in Medicare

Background stories in 2003 on fight over Medicare drug bill.

Medicare & Social Security Q&A on current programs

"Dear Marci" - Medicare Q&A

What to do after you join

So, you enrolled in a Medicare prescription drug plan. What happens now?

  • You should receive an acknowledgment letter from the company sponsoring the plan you joined. It should arrive in one to two weeks.

  • Your insurance ID card should arrive in three to five weeks.

  • If you need a prescription filled before your card arrives, you should try to contact the company to get your ID number. Even without that, however, you can get your drugs under the plan by taking your acknowledgement letter, Medicare card and photo ID.

  • Save the receipts from your Pharmacist.

 • Call 1-800-MEDICARE 24/7 for assistance