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Government Shells Out $3.95 Million in New Medicare Drug Program Enrollment Effort

Sept. 30, 2004 - More than 100 community-based organizations and coalitions representing nearly 700 individual organizations will receive a total of $3.95 million from the Centers for Medicare and Medicaid Services (CMS) and the Administration on Aging (AoA to help educate and enroll senior citizens and people with a disability about the benefits of the Medicare-approved drug discount card.

U.S. Department of Health and Human Services (HHS) Secretary Tommy G. Thompson made the announcement today and described this as an unprecedented public-private outreach effort with hundreds of community organizations all across the nation to help millions of eligible seniors and people with a disability begin saving on their prescription drugs right away.

"We want seniors to get the full $1,200 credit for their medicines over the next 14 months. This is real savings for seniors who need the most help," Secretary Thompson said. "We need to work together and focus on how communities can help seniors enroll in the program so they don't leave this money on the table."

"The Medicare drug card can provide literally thousands of dollars in help, so that people with Medicare on a fixed income won't have to choose between their drugs and other basic necessities," said CMS Administrator Mark B. McClellan, M.D., Ph.D. "Nearly two million people will be receiving cards that provide big savings in the mail, and we are working with many other organizations to make sure these beneficiaries and many more take advantage of the savings."

Last week, Secretary Thompson announced that 22 national discount cards will be mailed to 1.8 million Medicare beneficiaries who will be able to use the cards immediately to get savings at pharmacies. In addition to receiving the card, beneficiaries will also receive instructions on how to activate the $1,200 benefit. To do so, recipients will have to verify by phone that they do not have other drug coverage and provide information to help determine how much they should expect to pay for their drugs at the pharmacy.

"Seniors who get Medicare-approved drug discount cards in the mail will only have to pick up the phone to receive the $1,200 benefit," said AoA Assistant Secretary Josefina G. Carbonell. "The community organizations that work with seniors where they live are the best way in reaching seniors to help them access ways to save money."

A CMS analysis has found that Medicare beneficiaries can save from 44 percent to 77 percent off the average retail price for name brand drugs when they combine the lower cost drugs with the $600 credit. Savings will be larger, often exceeding 90 percent, when the credit is combined with a "wraparound" program from drug manufacturers or with other savings opportunities like generic drugs or state pharmacy assistance programs. These wraparound discounts, which reduce drug prices to $15 or less, are available on more than 200 brand-name drugs, including six of the 10 drugs used most by seniors.

Organizations that received the awards:

-- Are community-based non-profit organization or public entity that serves low-income and underserved Medicare beneficiaries

-- Have a mission that is compatible and complements the efforts to educate seniors about federal programs and demonstrates experience in providing outreach and education to the target population

-- Are able to meet performance goals by assisting to enroll Medicare beneficiaries into the drug cards

-- Have access to e-mail and the Internet so CMS and AOA can provide updated information that the organizations can share with beneficiaries in each community.

A list of awardees is available at: http://www.hhs.gov/news/press/2004pres/20040930a.html.

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