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STORIES ON HEALTH
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Introducing... the Medicare-Approved
Prescription Drug Discount Card
In May 2004, Medicare beneficiaries will begin to see advertising
for the new “Medicare-Approved Prescription Drug Discount
Card.” This is part of the “Medicare Modernization Act of 2003,”
signed
by President Bush in December 2003.
If you are a Medicare beneficiary, you
will find there are many cards to choose. Making the choice about
which card is best for you may seem like a major task.
The “Medicare-Approved Prescription
Drug Discount Card.” is a temporary program, designed to provide
assistance to beneficiaries who have little or no prescription drug
coverage until the Part D Medicare Prescription Drug benefit begins
in January 2006.
The Discount Card is voluntary. If
you do not want to participate, there is no penalty. If you have
current prescription drug assistance through an employer, retirement
program or Medicare Supplemental policy, you may decide not to
participate.
There is good reason to participate
if you have an annual income of $12,569.00/single or
$16,862.00/married. People who fall into these categories are
eligible for $600 per year (2004 and 2005) in transitional
assistance. (If you receive full Medicaid benefits, have employer
prescription coverage, are a member of TRICARE for Life or have the
Federal Employee Health Benefit Plan, you are not eligible for the
$600.00 assistance.)
If you are eligible, the $600.00
will be built into the card you choose, and you will receive the
offered discount and have a 5% or 10% co-pay, depending on your
income level.
Things to consider when choosing a
discount card are:
1) each card will offer it’s own
formulary, so check to see if your drugs are covered.
2) Check to see how much of a
discount will be given when using the card (discounts may vary with
each card).
3) Check to see if you can use the
card at the drugstore of your choice.
4) If you qualify for the $600.00
transitional assistance, complete both the application for the
discount card, and the application for the assistance.
5) Each card company may charge an
annual enrollment fee of up to $30. This must be paid when you
enroll, but is not charged to those who qualify for the $600
transitional assistance.
“Medicare-Approved Prescription
Drug Discount Card.” providers will mail their applications to you
for completion. Once received, applications will be processed and
you will receive notice of acceptance or denial within two weeks.
You may have only one
“Medicare-Approved Prescription Drug Discount Card.” per year. When
you sign up in 2004, you must keep it until 2005. In 2005, you can
change to another card, (open enrollment for 2005 will occur in Nov.
and Dec. of 2004).
Residents with Medicare HMO’s in Clark County, Senior Dimensions or
Secure Horizons; Washoe County, Senior Dimensions, you will be
offered an exclusive card for their beneficiaries only. You won’t
have an enrollment fee, but you may apply for the $600.00
assistance. (In Washoe County, Senior Care Plus will not offer an
exclusive card, so their members may choose from any “Medicare
Approved” card).
There will be companies selling
“Medicare-Approved Prescription Drug Discount Card.” illegally. Call
our HelpLine at 1-800-307-4444 or
1-800-Medicare to find out if the card company is legitimate. Go to
the
www.medicare.gov website and utilize a program which helps you
compare the different cards in your area.
Nevada Division For Aging
Services
Marilyn Wills, Director, SHIP/Project NEON
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