Choosing a Medicare Prescription Drug Plan

1
Choosing a Medicare Prescription Drug Plan

• December 2, 2005

2
Session Objectives

• Discuss
• Auto-enrollment
• Which plan are you enrolled in?
• What plans are available?
• How to change plans?
• Comparing plans
• Online Tools
• Scorecards
• Joining/changing drug plans

3
Auto-Enrollment

• Medicare will auto-enroll dual eligibles
• Find out which plan
• Auto-enrollment notice
• Visit medicare.gov
• Call 1-800-MEDICARE (1-800-633-4227)
• Visit your pharmacist
• Do people who have been auto-enrolled need to do
  anything?

4
Auto-Enrollment

• Medicare will auto-enroll dual eligibles
• Available Plans
• 43 PDPs
• 6 with 0 Premium for LIS
• 37 with supplemental benefits (out-of-pocket
  costs for premiums)
• 28 MA-PD Organizations (1,000 plan variations)
• Change Plans
• Select your new plan

5
Comparing Plans

• Things to Consider
• Coverage
• Cost
• Convenience
• Online Tools/ Scorecards
• http//plancompare.gov
• Florida Medicaid/Gold Standard Scorecards

6
Joining or Changing Drug Plans

• By paper application through the plan
• On the plans website
• By phone
• Medicare website

7
PDP Choices0 Premium for LIS
8
The Medicare Modernization Act Cost to Full
Benefit Duals
9
Important Dates

• October 2005
• CMS releases
• Medicare You 2006 Handbook
• Plan Information
• Auto-assignment information
• November 1, 2005
• FL DCF sends MEDS-AD Waiver notices
• FL Medicaid sends Adverse Action notices to full
  duals
• November 7, 2005
• FL Medicaid sends Silver Savers program
  termination notices
• November 15, 2005
• Part D Open Enrollment period begins

• November 30, 2005
• Silver Saver program stops new enrollment
• December 1, 2005
• FL DCF sends program termination notices to
  MEDS-AD
• December 8, 2005
• FL Medicaid begins mailing Scorecards to full
  Duals and Silver Savers
• December 31, 2005
• MEDS-AD program terminates
• Silver Saver program terminates
• Dual Eligibles no longer have prescription
  coverage with Medicaid.
• January 1, 2006
• PART D COVERAGE BEGINS

10
Resources (Web links)

• CMS - State Resources
• http//www.cms.hhs.gov/medicarereform/states/state
  resrcs.asp
• CMS - Formulary Finder
• http//plancompare.medicare.gov/formularyfinder/se
  lectstate.asp
• CMS - Access-to-Benefits
• http//www.accesstobenefits.org/
• SSA - Application Information
• http//www.ssa.gov/organizations/medicareoutreach2
  /
• FamiliesUSA - Cost Calculator
• http//www.familiesusa.org/issues/medicare/rx-drug
  s/medicare-calculator.html
• FamiliesUSA - Regulations Analysis
• http//www.familiesusa.org/issues/medicare/MMA-Reg
  ulations-Analysis.html