If you help your older parents,
a relative or friend with health care
decisions, you should know about
Medicare Part D. The new Medicare
prescription drug coverage starts
Jan. 1, 2006. The plans are offered
by companies like Blue Cross and
Blue Shield of Florida.
Medicare beneficiaries do not have
to join Medicare Part D, but it’s
important to help them decide now
if they should enroll—and which
plan is best for them. Enrollment
began Nov. 15. They have only until
May 15, 2006, to join a plan without
penalty. If they decide to enroll in
Part D after that date, their premiums
will be 1 percent higher for
every month they delayed, unless
they already have prescription drug
coverage at least as good as
Medicare Part D.
All companies offering a prescription
drug plan to people on
Medicare must meet or exceed the
plan designed by the Centers for
Medicare & Medicaid Services
(CMS). Under the CMS plan,
members pay:
- A monthly premium (varies by company)
- A yearly deductible, which will be $250 in 2006
- Part of the cost of their prescriptions, including a copayment or coinsurance
In addition, there is a coverage gap.
When prescription drug costs total
$2,251 until out-of-pocket costs
reach $3,600 annually, Medicare
beneficiaries are responsible for
all such costs.
Although experiences will vary,
the Congressional Budget Office
estimates that the average Medicare
beneficiary’s out-of-pocket costs for
prescription drugs under Medicare
Part D will decrease from $1,495 to
$1,081—a 28 percent decline.
People with limited income and
resources also may qualify for extra
help and may not have to pay a
premium or deductible. For more
information on financial assistance,
contact Social Security at (800) 772-1213 or visit their website at
www.socialsecurity.gov.
Dates to Remember
Now
Initial enrollment period for Medicare Part D
Jan. 1, 2006
Medicare Part D coverage begins
May 15, 2006
Deadline for Medicare-eligible persons to join Medicare Part D without penalty (some exceptions apply)
Click here to see the BlueScript for Medicare Part D® for 2006 chart
The BlueScript difference
Blue Cross and Blue Shield of
Florida’s BlueScript for Medicare
Part D offers greater coverage than
standard Medicare Part D coverage—
from a lower deductible to negotiated
discounts on covered prescription
drugs during the deductible and
coverage gap periods. What’s more,
there is no annual deductible for
generic drugs. And the copay for
generics at a network* pharmacy
is only $5. Option 2 offers even
greater savings. It extends generic
prescription drug coverage through
the gap period. We offer a broad
list (formulary) of covered drugs
and a statewide network of more
than 3,000 participating retail
pharmacy outlets.
Members enrolled in our Medicare
Advantage plans will have their existing
pharmacy coverage replaced
with our new Medicare Part D coverage
automatically. BluePreferred
and Medicare & More members
will receive Option 1; ActivelyYou
members will receive Option 2.
Available statewide
BlueScript for Medicare Part D is also
available statewide to anyone eligible
for Medicare Part A or enrolled
in Medicare Part B. The monthly
premium for Option 1 is $45.89; for
Option 2, $57.71. To be covered on
Jan. 1, 2006, Medicare beneficiaries
must join by Dec. 31, 2005.
www.bcbsfl.com
(800) 809-8568
www.medicare.gov
(800) MEDICARE