Logo of BlueCross BlueShield of FloridaFlorida Blue
Serving Residents and Businesses of Florida
 Florida Blue Home PageContact the EditorPast Issues Archive
help aging parents understand Medicare Part D; Photo of three generations of women
 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

Photo of man writingThe 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.

*Out-of-network pharmacies may cost more.

Find Out More www.bcbsfl.com
(800) 809-8568

www.medicare.gov
(800) MEDICARE

 
 Fall/Winter 2005: helping you changes deal with lifestyle changes; Photo of legs jumping and father and child
Logging onto MyBlueService is now Easier and Faster

Hope for Women
With Breast Cancer

Shed Excess Pounds

Help Aging Parents Understand Medicare Part D

Pharmacyfolio: Medication Questions? Ask First

Preferred Medication
List Update

Stay On Top Of
Your Rx Information

My Health Plan
For plan-specific articles, choose your health plan:

BlueCare
BlueChoice
BlueOptions
Medicare Advantage
Medicare Supplement

En Espanõl

BlueCare - Spanish
BlueChoice - Spanish
Medicare Advantage - Spanish
Medicare Supplement - Spanish


Top of Page
Florida Blue Front Page | Contact the Editor | Past Issues Archive