A non-government resource for the Medicare community
Powered by Q1Group LLC
A non-government Medicare community resource
  • Menu
  • Home
  • Contact
  • MAPD
  • PDP
  • 2024
  • 2025
  • FAQs
  • Articles
  • Search
  • Contact
  • 2024
  • 2025
  • FAQs
  • Articles
  • Latest Medicare News
  • Search

CMS Press Release: HHS Announces More Than 90 Percent Of Medicare Beneficiaries Will Have Access To A Lower Premium Drug Plan in 2008

Category: Annual Medicare Plan Changes
Published: Oct, 26 2007 05:10:07


FOR IMMEDIATE RELEASE
Thursday, September 27, 2007
Contact: CMS Office of Public Affairs
(202) 690-6145
HHS Announces More Than 90 Percent Of Medicare Beneficiaries Will Have Access To A Lower Premium Drug Plan in 2008

HHS Secretary Mike Leavitt announced today that more than 90 percent of Medicare beneficiaries in a stand-alone Part D prescription drug plan (PDP) will have access to at least one plan in 2008 with premiums lower than they are paying this year. The open enrollment period for 2008 begins Nov. 15th and ends Dec. 31st.

In every state, beneficiaries will have access to at least one prescription drug plan with premiums of less than $20 a month, and a choice of at least five plans with premiums of less than $25 a month.  The national average monthly premium for the basic Medicare drug benefit in 2008 is projected to average roughly $25.

“The 2008 options show that beneficiaries will continue to enjoy excellent value and choice in the Medicare prescription drug program,” Secretary Leavitt said. “The benefit continues to receive high marks from people who participate in the program. The actual average premium paid by beneficiaries for standard Part D coverage in 2008 is expected to be nearly 40 percent lower than originally projected when the benefit was established in 2003. Moreover, our data show that the Medicare prescription drug benefit is saving seniors an average of $1,200 a year.”

Beneficiaries who qualify for extra help through Medicare’s Low-Income Subsidy (LIS) will also have a range of options available for comprehensive coverage. Those who qualify for the full Medicare subsidy will pay no premiums or deductibles in these plans.

“We want to give every Medicare beneficiary who is eligible for extra help the opportunity to enroll in the Part D benefit,” said Centers for Medicare & Medicaid Services (CMS) Acting Administrator Kerry Weems. “That’s why in 2008, CMS will maintain for low-income subsidy eligible beneficiaries the same exemption from the late enrollment penalty as in 2007.  Eligible beneficiaries can enroll in a Medicare prescription drug plan with no penalty through Dec. 31, 2008,” added Weems.

In 2008, 17 organizations will offer stand-alone prescription drug plans nationwide (in all 50 states plus Washington, D.C.). Beneficiaries will have a wide range of plans to choose from that have zero deductibles, some of which also offer other enhanced benefits, such as reduced deductibles and lower cost sharing.  There also are options that cover generic drugs in the coverage gap for as low as $28.70 a month.  Nationwide, beneficiaries in any state can obtain a plan with coverage in the gap for generic drugs for under $50 a month.

Beneficiaries will continue to have access to Medicare Advantage health plans that offer lower premiums and enhanced drug coverage. The premiums for Medicare Advantage plans with prescription drug coverage (MA-PDs) continue to be lower than premiums for PDPs. On average, in 2007, the MA-PD premiums prior to rebates are about $7 lower than those for PDPs. In 2008, they will average $11 lower.   Further, over 90 percent of people with Medicare will have access to a MA-PD for a $0 premium and with a $0 drug deductible.

The Medicare prescription drug benefit continues to enjoy widespread popularity among people with Medicare. Surveys continue to show that upwards of 80 percent of Medicare beneficiaries are satisfied with their current coverage.

Details about the specific plans available in every region will be released in mid-October. Beneficiaries who want to review their current coverage as well as the other options available to them will have access to information and assistance from many sources including:

  • A notice of any coverage changes from their current prescription drug plan, coming by Oct. 31st;
  • The enhanced Medicare Drug Plan Finder, available in mid-October;
  • Toll free information available 24/7 at 1-800-MEDICARE (1-800-633-4227);
  • The annual Medicare & You 2008 handbook that explains Medicare coverage, to be mailed in October; and
  • Local organizations such as the State Health Insurance Assistance Programs and thousands of other Medicare partner organizations that will provide personalized assistance throughout the fall.

 The list of national stand-alone prescription drug plans and state specific fact sheets can be found at:   http://www.cms.hhs.gov/ center/ openenrollment.asp


(Highlighting / Emphasis Added by Q1Medicare.com Online Editorial Team)

 









Tips & Disclaimers
  • Q1Medicare®, Q1Rx®, and Q1Group® are registered Service Marks of Q1Group LLC and may not be used in any advertising, publicity, or for commercial purposes without the express authorization of Q1Group.
  • The Medicare Advantage and Medicare Part D prescription drug plan data on our site comes directly from Medicare and is subject to change.
  • Medicare has neither reviewed nor endorsed the information on our site.
  • We provide our Q1Medicare.com site for educational purposes and strive to present unbiased and accurate information. However, Q1Medicare is not intended as a substitute for your lawyer, doctor, healthcare provider, financial advisor, or pharmacist. For more information on your Medicare coverage, please be sure to seek legal, medical, pharmaceutical, or financial advice from a licensed professional or telephone Medicare at 1-800-633-4227.
  • We are an independent education, research, and technology company. We are not affiliated with any Medicare plan, plan carrier, healthcare provider, or insurance company. We are not compensated for Medicare plan enrollments. We do not sell leads or share your personal information.
  • Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year. Our PDPCompare.com and MACompare.com provide highlights of annual plan benefit changes.
  • The benefit information provided is a brief summary, not a complete description of benefits. For more information contact the plan.
  • Limitations, copayments, and restrictions may apply.
  • We make every effort to show all available Medicare Part D or Medicare Advantage plans in your service area. However, since our data is provided by Medicare, it is possible that this may not be a complete listing of plans available in your service area. For a complete listing please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week or consult www.medicare.gov.
    Statement required by Medicare:
    "We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options."
  • When enrolling in a Medicare Advantage plan, you must continue to pay your Medicare Part B premium.
  • Medicare beneficiaries with higher incomes may be required to pay both a Medicare Part B and Medicare Part D Income Related Monthly Adjustment Amount (IRMAA). Read more on IRMAA.
  • Medicare Advantage plans that include prescription drug coverage (MAPDs) are considered Medicare Part D plans and members with higher incomes may be subject to the Medicare Part D Income Related Monthly Adjustment Amount (IRMAA), just as members in stand-alone Part D plans. In certain situations, you can appeal IRMAA.
  • You must be enrolled in both Medicare Part A and Part B to enroll in a Medicare Advantage plan. Members may enroll in a Medicare Advantage plan only during specific times of the year. Contact the Medicare plan for more information.
  • If you are enrolled in a Medicare plan with Part D prescription drug coverage, you may be eligible for financial Extra Help to assist with the payment of your prescription drug premiums and drug purchases. To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult www.medicare.gov; the Social Security Office at 1-800-772-1213 between 7 a.m. and 7 p.m., Monday through Friday. TTY users should call, 1-800-325-0778; or your state Medicaid Office.
  • Medicare evaluates plans based on a 5-Star rating system. Star Ratings are calculated each year and may change from one year to the next.
  • A Medicare Advantage Private Fee-for-Service plan (PFFS) is not a Medicare supplement plan. Providers who do not contract with the plan are not required to see you except in an emergency.
  • Disclaimer for Institutional Special Needs Plan (SNP): This plan is available to anyone with Medicare who meets the Skilled Nursing Facility (SNF) level of care and resides in a nursing home.
  • Disclaimer for Dual Eligible (Medicare/Medicaid) Special Needs Plan (SNP): This plan is available to anyone who has both Medical Assistance from the State and Medicare. Premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. Please contact the plan for further details.
  • Disclaimer for Chronic Condition Special Needs Plan (SNP): This plan is available to anyone with Medicare who has been diagnosed with the plan specific Chronic Condition.
  • Medicare MSA Plans combine a high deductible Medicare Advantage Plan and a trust or custodial savings account (as defined and/or approved by the IRS). The plan deposits money from Medicare into the account. You can use this money to pay for your health care costs, but only Medicare-covered expenses count toward your deductible. The amount deposited is usually less than your deductible amount, so you generally have to pay out-of-pocket before your coverage begins.
  • Medicare MSA Plans do not cover prescription drugs. If you join a Medicare MSA Plan, you can also join any separate (stand-alone) Medicare Part D prescription drug plan
  • There are additional restrictions to join an MSA plan, and enrollment is generally for a full calendar year unless you meet certain exceptions. Those who disenroll during the calendar year will owe a portion of the account deposit back to the plan. Contact the plan provider for additional information.
  • Medicare beneficiaries may enroll through the CMS Medicare Online Enrollment Center located at www.medicare.gov.
  • Medicare beneficiaries can file a complaint with the Centers for Medicare & Medicaid Services by calling 1-800-MEDICARE 24 hours a day/7 days or using the medicare.gov site. Beneficiaries can appoint a representative by submitting CMS Form-1696.