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Take Advantage of Medicare D Prescription open Enrollment

 
Tracey Cousineau
 
11/24/2008

If you have Medicare, no doubt, you’ve been getting a great deal of information about all the Medicare drug plans available in 2009.  Open enrollment for Medicare D prescription plans begins November 15 and ends December 31.  Whether you already have Medicare drug coverage or are thinking about enrolling in a Medicare drug plan you should review all the options every year, even if you are “satisfied” with your current plan.  Take advantage of open enrollment to find the best plan for you because the drug plans that were available in 2008 will not necessarily remain the same in 2009.  There are several new drug plans, such as the Medicare Advantage Plans, and the existing drug plans may have changed their premiums and cost-sharing, the drugs on their formulary, and/or the rules for obtaining those drugs such as prior authorization requirements, step therapy, and quantity limits.    

During open enrollment Medicare beneficiaries who do not have a Part D plan can enroll in a plan, and those who do have coverage can change their prescription drug plans, change Medicare Advantage plans, return to original Medicare, or enroll in a Medicare Advantage plan for the first time.  In order for your plan to be in effect by January 1, you should plan to sign up for a drug plan by December 8.   Beneficiaries who take no action will remain in their current plan, with some exceptions for those who receive the low-income subsidy.

Medicare beneficiaries receiving the low-income subsidy must apply for the subsidy annually.  Do not assume you will automatically receive the low income subsidy if you have not received verification from social security.  You will not be able to choose a new drug plan during 2008 if you realize after January 1 that your current plan requires you to pay a premium. 

It is important to remember that if you are dually eligible for Medicare and Medicaid or Maine's Low-Cost Drugs for the Elderly and Disabled program (DEL) you can switch drug plans at any time during the year.  If a plan doesn't cover your drug needs, you will have to pick another plan that is better for you.  You can call the Pharmacy Help Desk for assistance in changing Medicare Prescription Drug Coverage at 1(866)796-2463 (TTY: 1(800)423-4331).

Prescription insurance can be challenging to understand.  The good news is there is help! Eastern Agency on Aging is offering several Medicare D sessions in the Lincoln and Millinocket area to assist with enrollments.  Visit www.eaaa.org for more information or call EEEA at 1-800-432-7812 (TTY/Voice (207) 992-0150) and schedule an appointment with a Medicare D specialist.  Health Access Network can also assist with Medicare D enrollments by calling 794-6700 (1-866-426-4584) and ask to speak to Tracey.  In addition, the Office of Elder Independence (1-800-262-2232) has a helpful website at www.maine.gov/dhhs/beas//medicared that will link you to plan comparison tools and resources.