Medicare Weekly News for October 18, 2005
Take Time and Prepare, Says Medicare
Identify Current Coverage
The Medicare prescription drug benefit’s six-month open-enrollment window doesn’t begin until
November 15. Until then, the Medicare agency is advising beneficiaries to take their time and
prepare by identifying how they currently get drug coverage (if any).
This will help beneficiaries simplify their decision, say Medicare officials. Veterans already enrolled
and covered for prescription drugs under the Department of Veterans Affairs (VA), for example,
are advised by the Medicare agency to remain with what they have.
Medicare advises beneficiaries to identify which of the following categories applies to them:
• No prescription drug coverage
Medicare prescription drug coverage will likely help with drugs costs.
• Drug coverage through an employer or union
Employer or union plans are sending out letters to their enrollees explaining if their current
prescription drug coverage is as good as or better than the standard Medicare prescription drug
• Prescription drug coverage through TRICARE (military retiree benefits), Department of
Veterans Affairs (VA benefits), and FEHBP (Federal Employees Health Benefits Program).
Those with prescription drug coverage through TRICARE, the VA, or FEHBP are advised by
Medicare to stay with it.
• People in both Medicare and Medicaid
If Medicaid currently covers a beneficiary for prescription drugs, that drug coverage is switching to
Medicare on January 1. The beneficiary will be automatically enrolled in a Medicare drug plan. If
the beneficiary doesn’t like the plan, he/she can change it at any time.
• People in Medicare managed care plans
The plan may simply add Medicare’s prescription coverage, or else it may bring the drug coverage
it now includes up to Medicare’s new guidelines. These beneficiaries will get a notice from their
• People with a Medigap policy that includes prescription drug coverage
Medigap plans are sending letters to their enrollees letting them know if their current Medigap
prescription drug coverage is as good as or better (“creditable coverage”) than the standard
Medicare prescription drug coverage.
• People with prescription assistance through a state pharmacy program
These Medicare beneficiaries should contact their state pharmacy program to see how it
coordinates with the new Medicare Rx benefit.
For additional information about the benefit, contact a Medicare representative by calling 1-800-
MEDICARE (1-800-633-4227). Or call Eldercare Locator (1-800-677-1116) to locate local one-onone
counselors and resources .
The Medicare Rx Education Network provides information and assistance with outreach and enrollment for the new
Medicare Part D prescription drug benefit. The network, which includes 70 national organizations, is chaired by former
U.S. Senator John Breaux. Members share an interest in educating Medicare beneficiaries about the new Medicare
prescription drug benefit and work closely with the appropriate federal agencies to obtain up-to-date information to
ensure that information disseminated by the network about Medicare Part D is factual and accurately conveyed,
thereby pre-empting confusion about the benefit and equipping beneficiaries and their caregivers to make informed
choices. By sharing information with each other about member organizations’ independent efforts, collaborating on
activities, and identifying ways to work together, the network aims to eliminate duplication of efforts and maximize the
effectiveness of outreach efforts. The network does not engage in legislative activities or take positions on pending
legislative or administrative policies related to the Part D benefit and its implementation.