Want to save money? It is time to start shopping and enrolling in a 2013 Medicare Part D Plan. The open enrollment period for Medicare 2013 Part D Prescription Plans begins next week on October 15th and will continue only until December 7th. Coverage on a 2013 plan starts January 1, 2013.
31 Medicare Part D plans are available for prescription drug coverage inKansasfor 2013. Monthly premiums vary from the lowest premium of $15 to the highest premium of $116.40 a month. $27.00 is the lowest premium with no deductible.
Gap or Donut Hole– The gap or donut hole starts when the total money spent on your prescriptions from the insurance company and your part added together equals $2970.
After reaching that $2970 amount, the Medicare beneficiary is responsible for paying 47.5% of the cost of brand name prescriptions and 79% of the cost of generic prescriptions until he or she pays a total out of pocket $4,750 for prescription drug costs. Once you’ve reached your plan’s out-of-pocket limit, you will have “catastrophic coverage.” This means that you only pay a 5% coinsurance amount or a small co-payment for each prescription for the rest of the calendar year.
Deductible– Beneficiaries with a Part D deductible in 2013 often ask if their deductible starts over in 2013? Yes, your deductible will start over in 2013 and may be up to $325 depending on your specific prescription plan. When you have met your deductible, your prescription plan will start paying their share toward your prescriptions.
Plan Selection – Selecting a plan is a very individualized selection. It needs to be based on a number of factors including cost, convenience, the medications that you take and which plans will be accepted at your preferred pharmacy. Comparison shop to get the Part D Plan that meets your needs.
Help Available– Unbiased assistance is available by a SHICK, Senior Health Insurance Counseling forKansas, Counselors in your area. Counseling is available at River Valley District K-State Research Offices inBelleville,ClayCenter, Concordia andWashington. SHICK Counselors are helping at some libraries and Senior Centers too. A listing of area SHICK Counselors assisting Medicare beneficiaries during the enrollment period is available in the District Extension Offices located in the basements of the courthouses inBelleville, Concordia andWashington. Come by322 Grant Avenue inClayCenter. Or call the Extension Office,Belleville (785-527-5084),ClayCenter (785-632-5335), Concordia (785-243-8185) orWashington (785-325-2121).
Medicare beneficiaries with a 2013 Prescription Drug Plan should read the letter or booklet from their Drug plan explaining the changes in their current plan for 2013. Are all your prescriptions on the Plan’s formulary? If you like your plan and understand the changes for 2013, you do not have to do anything to stay on the same plan for next year.
Crosswalk Plans– Some 2012 Part D Plans will no longer be available in 2013. All members of theseKansas plans will be crosswalked or automatically enrolled in other Prescription Drug Plans (PDP) with the same company or consolidated to a different company effective 2013.
* Members of First Health Part D Premier are being enrolled in First Health Part D Essentials.
* Members of AARP MedicareRx Enhanced are being enrolled in AARP MedicareRx Preferred.
* Members of WellCare Signature are being enrolled in WellCare Classic.
* Members of Community CCRx Basic and Health Net Orange Option are being enrolled in SilverScript Basic .
* Members of Community CCRx Choice and Health Net Value Orange Option 2 are being enrolled in SilverScript Plus.
* Members of BravoRx are being enrolled in HealthSpring Prescription Drug Plan-Reg 24.
* Reference to any specific commercial products, service, manufacturer or company does not constitute its endorsement or recommendation.
Medicare Prescription Drug Worksheet– Stop by one of the District Extension Offices in Belleville, Clay Center, Concordia or Washington to pick up a Medicare Prescription Drug Worksheet. Complete the worksheet listing your prescriptions drugs taken, dosage and 30 Day Quantity before seeking help. Call your pharmacy or where you purchase your medications to discover the specific Prescription Drug Plans your pharmacy will handle. Drop off the worksheet to the Extension Office a week prior to your appointment, and it will speed up your appointment. Also bring any recent letters you have received from Social Security or Medicare to your appointment and bring your Medicare card.
Ready, set, shop and enroll in a Medicare Part D Plan now. Call a SHICK Counselor
K-State Research & Extension is an equal opportunity provider and employer.