More
Changes for Medicare: Are you Ready for Part D?
It’s been in the news regularly for almost two years now. The
Medicare Prescription Drug Improvement and Modernization Act of 2003 (MMA)
signed into law in December 2003, initiated many changes within the
Medicare system – changes which are being instituted over the next
several years. One of the most controversial of these has been the new
prescription drug benefit. Starting in January 2006, Medicare
beneficiaries will be able to obtain some assistance for prescription
medications through a new Medicare Part D. The new drug benefit, which
will be voluntary, is the newest letter in the Medicare alphabet of
Parts A, B and C. Medicare beneficiaries will be asked to participate
in a Part D plan, which will require payment of a premium. Part D will
be available through private sector plans such as stand-alone
prescription drug plans (PDPs) or through Medicare Advantage (Part C)
plans in conjunction with its healthcare coverage. Generally, here’s
how the standard plan works:
*Participant must pay 100% of the first
$250 (calendar year deductible) each year.
*Participant pays 25% of the next
$2,000 per calendar year.
*Participant pays 100% of the next
$2,850 per calendar year.
*Participant pays 5% over $5,100 per
calendar year.
How would Part D affect United
American? We are currently in negotiations for UA to offer a private
prescription drug plan (PDP) to administer the Part D program, and the
particulars of the process are carefully being examined. There are a
lot of issues to consider from both a practical and administrative
perspective, and it will be later in the year before plans will be
finalized. In the meantime, you can offer UA Partners® to your Senior
customers. Our optional discount services program can provide them
with outstanding discounts on prescription medications. Be sure to see
the article on page 5 for valuable information about the UA Partners®
Mail Order Prescription Form, which was specifically created to help
Seniors order maintenance medications.
Although the Part D plan does not go
into effect until January, Medicare beneficiaries will start to
receive information from the government about aspects of the program
beginning this month. The first mailing, which will be sent by the
Social Security Administration, is to determine which Medicare
beneficiaries could be eligible for additional assistance with Part D
premiums, deductibles, and co-payments. Although most people may not
qualify for this extra assistance, recipients who could qualify will
need to provide information about their incomes, savings, investments,
and real estate (other than their primary place of residence). The
face value of any insurance policies they have will be considered in
determining their eligibility for assistance. If a couple has life
insurance policies with a total combined face value of $1,500 or more,
they must report the cash value – that is the amount they would
receive if the life policy was cashed in now. The mailing also
encourages recipients to contact their insurance companies if they
have questions about their life policies and includes FAQs about
prescription drug plans in general. Although many of our customers may
not be eligible for extra assistance with the New Part D plan, the
Home Office is gearing up for more calls from customers, and Agents
need to be prepared for an increase in customer contact as well.
Learn as much as you can to assist your
Senior customers through the next months. With the Medicare maze
growing larger and more complex every year, your customers will look
to you for clarification of many Medicare-related concerns. Although
many of you are working with very savvy Seniors, there is still a
substantial group of Medicare Supplement customers and prospects who
are not well-informed about their healthcare needs. It’s up to you
to educate them and to help them make the right choices and decisions.
Certainly, one of the best ways to educate Seniors on the new Medicare
Part D Program is to utilize Senior Citizen Meetings to answer their
questions. When you tell these groups’ members that there will be an
explanation of a new program to save them money on their prescription
drugs, it will be an easy way to get a large turnout for your
meetings. Naturally, this will generate lots of interested HDF
prospects too! What a perfect marriage of two low-cost solutions for
curious Seniors!
Our center spread this month is devoted
to Medicare Part D. It provides a quick review of the current Medicare
system, some important dates to keep in mind, and some of the concerns
both you and your customers will have about Part D.
Medicare Part D is a new program, and
there are still many unknowns. For the remainder of 2005, the plan and
the processes to implement and administer it will continue to evolve
as the rules become fixed and as more insurers make decisions about
participating. We will keep you informed as the months go by, so that
we’ll all be ready to roll come January 1, 2006.
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Andrew W. King
President,
Branch Office Agency Division |