Transcript Part_D

Medicare drug rollout leaves
seniors frazzled
Overloaded Web site adds to frustration for many
By Sharon Terlep / The Detroit News
http://www.detnews.com/2005/business/0511/16/C01-383581.htm
Glitches
• ROYAL OAK -- Clutching pill bottles and paperwork, a
swarm of seniors streamed into Beaumont Hospital in
Royal Oak on Tuesday for what turned out to be a glitchriddled rollout of Medicare's prescription drug coverage.
• The Beaumont sign-up was the first of at least 18 events
to be held throughout Metro Detroit to help people enroll
in the long-awaited plan that for the first time will help
elderly and disabled Medicare recipients pay for
prescription medicines.
• But within hours of opening, the federal Web site offering
online enrollment became overloaded with users,
compounding the already widespread confusion over
which of dozens of plans to choose.
The Menu!
• The stakes are high for the more than 40 million U.S.
seniors and disabled adults eligible for the prescription
drug benefit.
• In most states, they will have more than 40 plans to
choose from that offer an array of benefits. Michigan's
seniors can pick from 65 Medicare health plans, at least
38 of which will include the prescription coverage.
Premiums will range from $22 per month to $133.
• Coverage becomes effective Jan. 1 for those who sign
up before then. Those who miss the final May 15
deadline will pay a penalty equal to 1 percent of their
monthly premium for each month they're late.
The Economics - 1
• $250 Deductible
• Monthly Fee
• After $250 deductible, Part D pays 75% of
expenditures UP TO total of $2,250
• From $2,250 to $5,100, Part D pays
NOTHING.
• After $5,100, Part D pays at rate of 95%
The Economics – 2
Medicare Part D
25000
Other Goods
20000
15000
10000
No Ins
5000
w / Ins
0
0
1000
2000 3000 4000
5000 6000 7000 8000
Prescription Charges
9000 10000
Thoughts
• Break-even is at $850.
• Savings between charges of $2,150 and
$5,200 is approximately $1,050. You’re
not allowed to use Medigap to reimburse
this.
• After $5,100, Part D pays at a rate of 95%.