My Part D USA

Last Monday we had an article with a mention of My Part D USA in the New York Times!!!  WOW!  I hope that many more people will find out about the BLOG from that and will use us as a resource for Medicare information. 

If anyone sees us in a paper where you live, please write and let me know.

Thanks,  Karyn

DEAR READERS:

AS YOU KNOW, I HAVE BEEN WARNING YOU ALL ALONG ABOUT MEDICARE ADVANTAGE PLANS AND THEY AGGRESSIVE WAY THEY ARE MARKETED.   I RECEIVED NEWLETTERS FROM THE MEDICARE RIGHTS CENTER AND GOT THIS NEW MESSAGE TODAY.  I HAVE TOLD YOU IN THE PAST THAT THE REASON SALESPEOPLE TRY TO ENROLL PEOPLE ON THESE TYPE PLANS, INSTEAD OF WHAT MOST PEOPLE NEED, A MEDICARE SUPPLEMENT/MEDIGAP POLICY AND A STAND ALONE PART D DRUG PLAN, IS THE INCREDIBLY HIGH COMMISSION THEY GET PAID FOR DOING SO!  I HAVE EVEN BEEN THREATENED FOR TELLING YOU THIS BY SOME SALESPEOPLE THAT SELL ADVANTAGE PLANS. 

SOME PEOPLE DO NEED THESE PLANS BECAUSE THEY ARE ON DISABILITY AND CANNOT GET ANY OTHER KIND OF COVERAGE.  OTHERS JUST CANNOT AFFORD THE PREMIUM ON A MEDICARE SUPPLEMENT/MEDIGAP PLAN.  THOSE ARE THE ONLY PEOPLE WE RECOMMEND TO ENROLL ON THESE PLANS AND THEN WE GO OVER IT AND OVER IT, SO THEY KNOW EXACTLY WHAT KIND OF COVERAGE THEY HAVE AND UNDERSTAND THE TERMS OF PAYMENT FROM THE MEDICARE ADVANTAGE PLAN. 

THERE ARE MANY, MANY PEOPLE OUT THERE THAT NEED MEDICARE ADVANTAGE PLANS!  THAT IS WHY I DO NOT UNDERSTAND WHY SOME SALESPEOPLE TRY TO GET THOSE THAT DON’T NEED A MEDICARE ADVANTAGE PLAN AND REALLY SHOULD NOT BE ON ONE, FOR THIER BEST COVERAGE OPTION, TO JOIN THESE PLANS.  AS I SAID BEFORE, YOU CAN DO WHAT IS RIGHT FOR PEOPLE AND STILL MAKE A LIVING! 

PLEASE READ THE FOLLOWING:

Asclepios – Your Weekly Medicare Consumer Advocacy Update Medicare Advantage Commissions – October 23, 2008; Volume 8, Issue 43

Recent reports indicate that some of the major national Medicare private health plans are going to pay independent agents $500-plus per year over five years, $2,500 in total—for every new enrollee in their “Medicare Advantage” plans. The new totals are at least double the top commissions typically paid over the last couple of years a period when people with Medicare were regularly victimized by predatory agents looking to make a quick buck. Older adults and people with disabilities were bullied or tricked into Medicare private health plans that no longer allowed them to see their doctors or that stuck them with high out-of-pocket costs when they fell ill.

These new commissions are an attempt by some of the major plans to undermine efforts by the Centers for Medicare & Medicaid Services (CMS) to restrain commissions and in particular to eliminate incentives for agents to “churn” move customers from plan to plan just to earn commissions. Many agents believe that these higher commissions actually increase incentives to churn.

CMS should not allow Medicare Advantage plans to pay these commissions. The agency has broad authority, under the Medicare Improvements for Patients and Providers Act, to establish commission guidelines that create “incentives for agents and brokers to enroll individuals in the Medicare Advantage plan that is intended to best meet their health care needs.”

There should be no incentive to move someone from one Medicare Advantage plan to another just to earn a higher commission.  There should be no incentive to move someone from a Medigap supplemental plan to a Medicare Advantage plan just to earn a higher commission.

With those twin goals in mind, CMS should establish a cap on commissions consistent with existing requirements to pay level commissions over 5 years, starting with the 2009 plan year. The cap should be set at a level that approximates current renewal rates for Medicare Advantage enrollments made in 2007 and 2008. And it should approximate Medigap renewal rates for a healthy 66-year-old, the low-cost consumer that Medicare Advantage plans target for enrollment.  With those parameters, commissions would be capped at well under half the rates Medicare Advantage plans are now proposing to pay

Remember, Medicare Advantage plans are paying these commissions out of subsidies they receive from taxpayers. It is outrageous that any of these subsidies, which are supposed to pay for the health care of older adults and people with disabilities, are diverted to pay commissions to enroll people with Medicare in plans that cost taxpayers more money, $150 billion over the next ten years than it costs to provide care under Original Medicare.

IT WOULD BE TO YOUR ADVANTAGE TO GO TO WWW.MEDICARERIGHTS.COM AND SIGN UP FOR THEIR NEWSLETTERS, SO THAT YOU TOO, CAN BE INFORMED FROM ANOTHER UNBIASED SOURCE FOR YOUR MEDICARE INFORMATION.

I have found more large retailers that have a list of Generics for $4.

Giant Eagle,  Kmart,  Kroger,  Schnucks,  Target,  Walmart/Sams Club,  Wegmans

I can send you the link for these lists if you cannot find it online yourself.  You can google the store name and find it on their websites.

This is going to help you out so much in 2009.   If you begin January 1, 2009 buying your generics OFF YOUR DRUG PLAN , you will not go into the “dreaded donut hole” as quickly in 2009.  Now wouldn’t that just be fantastic???  Do not show the pharmacy your drug plan card and tell them this is NOT to be applied to your drug plan.  Some people go to one store to buy their generics, and go to another one to use their drug card, just to avoid confusion.

For those of you who get to the other side of the donut hole and get 95% coverage, you DO NOT WANT TO FOLLOW THIS PIECE OF ADVICE.  YOU NEED TO GET TO THE 95% COVERAGE ASAP!!

Even though you are paying the generic co-pays on your Part D Drug Plan, the Drug Plan dings you a much higher retail price that goes toward your falling into the donut hole!  So, you can see how that could keep you out of the donut hole so very much longer and then you will have more money in the pot to pay for your really expensive medications. 

A very important part of getting your comparison done correctly and accurately is to be sure you have the GENERIC name of your brand name drugs, if you are actually taking the generic form.

For instance, you may have always referred to your prescription by the brand name such as Lasix, but you take the generic form called Furosemide. You must give the generic name for your comparison to be beneficial to you.

My suggestion is to make a list using your prescription bottles to get the correct spelling of your medications. If the name is abreviated and you don’t understand what it is, call your pharmacy and ask. This will insure you recieve the most accurate comparison and you will save the most money on your prescriptions.

When you go to our website, www.MyPartDusa.com, November 15th thru December 31st you can enter in the names of your medications. If you misspell them or there is a question you can click on the drug name and a pull down box with the drug names will appear for you to select the correct name. This will help you make sure that you are giving us the exact drug name you need to compare.

BUY YOUR GENERICS OFF YOUR DRUG PLAN AND YOU WILL NOT FALL INTO THE “DONUT HOLE” AS QUICKLY.

Wal-Mart and some other large retailers are selling generics now for only $4. You can buy your generics from them WITHOUT USING YOUR DRUG PLAN.

This will increase the time it takes you to reach the “donut hole”. The savings using this tip alone could keep you OUT of the “donut hole” months longer, decreasing your costs.