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Medicare: The New Program
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The New Medicare Program 

Starting in 2004, Medicare-Approved Drug Discount Cards will be available to help you save on prescription drugs.

bulletMedicare will contract with private companies to offer new drug discount cards until a
bulletMedicare prescription drug benefit starts in 2006.
bulletA discount card with Medicare’s seal of approval can help you save 10–25% on prescription drugs.
bulletYou can enroll beginning as early as May 2004 and continuing through December 31, 2005. Enrolling is your choice.
bulletMedicare will send you information soon with details about how to enroll.

Starting in 2005, New Preventive Benefits will be covered, including:

bulletOne-time initial wellness physical exam within 6 months of the day you first enroll in Medicare Part B.
bulletScreening blood tests for early detection of cardiovascular (heart) diseases.
bulletDiabetes screening tests for people with Medicare at risk of getting diabetes.
bulletThese benefits add to the many preventive services that Medicare already covers, such as cancer screenings, bone mass measurements and vaccinations.

Prescription Drug Benefits will be added to Medicare in 2006. All people with Medicare will be able to enroll in plans that cover prescription drugs. Plans might vary,but in general, this is how they will work:

bulletYou will choose a prescription drug plan and pay a premium of about $35 a month.
bulletYou will pay the first $250 (called a “deductible”).
bulletMedicare then will pay 75% of costs between $250 and $2,250 in drug spending. You will pay only 25% of these costs.
bulletYou will pay 100% of the drug costs above $2,250 until you reach $3,600 in out-of-pocket spending.
bulletMedicare will pay about 95% of the costs after you have spent $3,600.
bulletSome prescription drug plans may have additional options to help you pay the
bulletout-of-pocket costs.

Extra help will be available for people with low incomes and limited assets. Most significantly, people with Medicare in the greatest need, who have incomes below a certain limit won't have to pay the premiums or deductible for prescription drugs.  The income limits will be set in 2005.  If you qualify, you will only pay a small co-payment for each prescription you need.

Other people with low incomes and limited assets will get help paying the premiums and deductible.  The amount they pay for each prescription will be limited.

Additional information about the Medicare Prescription Drug Improvement and Modernization Act of 2003 is available in the Medicare publication titled "Facts About Upcoming New Benefits in Medicare".

Click here to find out what Medicare Supplement plans will cover

For more info on Medicare or if you have other questions, please call us at 631-393-5039 or email us at info@ltcamerica.com.

 

 
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