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Part "D" Prescription
Reasons to choose a RLH Medicare Script Plan
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Download Part D Brochure
As for prescription plans
there are a lot of differences between the plans
available. Like the Medicare Supplement plans, you can get some
with no premium, modest premium, or even some that pay you each
month. Look carefully at the number of medications that
are on the list. Some plans have as few as 150 drugs they cover.
Others a few hundred. We recommend the plan that covers
all 6,000+ drugs available.
Monthly Premiums for Stand alone plans are
$37.90 for RLH Medicare Script Plan, and
$48.10 for the Enhanced options.
We recommend the Blue
Cross Blue Shield MedAdvantage plan WITH the Script Cards
included.. It costs
$50/month
for the Medical coverage alone, or $82/month if you add
the RLH Medicare Script Plan. There is an enhanced option
that brings the cost to $91.50/month.
With RLH Medicare Script, you pay only a share of your
prescription medication costs. Medicare pays us a monthly amount
to help pay for your coverage.
With RLH Medicare Script, you’ll have:
- Affordable monthly rates
- Choice of pharmacies nationwide
- Mail-order service
- Tiered prescription drug benefits
| |
RLH
Medicare Script
|
RLH
Medicare Script Enhanced
|
| Deductible* |
$265
|
$0
|
| Tier 1: Copay for
generic medications |
$5
|
$5
|
| Tier 2: Copay for preferred brand-name
medications |
$18
|
$25
|
| Tier 3: Copay for
non-preferred brand-name medications |
$35
|
$50
|
| Tier 4**: Coinsurance for specialty
medications |
25%
|
25%
|
| Tier 5**: Coinsurance
for miscellaneous injectables |
25%
|
25%
|
*Once the deductible is met, you pay copayments or coinsurance.
**Tier 4 and 5 products are limited to a 30-day supply and may
contain generic products.
Significant savings
Even if you are not currently taking prescription
medications, it’s a good idea to think about your future needs.
As a RLH Medicare Script member, you could save as much as 41
percent on your prescriptions!
Here’s an example of what prescription drugs cost, and what
they are projected to cost for those who enroll in a Part D
plan.
Out-of-pocket prescription costs projected for Part D
participants in 2006*
|
|
Annual out-of-pocket spending
|
You will save: |
|
Health status:
|
No drug coverage:
|
With Part D
drug coverage: |
|
Excellent/Very Good |
$933 |
$611 |
$322 |
|
Good |
$1,297 |
$808 |
$489 |
|
Fair |
$1,590 |
$1,080 |
$510 |
|
Poor |
$1,956 |
$1,154 |
$802 |
*Kaiser Family Foundation
http://www.kff.org/medicare/7201.cfm, November 2004
The projected annual increase in prescription drug spending
through 2013 is nearly 11 percent.
Enrollment and Eligibility Dates
If you have recently become, or soon will be,
eligible for Medicare: There is a seven-month
enrollment period when you turn 65 or join Medicare by reason of
disability at any age. This is called your Initial Election
Coverage Period (IECP). You can enroll in a Part D Prescription
Drug Plan (PDP) during this time. The seven-month period begins
three months before your Medicare coverage starts, and includes
the month of, and the three months after it starts.
If you are currently on Medicare
The Annual Enrollment Period (AEP) is November 15 to December
31. During this time, you can enroll in a Prescription Drug Plan
and your coverage will start January 1.
Once you enroll in a plan it is effective until January 1 of
the following year. Your next opportunity to change or enroll
will be the Annual Election Period (AEP) from November 15 to
December 31, for a January 1 effective date.
Planning to enroll later? It could cost you extra
To avoid paying extra for your prescription drug plan, you’ll
need to enroll as soon as you’re eligible.
How much more depends on how long you wait to enroll.
To calculate your penalty, Medicare uses the following
information:
- The monthly Part D base premium established by the
Centers for Medicare and Medicaid Services (not the rate you
pay to your health plan). For 2007, that base premium is
$27.35.
- The number of months you waited to enroll after you
became eligible.
- A 1% of premium late enrollment penalty percentage.
Medicare takes the number of months you waited to enroll
after you became eligible, multiplied by the 1% of premium late
enrollment penalty percentage. The resulting percentage amount
is added to your monthly rate.
For example, if you wait 12 months to enroll, you'd pay an
extra $2.28 each month for your coverage ($27.35 x 12% = $2.28).
Keep in mind that the base prescription premium can increase
each year, so your penalty amount can increase with it.
That's why it pays to enroll right away!
You must pay this penalty as long as you have Medicare
prescription drug coverage. |