Medicare Part D and Low-Income Medicare Beneficiaries

Burns, Bonnie
March 2005
Generations;Spring2005, Vol. 29 Issue 1, p91
Academic Journal
The article explains that many Medicare beneficiaries, but especially dually eligible beneficiaries, will need local, individualized, face-to-face assistance when they are enrolling in Medicare Part D and selecting a prescription drug plan. They will need simple, clear instructions and information about local plans and resources to help them make this transition from Medicaid to Medicare. Plans and providers will need accurate, up-to-the-minute eligibility and cost-sharing status, and Centers for Medicare and Medicaid Services (CMS) will need to act quickly to correct information that is wrong. CMS regional offices must be prepared to actively assist State Health Insurance and Assistance Programs (SHIPS) and other advocates to correct errors in beneficiary eligibility status or coverage to ensure the least amount of disruption to a beneficiary's prescription drug benefit and receipt of needed medications. Most important, the SHIPS need adequate funding and new capacity to provide the face-to-face, individualized assistance their clients will need during this seismic federal shift in coverage.


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