Drug benefits are many and who should not join the drug insurance?
Houston (NN) - In America 43 million people eligible to join the Insurance News medications Medicare Part D (abbreviated as MPD), but according to estimates by the authorities, there are probably only 29 million will apply. The reason is that the program is too complex and difficult to understand, on the other has too many programs by hundreds of insurers that provide cause people like to be at glamor match, do not know which side to choose to send "gold". Houston in particular has 20 insurers with 47 different programs. ABC Radio has interviewed three people by the doctors of all three counters are shaking head back. Mr. Jan Blustein, Medical doctor, PhD in Public Management, professor at the University of New York said: "the situation to choose from and different circumstances of each person is set as we entered the beginning". Today has two articles on MPD still feel readers need more information to find a program appropriate for your circumstances. So that more messages below.
For readers can compare programs and find the program of your circumstances, we would offer a different case:
1. Mr. X per month $ 80 target for drug money (by prescription). If not joined the MPD at all the drug money he spent, each year is $ 960. If he choose insurance program by AARP MedicareRx drug:
- Insurance (premium) is $ 28.50 / month $ 339/nam News.
- He does not have to pay $ 250 deductible money (to pay for his AARP).
- Money co-pay about $ 420.
Thus, if the program chosen by the AARP, he takes the $ 339 + $ 420 = $ 759. So Mr. X saved: $ 960 - $ 759 = $ 201.
If Mr. X select the insurance of Advantage Rx Value Plan is to reduce how much?
- Money offered by the employer premium is $ 23, 24 / $ 279 monthly News.
- Expenses deductible is $ 0 (because the employers pay for their deductible).
- Money co-pay, if a generic drug is $ 12/thang even $ 144 per year or $ 42/thang if brand name is $ 504/nam News.
- So he saved from $ 537 to $ 177 depending on the generic drugs or brand name.
From the two examples we see when selecting the insurance do we need to know which drugs have to pay co-pay at least by searching the title of the table medications are approved by Medicare (Formulary).
In the table title Formulary, drugs are classified into four grades:
- Tier 1: the drug co-pay at least: from $ 0 to $ 25 depending on insurance.
- Tier 2: cash co-pay from $ 20 to $ 40 depending on insurance.
- Tier 3 co-pay from $ 35 to $ 70 depending on insurance
- Specialty tier (SP) is co-employers to pay 25%, employers are not that co-pay is how much.
Over here we just compare the two employers, while employers have to 20 times. Each insurance funds co-pay should be different want to compare all the employers is a "smoking in the bar."
If you are proficient in computer use may be on the Medicare website. Generally perform the steps as follows:
Website: www.medicare.gov
- Click for "Compare Prescription drug plan"
- Fill in the righthand frame: the number of Medicare, their date of birth, date of your Medicare effective.
- Zip code
- Then select the insurance you want to know
- Then enter the name of his drug use.
You will know the money premium, deductible, co-pay.
Formulary want the table back to the website first and click on "formulary checker.
2. Mr. Y was involved in the Medicare Avantage (like an HMO or PPO). Medicare Advantage program have paid for prescription drugs and then he. If he joined an insurance program, the other medicine he may be terminated Medicare Advantage insurance and he's in this case the insurance of the hospital and his doctors were terminated.
3. Mr. Z is still covered by medical manufacturer that he is working or is not he should join the MPD. He should consult with your insurance carrier to ask their opinions.
In summary:
- If the amount of medication (prescribed) by the less you should choose the program that funds low premium and no deductible to pay.
- When your doctor commitment by the Formulary to ask your doctor for drugs they have to pay co-pay at least (tier 1).
- Each insurance carrier associated with a pharmacy, the medication must be purchased in system pharmacy insurance by themselves.
Remember:
- Not to offer (salesperson) that personal information such as your social security number, and bank account, etc. ..
- Do not offer for the home.
- Do not condescension solicitor signed the application for the insurance program.
- With gold because you are very much time to "research" (deadline is 15 5 in 2006).
- There are many agencies and organizations ready to help you fill out and insurance.
If you do not use computer experts, do not "have" and ask "children" to help the organization by Kaiser Family Foundation Harvard School belongs to because the 76% If you dont't never to the internet.
Report on migrant visa by 12 months of 2005.
Following the announcement of visa Center National (National Visa Center) on the due date visa (cut-off date) by the application resided in the U.S. from the family (family based immigrant) by 12 months 2005:
F1 (single 21-year-old who has citizenship): 22 tháng 4, 2001
F2A (spouse and single children under the age of 21 permanent staff): 1 1, 2002
F2B (single from 21 years of age by permanent residents): 8 in 6 in 1996.
F3 (I have family who has citizenship): 8 Months 6 1998
F4 (brothers and sisters of the nationality): 1 in 5 in 1994.
Apr 10, 2009
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