Plain talk information about the Medicare Prescription Drug program, Part D, and Medicare Prescription Plans

I need to know about: New Medicare Prescription Drug Programs 2005

Our I need to know series provides basic information about topics that are important to American families and businesses. The authors of these WebPages do not sell products or services, nor do they endorse or recommend particular products.
Page One: Plain talk about Medicare Prescription Drug Plans and Medicare Part D

In simple terms, what is the Medicare Prescription Drug Plan and how does it work?

In simple terms, the Medicare Prescription Drug Plan -also called Medicare Plan D- is a new government program to provide seniors with a form of prescription drug insurance. This does NOT mean the government is going to make prescription expenses free for seniors. Think of it as help in paying for part of each year's cost for medications. Like other insurance programs, you have to pay a fee (monthly premium) to receive coverage. There are deductibles and coverage limitations, just like any insurance coverage.

Instead of setting this up as its own governmental department, it has been created as a new sector of Medicare. In general, it is limited to only people who are eligible for Medicare, although -like most government programs- there are pages and pages of details regarding possible exceptions and eligibility. Those details are beyond the scope of this plain talk introduction to Medicare Plan D.

How is Plan D different from other Medicare programs?

This new benefit program is very different from the old familiar Medicare coverage like Part A and B. Perhaps the biggest difference is this:

The coverage will be offered by private companies instead of the federal government. These companies are mostly well-known health insurance providers that you'll probably recognize.

You must choose to join up.

Getting into the program is voluntary, with a few exceptions. This means you have to choose to join, and go through a sign-up process. You probably should NOT expect your current Medicare status or medical insurance coverage will automatically enroll you in Plan D programs. The biggest exception to this rule is if you currently have state Medicaid prescription drug coverage. In that case, you should be automatically enrolled in a Medicare prescription plan. As we have warned before, there are many details and regulations that go beyond just "plain talk".

Limited time to choose and enroll.

A VERY important point to remember is that timing is critical. There is a period of months -from November 15, 2005 through May 15th, 2006-in which you must decide and enroll if you want to join. If you enroll after the deadline, you will have to pay a penalty of 1% for each month past May, 2006. As we understand the rules, you'll pay this penalty every month -for however long you stay in the program! (These dates and penalty are subject to change by government regulation, of course.)

This is only the very basic plain talk description of Medicare Plan D. We have provided more details on additional pages of this Website; along with links to special information sites, both governmental and private.
 
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More in this Plain Talk
I Need To Know series:

(Home) Plain talk about the Medicare Prescription Drug Plan

What is the Medicare Prescription Drug Plan?

Important Dates and
Deadlines for Plan D


How much will it cost me for Medicare Prescription Program Part D?

Beware of Scams: Part 1

Beware of Scams: Part 2


 

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Senior Information: Government Drug and Prescription Plans