What You Need To Know BEFORE You re 65
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1 An Encore Life Seminar Series What You Need To Know BEFORE You re 65 Esther Koch Encore Management
2 The Goals To Understand the BASICS of: Medicare Prescription Drug Coverage
3 Coverage Options A + B + g + D = C Option #1 Fee for Service Part A Part B Medigap (Optional) Part D Drug Plan Option #2 Managed Care Part C Exchange Part A and B for a Medicare Advantage Plan with Drug Coverage
4 Medicare Rx Basics Private Insurance Intermediary Model 4
5 Coverage Basics Private Companies Must Meet The Government s Standard Coverage. Once the government standard is met, coverage varies across the board by: Formulary of drugs covered Classification of drug Premium Deductible Drug price Cost share copay or coinsurance Donut hole coverage 5
6 Creditable Coverage CREDITABLE = AT LEAST AS GOOD AS The Government Standard Very important concept for seniors who already have drug coverage. Should have received notification stating if coverage is creditable or not. If creditable, do not enroll in a Part D plan. If later enrollment in Part D plan, penalty will not apply. 6
7 Two Primary Types of Drug Plans Prescription Drug Plan Stand Alone In California: Currently 51 Medicare Health/Advantage Plans Drugs included as just one component of the entire health plan. No need to separately enroll. Plans are on a county basis Los Angeles County: Currently 33 San Francisco County: Currently 20 Santa Clara County : Currently 17 7
8 Stand Alone Prescription Drug Coverage A New Way to Select Insurance Goal Is To Select A Plan Whose Overall Estimated Annual Cost Is Among the Lowest of All Plan Offerings You first want the best match of your drugs against the plan s formulary of drugs covered. Then the other variables come into play. You need to do this annually. Your drugs will likely change annually. Plans can change drugs on formulary annually. Formularies vary by plan, not just by provider. The Best Way to Save on Prescription Drugs: Take Generics! 8
9 How To Compare Stand Alone Prescription Drug Plans Use The Drug Plan Finder 9
10 Drug Plan Finder What You Need to Have Prepared Zip Code + Current Coverage Current Meds Drug Name and Dosage (Alphabetically) 30-Day Supply Consideration of Future Meds Specific Pharmacy if Required 10
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18 Enrolling in a Plan Directly with plan provider On their website By phone Mail-in application At Through Drug Plan Finder Through Enroll in a Plan By phone to MEDICARE Annual Coordinated Election Period November 15 th December 31 st Coverage starts January 1 st Sign-up at beginning of enrollment period 18
19 Congratulations Now You ve Got The Basics Medicare Prescription Drug Coverage
20 For More Information Medicare & You handbook MEDICARE ( ) State Health Insurance Assistance Programs (SHIPs) State contact info at in CA Social Security Administration
21 Disclaimer This Set of Materials Provided by Encore Management Is Not a Legal Document. Official Medicare Provisions Are Contained in The Relevant Laws, Regulations, and Rulings. 21
22 United We Serve What You Need To Know Before You re 65 I have partnered with Woodruff Sawyer to bring this Encore Life Seminar Series on Medicare to you. It is my contribution to the Obama Administration s United We Serve initiative which is a call to all Americans to volunteer in their communities. I hope you find this information of benefit. It is my pleasure to serve. Esther Koch Esther Koch is a gerontologist and eldercare advisor. Her firm, Encore Management at provides personal and corporate advisory services on aging and eldercare matters targeted to Boomers. Esther is also a Medicare Aging Network Partner with the Administration on Aging and the Centers for Medicare and Medicaid, and was a delegate to the White House Conference on Aging. She speaks on a wide range of aging, retirement, and eldercare topics. Her media interviews and articles have appeared on television, radio, and in print. 22
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