Dual eligibles with incomes between the poverty line and 135% of the poverty line (currently $1,077 per month for a single person) will have a $2 co-pay for generics and a $5 co-pay for brand-name drugs.
For everyone eligible for Medicare, a complicated new program called Part D will help pay for medicines starting January 1, 2006.
For calendar years 2004 and 2005, Medicare recipients will be eligible to purchase a prescription drug discount card.
Starting in 2006, 40 million elderly and disabled Medicare beneficiaries become eligible for the new outpatient pharmacy benefit.
January 1, 2007 Marks Launch of Special Needs Plan for Connecticut's Medicare/Medicaid Dual Eligible Beneficiaries
Senior Whole Health, a leading health care plan with a history of specializing in integrated care management services for seniors 65 and older, today announced the availability of its Special Needs Plans (SNPs) to 30,000 Medicare/Medicaid dual eligible and Part D beneficiaries in Connecticut's Hartford, New Haven and Middlesex counties.
We compared dually eligible beneficiaries and Medicare-only eligibles in overall health status by compiling means and standard deviations (SDs) of PCS and MCS scores of HOS for both the 1999 baseline and 2001 remeasurement time periods.
In a related analysis, we examined the prevalence of self-reported depression at baseline and remeasurement for the dually eligible population and compared their results with Medicare-only eligibles.
Senior Whole Health, a leading health care plan providing intensive, integrated case management services to seniors 65 and older, today announced the launch of its portfolio of Special Needs Plans (SNPs) to Medicare/Medicaid dual eligible and Part D beneficiaries in Connecticut's Hartford, New Haven and Middlesex counties.
For low-income, dual eligible seniors, Senior Whole Health is the gold standard for addressing the current fragmentation of care delivery systems, with one entity streamlining the coordination of all facets of well being - clinical, functional, psychosocial and long term.
Dual eligibles automatically will receive an initial 8% risk adjustment, but the final risk adjustment will vary based upon the health status of each covered beneficiary.
In March 2005, three insurance subsidiaries of Universal American applied to the Centers for Medicare and Medicaid Services ("CMS") to become a Prescription Drug Plan sponsor ("PDP") in 32 of the 34 regions designated by CMS (excluding Regions 33 (Hawaii) and 34 (Alaska)), thereby becoming eligible, upon final approval by CMS, to offer the Medicare-approved plans in those regions.
We're very pleased to offer Tulare county's Medicare eligibles
with this new plan option.
Verispan's MMA Benchmark Series uses the power of Verispan's industry-leading longitudinal patient database to track patients throughout the calendar year to see the rate at which they will be eligible
to receive critical portions of the Medicare benefit, including the "doughnut hole" and catastrophic portions, as proposed by the Centers for Medicare & Medicaid Services.
Table 1 compares per eligible
payments of the dually eligible
with non-dually eligible
Medicaid enrollees based on an analysis of Federal fiscal year (FFY) 2002 Medicaid Statistical Information System (MSIS) data.