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Most Medicare Drug Premiums Same or Lower in 2009


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Medicare beneficiaries across the United States will be able to access at least one prescription drug plan with premiums of less than $20 a month, except for people living in Alaska, where the one prescription drug plan has a premium of $23 a month, Weems said.

People who qualify for the full Medicare subsidy will have no premiums or deductibles on these plans. The average monthly premium for the basic Medicare drug benefit in 2009 is expected to be about $28, Weems said.

Medicare beneficiaries will also continue to have access to drug plans with a wide range of options, including plans with no deductibles. In addition, plans that cover the gap for generic drugs are available in all states.

Text Continues Below



All Medicare beneficiaries will have access to Medicare Advantage plans, Weems noted. These plans cover all Medicare services, including prescription drugs. Many of these plans have prescription drug coverage that will enable more than 93 percent of those enrolled in the plan to get their drugs with no premiums and no deductibles, Weems said.

He added that the marketing of prescription drug plans in 2009 is covered by new regulations intended to protect Medicare beneficiaries from "deceptive or high-pressure marketing tactics by insurance companies and their agents."

Paul Precht, director of Policy and Communications at the Medicare Rights Center, said people should shop around for the best prescription drug plan and not just continue on with the plan they have.

"The first thing consumers should look for is the premium," Precht said. "But the more important and the more difficult challenge is to figure out if there are changes in the coverage," he said.

Consumers should also look to see if there are drugs that were covered in 2008 that won't be covered in 2009, Precht said. "You need to find out if there are drugs that are covered without restriction this year that will now be subject to prior authorization or step therapy [using the most cost-effective drug first]," he said.

People considering switching to Medicare Advantage should first find out if their current doctor and hospital are part of the plan and what the plan covers and doesn't. In addition, they should also find out which drugs are covered and which are not, Precht said.

More information

For more on Medicare Part D, visit the U.S. Centers for Medicare and Medicaid Services.

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Copyright © 2008 ScoutNews, LLC. All rights reserved.
Last updated 9/26/2008

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SOURCES: Paul Precht, director, Policy and Communications, Medicare Rights Center, New York CIty; Sept. 25, 2008, teleconference with: Kerry Weems, Acting Administrator, U.S. Centers for Medicare & Medicaid Services


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