Bush Starts to Promote Medicare Drug Benefit
President Says American Seniors Need to Know Their Prescription Benefit Options
June 16, 2005 -- President Bush on Thursday began a push to promote
prescription drug benefits available to seniors through Medicare next year,
saying the benefits will bring needed help to millions of seniors.
Under a 2004 law, Medicare is due to start paying part of seniors'
prescription drug costs on Jan. 1, 2005. Seniors living on low incomes are
entitled to have nearly all of their costs paid by the government, though
several groups representing them have warned that millions of them will fail to
sign up for the subsidies without a broad outreach effort.
Bush pledged such an effort Thursday, announcing a national campaign
beginning with attempts to reach poorer seniors to inform them of their
"The federal government will work hard to make sure that every
beneficiary understands their options," the president said during a speech
at the Department of Health and Human Services headquarters in Washington.
"We're on a massive education effort starting today, and I'm asking for
America's help," he said.
Administration officials said Wednesday they had begun sending four-page
subsidy applications to approximately 20 million Medicare beneficiaries who may
qualify for low-income benefits. Approximately 14 million of those
beneficiaries are expected to actually be eligible.
Who Qualifies for Drug Benefit?
Medicare's prescription benefit -- known as Part D -- is set to pay 75% of
most beneficiaries' drug costs up to $2,250 per year after beneficiaries cover
a $250 deductible and about $37 per month in premiums. Seniors are then
responsible for all of their drug costs up to $3,600 in out-of-pocket spending,
after which the program pays 95% of their costs.
Beneficiaries making 150% of the federal poverty level or less are entitled
to breaks on deductibles and premiums as well as better benefits that in some
cases cover nearly all of their costs.
But reaching those seniors -- who are often some of the sickest and most
debilitated of Medicare's patients -- could prove difficult.
Nearly 7 million seniors who already receive public assistance through
Medicaid or a variety of low-income Medicare programs will be automatically
enrolled for benefits, said Medicare chief Mark McClellan, MD.
Seven million more will be required to navigate a two-step process, applying
for low-income benefits right away and then choosing a drug plan when
enrollment season begins Nov. 15, 2005.
Bush urged all seniors who receive a low-income application to submit it to
Critics of 'Means Test'
About 28 million more beneficiaries won't be eligible for low-income
benefits and will be asked to choose from several different
insurance-company-administered drug plans by May 15, 2006. Seniors who sign up
late will be forced to pay a penalty in the form of 1% of premiums for every
month they are late, according to Medicare.