Over 38 Million People With Medicare Now Receiving Prescription
PR Newswire (press release), NY -
Overall prescription drug coverage enrollment figures as of June 11 are: * Stand-Alone Prescription Drug Plans (PDPs): 10.4 million people with Medicare have enrolled in stand-alone prescription drug plans, including 2.2 million enrollees receiving the low income subsidy (LIS). * Medicare Advantage with Prescription Drugs (MA-PDs): 6 million beneficiaries receive coverage through Medicare Advantage plans with drug coverage (MA-PDs), including 1.2 million new enrollees. Medicare Advantage includes 925,000 enrollees receiving the LIS. About 478,000 of these are full Medicare/Medicaid beneficiaries. About 1.1 million beneficiaries are currently enrolled in MA-only plans; many of these beneficiaries in private fee-for-service plans are receiving Part D through a separate PDP and therefore included in the enrollment totals for PDPs. * Medicare/Medicaid: 6.1 million Medicare/Medicaid beneficiaries were automatically enrolled in prescription drug plans. An additional 478,000 Medicare/Medicaid beneficiaries enrolled in Medicare Advantage plans with prescription drug coverage and are counted in the MA-PD total above. * Retiree Coverage: 6.9 million retirees are enrolled in the Medicare retiree subsidy. In addition, about 1.5 million retirees are in employer and union-sponsored coverage that incorporates Medicare group drug coverage and about 400,000 retirees are in employer and union-sponsored coverage that wraps around Medicare drug coverage -- these beneficiaries are counted in the PDP and MA-PD totals above. * Federal retiree coverage: 3.5 million -- TRICARE: Estimated 1.9 million beneficiaries with TRICARE retiree coverage, based on data that was provided by the Department of Defense (DoD). This number excludes nearly 7 percent who were found to be enrolled in Part D plans based on a person-level data match. -- FEHB: Estimated 1.6 million beneficiaries with FEHB retiree coverage, includes both retirees and spouses, and excludes 2 percent who might be enrolled in Part D plans (based on information from OPM). * Additional Sources of Prescription Drug Coverage for Medicare Beneficiaries: HHS estimates that approximately 5.4 million Medicare beneficiaries have alternative sources of "creditable" prescription drug coverage: -- VA: There are an estimated 2 million beneficiaries with creditable drug coverage through the VA who have not signed up for Part D. About 1 million VA beneficiaries enrolled in a Part D plan, and about 400,000 are receiving drug coverage from an employer receiving the Part D subsidy. These numbers are based on a sample person-level match provided by the VA. -- Indian Health Service (IHS): There remains 0.1 million beneficiaries with creditable drug coverage through the IHS being served by I/T/U pharmacies in 28 states. -- Active Workers with Medicare Secondary Payer: Nearly 2.6 million beneficiaries receive creditable drug coverage through an employer group health plan based on a person level match of our coordination of benefits files and Part D enrollment files. -- Other Retiree Coverage: An estimated 0.1 million retirees are continuing in retiree coverage who are not already included in the other retiree coverage categories. Some of these retiree plans may apply for the Medicare retiree subsidy in their next full plan year, while others may have only a limited number of eligible retirees so that the financial impact of the RDS is small. -- State Pharmaceutical Assistance Programs (SPAP): An estimated 0.59 million beneficiaries are continuing to receive creditable coverage through SPAPs. The estimate is based on information from four SPAP programs that have creditable coverage and are currently not requiring enrollment in Part D plans in order to retain SPAP coverage (NJ, NY, PA, and WI), and a person level match of SPAP files with Part D enrollment files.
2006-06-20
Over 38 Million People With Medicare Now Receiving Prescription
Student Operated Press, FL -
Among the 38.2 million beneficiaries who are now receiving prescription drug coverage, approximately 32.8 million have coverage from Medicare and 5.4 million have coverage from other sources, including the Department of Veterans Affairs (VA), primary coverage from an employer (from beneficiaries who are working after age 65), and state prescription drug programs that are not yet combined with Medicare Part D. Based on the latest information on the choices of veterans with VA benefits and Medicare coverage, almost 40 percent are enrolled in Medicare Part D, a much larger number of VA beneficiaries than previously expected.
2006-06-19
Over 38 Million People With Medicare Now Receiving Prescription
PR Newswire (press release), NY -
people with Medicare and their family members were able to get the drug coverage they prefer at a far lower cost than expected," said CMS Administrator Mark B. McClellan, M.D., Ph.D. "Thanks to Medicare beneficiaries making informed choices to meet their needs, the costs of Medicare drug coverage are way down -- and we will continue to support effective competition to provide high-quality, low-cost coverage." Total enrollment in Medicare Advantage plans increased by over 26 percent (1,249,041 self enrollees) during the six month enrollment period, bringing the total number of beneficiaries enrolled in Medicare Advantage plans to 7.4 million. Included in that total are about 4.8 million who chose to enroll in these plans before January, 2006. About 87 percent of all beneficiaries who enrolled in a prescription drug plan chose a plan that offers coverage other than the standard benefit, such as no deductibles or coverage in the "donut hole." Most beneficiaries enrolled in Medicare Advantage plans are also getting more comprehensive drug coverage than in the standard plan. In addition, almost 10 million low-income beneficiaries are getting comprehensive drug coverage for little or no cost. Among the 38.2 million beneficiaries who are now receiving prescription drug coverage, approximately 32.8 million have coverage from Medicare and 5.4 million have coverage from other sources, including the Department of Veterans Affairs (VA), primary coverage from an employer (from beneficiaries who are working after age 65), and state prescription drug programs that are not yet combined with Medicare Part D. Based on the latest information on the choices of veterans with VA benefits and Medicare coverage, almost 40 percent are enrolled in Medicare Part D, a much larger number of VA beneficiaries than previously expected. Enrollment for the new Medicare prescription drug coverage began on November 15, 2005 and ended on May 15, 2006. Overall prescription drug coverage enrollment figures as of June 11 are: * Stand-Alone Prescription Drug Plans (PDPs): 10.4 million people with Medicare have enrolled in stand-alone prescription drug plans, including 2.2 million enrollees receiving the low income subsidy (LIS). * Medicare Advantage with Prescription Drugs (MA-PDs): 6 million beneficiaries receive coverage through Medicare Advantage plans with drug coverage (MA-PDs), including 1.2 million new enrollees. Medicare Advantage includes 925,000 enrollees receiving the LIS. About 478,000 of these are full Medicare/Medicaid beneficiaries. About 1.1 million beneficiaries are currently enrolled in MA-only plans; many of these beneficiaries in private fee-for-service plans are receiving Part D through a separate PDP and therefore included in the enrollment totals for PDPs. * Medicare/Medicaid: 6.1 million Medicare/Medicaid beneficiaries were automatically enrolled in prescription drug plans. An additional 478,000 Medicare/Medicaid beneficiaries enrolled in Medicare Advantage plans with prescription drug coverage and are counted in the MA-PD total above. * Retiree Coverage: 6.9 million retirees are enrolled in the Medicare retiree subsidy. In addition, about 1.5 million retirees are in employer and union-sponsored coverage that incorporates Medicare group drug coverage and about 400,000 retirees are in employer and union- sponsored coverage that wraps around Medicare drug coverage -- these beneficiaries are counted in the PDP and MA-PD totals above. * Federal retiree coverage: 3.5 million * TRICARE: Estimated 1.9 million beneficiaries with TRICARE retiree coverage, based on data that was provided by the Department of Defense (DoD). This number excludes nearly 7 percent who were found to be enrolled in Part D plans based on a person-level data match. * FEHB: Estimated 1.6 million beneficiaries with FEHB retiree coverage, includes both retirees and spouses, and excludes 2 percent who might be enrolled in Part D plans (based on information from OPM). * Additional Sources of Prescription Drug Coverage for Medicare Beneficiaries: HHS estimates that approximately 5.4 million Medicare beneficiaries have alternative sources of "creditable" prescription drug coverage: * VA: There are an estimated 2 million beneficiaries with creditable drug coverage through the VA who have not signed up for Part D. About 1 million VA beneficiaries enrolled in a Part D plan, and about 400,000 are receiving drug coverage from an employer receiving the Part D subsidy. These numbers are based on a sample person-level match provided by the VA. * Indian Health Service (IHS): There remains 0.1 million beneficiaries with creditable drug coverage through the IHS being served by I/T/U pharmacies in 28 states. * Active Workers with Medicare Secondary Payer: Nearly 2.6 million beneficiaries receive creditable drug coverage through an employer group health plan based on a person level match of our coordination of benefits files and Part D enrollment files. * Other Retiree Coverage: An estimated 0.1 million retirees are continuing in retiree coverage who are not already included in the other retiree coverage categories. Some of these retiree plans may apply for the Medicare retiree subsidy in their next full plan year, while others may have only a limited number of eligible retirees so that the financial impact of the RDS is small. * State Pharmaceutical Assistance Programs (SPAP): An estimated 0.59 million beneficiaries are continuing to receive creditable coverage through SPAPs. The estimate is based on information from four SPAP programs that have creditable coverage and are currently not requiring enrollment in Part D plans in order to retain SPAP coverage (NJ, NY, PA, and WI), and a person level match of SPAP files with Part D enrollment files. Of the approximately 4.4 million Medicare beneficiaries who do not have secure, quality drug coverage, approximately 3.2 million are estimated to be eligible for the extra help. As President Bush announced, enrollment for these beneficiaries with limited incomes will continue throughout the year, with no late enrollment penalty. HHS and CMS are continuing to work closely with the thousands of local organizations, whose efforts helped to inform and enroll the millions of Medicare beneficiaries across the country who enrolled in a prescription drug plan before the deadline, to reach these remaining beneficiaries. New outreach efforts include: * Collaboration with several intergovernmental partners including SSA; HUD; USDA; AoA; HRSA; and ACF to raise awareness and coordinate outreach events. * Enhanced outreach with many external partner organizations. For example, CMS is collaborating with minority groups including the NAACP to target federal outreach grants to the areas with greatest number of LIS eligibles. * New targeted outreach activities, including collaborations with NCOA to inform partners of best practices regarding data driven outreach methods. "People with Medicare are already seeing significant savings through the new drug coverage, and beneficiaries with limited incomes have even more to save," said Dr. McClellan. "It's imperative that we reach as many of them to make sure that they are able to get the drugs they need." Total Medicare Beneficiaries with Drug Coverage As of 6-11-2006 Description June (millions) Drug Coverage from Medicare or Former Employer Stand-Alone Prescription Drug Plan (PDP) 10.37 Medicare Advantage with Prescription Drugs (MA-PD) 6.04 Medicare-Medicaid (Automatically Enrolled) 6.07 Medicare Retiree Drug Subsidy (RDS) 6.90 FEHB Retiree Coverage 1.60 TRICARE Retiree Coverage 1.86 TOTAL 32.84 Additional Sources of Credible Drug Coverage Veterans Affairs (VA) Coverage 2.01 Indian Health Service Coverage 0.11 Active Workers with Medicare Secondary Payer 2.57 Other Retiree Coverage, Not Enrolled in RDS 0.10 State Pharmaceutical Assistance Programs 0.59 TOTAL 5.38 LIS-Eligible Medicare Beneficiaries with Drug Coverage As of 6-11-2006 Total LIS-Eligible Description Beneficiaries (millions) Total Beneficiaries Eligible for Low-Income Subsidy 1/ 13.20 Less: Drug Coverage from Medicare or Former Employer 2/ 9.26 SSA LIS Approved 1.80 Other Deemed Full/Partial Duals and SSI Recipients 7.50 Less: Additional Sources of Credible Drug Coverage 3/ 0.59 Veterans Affairs (VA) Coverage 0.35 Indian Health Service Coverage 0.11 SPAP Wraparound Coverage 0.13 Less: Anticipated Facilitated Enrollments 4/ 0.10 TOTAL Remaining LIS-Eligible Beneficiaries 3.25 1/ CMS estimate based on analysis of updated SIPP and CPS survey data 2/ CMS Management Information Integrated Repository (MIIR), June 11, 2006 3/ CMS estimate of beneficiaries receiving coverage from other sources, June 2006 4/ LIS-approved beneficiaries expected to be included in the next round of facilitated enrollments. CMS Management Information Integrated Repository (MIIR), June 11, 2006 State Enrollment in Prescription Drug Plans Nov. 15, 2006 - June 11, 2006 As of 6/11/2006 Medicare Advantage Medicare- Stand-Alone with Medicaid Prescription Prescription (Automatically State Drug Plan* Drugs** Enrolled) Alabama 229,367 83,005 96,550 Alaska 8,841 107 11,739 Arizona 137,246 254,527 61,809 Arkansas 180,410 16,332 70,790 California 570,138 1,292,709 924,354 Colorado 104,383 139,929 46,312 Connecticut 157,624 34,406 69,728 Delaware 46,656 728 10,912 District of Columbia 10,673 5,096 15,896 Florida 636,995 646,904 364,944 Georgia 373,932 50,377 155,670 Hawaii 11,270 52,961 24,554 Idaho 63,889 18,325 20,301 Illinois 544,836 81,699 261,519 Indiana 311,871 21,236 104,820 Iowa 223,916 21,281 59,349 Kansas 160,578 19,296 42,620 Kentucky 228,317 35,556 93,560 Louisiana 153,881 74,732 106,087 Maine 77,330 1,140 47,558 Maryland 183,796 32,256 62,047 Massachusetts 174,492 140,546 192,429 Michigan 376,773 60,372 203,052 Minnesota 239,868 125,059 68,436 Mississippi 139,818 9,041 132,331 Missouri 251,855 123,467 150,456 Montana 56,818 6,992 16,376 Nebraska 114,887 13,679 33,243 Nevada 54,000 86,444 19,892 New Hampshire 54,018 1,528 20,847 New Jersey 363,033 80,008 142,000 New Mexico 58,106 51,084 36,211 New York 354,129 443,969 531,820 North Carolina 376,774 109,565 230,050 North Dakota 56,684 2,528 11,708 Ohio 363,918 242,273 189,805 Oklahoma 175,786 45,888 78,846 Oregon 144,307 126,858 43,811 Pennsylvania 350,842 515,124 162,816 Rhode Island 29,007 54,202 27,152 South Carolina 176,090 29,723 120,440 South Dakota 64,675 2,218 13,128 Tennessee 225,027 104,489 222,731 Texas 750,184 263,047 341,490 Utah 70,353 25,219 22,399 Vermont 33,659 124 16,615 Virginia 306,631 46,676 115,196 Washington 218,751 84,747 103,607 West Virginia 111,062 13,706 46,932 Wisconsin 182,128 67,282 112,648 Wyoming 29,560 1,515 6,217 Puerto Rico 42,238 277,518 1,928 Virgin Islands 3,493 68 24 Other^ 3,997 2,082 1,183 Total 10,368,912 6,039,643 6,066,938 Estimated Federal Medicare Retirees Retiree Drug (Tricare, State Subsidy FEHBP) Total Alabama 117,448 93,930 620,300 Alaska 11,647 8,548 40,882 Arizona 106,791 85,643 646,016 Arkansas 52,712 45,916 366,160 California 433,835 332,533 3,553,569 Colorado 77,264 69,078 436,966 Connecticut 113,279 21,537 396,574 Delaware 32,732 11,799 102,827 District of Columbia 3,831 22,658 58,154 Florida 472,155 296,837 2,417,385 Georgia 130,904 119,295 830,178 Hawaii 32,563 34,271 155,619 Idaho 20,817 19,904 143,236 Illinois 345,332 71,564 1,304,950 Indiana 200,363 44,243 682,533 Iowa 44,910 25,731 375,187 Kansas 33,612 36,370 292,476 Kentucky 127,581 44,543 529,557 Louisiana 92,887 44,752 472,339 Maine 34,536 21,947 182,511 Maryland 143,120 129,057 550,276 Massachusetts 195,022 55,256 757,745 Michigan 463,907 48,070 1,152,174 Minnesota 78,563 35,450 547,376 Mississippi 30,668 44,043 355,901 Missouri 120,157 70,774 716,709 Montana 14,923 15,151 110,260 Nebraska 25,146 21,085 208,040 Nevada 41,853 35,251 237,440 New Hampshire 35,596 17,774 129,763 New Jersey 280,451 63,908 929,400 New Mexico 39,115 35,933 220,449 New York 548,876 97,869 1,976,663 North Carolina 220,583 111,581 1,048,553 North Dakota 5,145 7,473 83,538 Ohio 521,368 86,074 1,403,438 Oklahoma 53,606 68,722 422,848 Oregon 46,966 45,998 407,940 Pennsylvania 3325,920 121,181 1,475,883 Rhode Island 12,844 13,592 136,797 South Carolina 112,774 77,337 516,364 South Dakota 6,575 11,933 98,529 Tennessee 122,031 72,746 747,024 Texas 436,031 275,752 2,066,504 Utah 32,815 36,265 187,051 Vermont 17,446 6,394 74,238 Virginia 120,962 191,947 781,412 Washington 110,775 104,841 622,721 West Virginia 88,014 20,699 280,413 Wisconsin 143,489 35,092 540,639 Wyoming 8,035 7,438 52,765 Puerto Rico 11,788 11,650 345,122 Virgin Islands 3,092 238 6,915 Other^ 0 32,271 39,533 Total 6,902,855 3,459,944 32,838,292 * Stand-Alone PDP includes 2.2 million enrollees receiving the limited income subsidy. ** Medicare Advantage includes 925,000 enrollees receiving the limited income subsidy. About 478,000 of these are full. ^ Other includes other territories and beneficiaries whose address information is being updated. Note: All HHS press releases, fact sheets and other press materials are available at
2006-06-18
Over 38 Million People With Medicare Now Receiving Prescription
PR Newswire (press release), NY -
people with Medicare and their family members were able to get the drug coverage they prefer at a far lower cost than expected," said CMS Administrator Mark B. McClellan, M.D., Ph.D. "Thanks to Medicare beneficiaries making informed choices to meet their needs, the costs of Medicare drug coverage are way down -- and we will continue to support effective competition to provide high-quality, low-cost coverage." Total enrollment in Medicare Advantage plans increased by over 26 percent (1,249,041 self enrollees) during the six month enrollment period, bringing the total number of beneficiaries enrolled in Medicare Advantage plans to 7.4 million. Included in that total are about 4.8 million who chose to enroll in these plans before January, 2006. About 87 percent of all beneficiaries who enrolled in a prescription drug plan chose a plan that offers coverage other than the standard benefit, such as no deductibles or coverage in the "donut hole." Most beneficiaries enrolled in Medicare Advantage plans are also getting more comprehensive drug coverage than in the standard plan. In addition, almost 10 million low-income beneficiaries are getting comprehensive drug coverage for little or no cost. Among the 38.2 million beneficiaries who are now receiving prescription drug coverage, approximately 32.8 million have coverage from Medicare and 5.4 million have coverage from other sources, including the Department of Veterans Affairs (VA), primary coverage from an employer (from beneficiaries who are working after age 65), and state prescription drug programs that are not yet combined with Medicare Part D. Based on the latest information on the choices of veterans with VA benefits and Medicare coverage, almost 40 percent are enrolled in Medicare Part D, a much larger number of VA beneficiaries than previously expected. Enrollment for the new Medicare prescription drug coverage began on November 15, 2005 and ended on May 15, 2006. Overall prescription drug coverage enrollment figures as of June 11 are: * Stand-Alone Prescription Drug Plans (PDPs): 10.4 million people with Medicare have enrolled in stand-alone prescription drug plans, including 2.2 million enrollees receiving the low income subsidy (LIS). * Medicare Advantage with Prescription Drugs (MA-PDs): 6 million beneficiaries receive coverage through Medicare Advantage plans with drug coverage (MA-PDs), including 1.2 million new enrollees. Medicare Advantage includes 925,000 enrollees receiving the LIS. About 478,000 of these are full Medicare/Medicaid beneficiaries. About 1.1 million beneficiaries are currently enrolled in MA-only plans; many of these beneficiaries in private fee-for-service plans are receiving Part D through a separate PDP and therefore included in the enrollment totals for PDPs. * Medicare/Medicaid: 6.1 million Medicare/Medicaid beneficiaries were automatically enrolled in prescription drug plans. An additional 478,000 Medicare/Medicaid beneficiaries enrolled in Medicare Advantage plans with prescription drug coverage and are counted in the MA-PD total above. * Retiree Coverage: 6.9 million retirees are enrolled in the Medicare retiree subsidy. In addition, about 1.5 million retirees are in employer and union-sponsored coverage that incorporates Medicare group drug coverage and about 400,000 retirees are in employer and union- sponsored coverage that wraps around Medicare drug coverage -- these beneficiaries are counted in the PDP and MA-PD totals above. * Federal retiree coverage: 3.5 million * TRICARE: Estimated 1.9 million beneficiaries with TRICARE retiree coverage, based on data that was provided by the Department of Defense (DoD). This number excludes nearly 7 percent who were found to be enrolled in Part D plans based on a person-level data match. * FEHB: Estimated 1.6 million beneficiaries with FEHB retiree coverage, includes both retirees and spouses, and excludes 2 percent who might be enrolled in Part D plans (based on information from OPM). * Additional Sources of Prescription Drug Coverage for Medicare Beneficiaries: HHS estimates that approximately 5.4 million Medicare beneficiaries have alternative sources of "creditable" prescription drug coverage: * VA: There are an estimated 2 million beneficiaries with creditable drug coverage through the VA who have not signed up for Part D. About 1 million VA beneficiaries enrolled in a Part D plan, and about 400,000 are receiving drug coverage from an employer receiving the Part D subsidy. These numbers are based on a sample person-level match provided by the VA. * Indian Health Service (IHS): There remains 0.1 million beneficiaries with creditable drug coverage through the IHS being served by I/T/U pharmacies in 28 states. * Active Workers with Medicare Secondary Payer: Nearly 2.6 million beneficiaries receive creditable drug coverage through an employer group health plan based on a person level match of our coordination of benefits files and Part D enrollment files. * Other Retiree Coverage: An estimated 0.1 million retirees are continuing in retiree coverage who are not already included in the other retiree coverage categories. Some of these retiree plans may apply for the Medicare retiree subsidy in their next full plan year, while others may have only a limited number of eligible retirees so that the financial impact of the RDS is small. * State Pharmaceutical Assistance Programs (SPAP): An estimated 0.59 million beneficiaries are continuing to receive creditable coverage through SPAPs. The estimate is based on information from four SPAP programs that have creditable coverage and are currently not requiring enrollment in Part D plans in order to retain SPAP coverage (NJ, NY, PA, and WI), and a person level match of SPAP files with Part D enrollment files. Of the approximately 4.4 million Medicare beneficiaries who do not have secure, quality drug coverage, approximately 3.2 million are estimated to be eligible for the extra help. As President Bush announced, enrollment for these beneficiaries with limited incomes will continue throughout the year, with no late enrollment penalty. HHS and CMS are continuing to work closely with the thousands of local organizations, whose efforts helped to inform and enroll the millions of Medicare beneficiaries across the country who enrolled in a prescription drug plan before the deadline, to reach these remaining beneficiaries. New outreach efforts include: * Collaboration with several intergovernmental partners including SSA; HUD; USDA; AoA; HRSA; and ACF to raise awareness and coordinate outreach events. * Enhanced outreach with many external partner organizations. For example, CMS is collaborating with minority groups including the NAACP to target federal outreach grants to the areas with greatest number of LIS eligibles. * New targeted outreach activities, including collaborations with NCOA to inform partners of best practices regarding data driven outreach methods. "People with Medicare are already seeing significant savings through the new drug coverage, and beneficiaries with limited incomes have even more to save," said Dr. McClellan. "It's imperative that we reach as many of them to make sure that they are able to get the drugs they need." Total Medicare Beneficiaries with Drug Coverage As of 6-11-2006 Description June (millions) Drug Coverage from Medicare or Former Employer Stand-Alone Prescription Drug Plan (PDP) 10.37 Medicare Advantage with Prescription Drugs (MA-PD) 6.04 Medicare-Medicaid (Automatically Enrolled) 6.07 Medicare Retiree Drug Subsidy (RDS) 6.90 FEHB Retiree Coverage 1.60 TRICARE Retiree Coverage 1.86 TOTAL 32.84 Additional Sources of Credible Drug Coverage Veterans Affairs (VA) Coverage 2.01 Indian Health Service Coverage 0.11 Active Workers with Medicare Secondary Payer 2.57 Other Retiree Coverage, Not Enrolled in RDS 0.10 State Pharmaceutical Assistance Programs 0.59 TOTAL 5.38 LIS-Eligible Medicare Beneficiaries with Drug Coverage As of 6-11-2006 Total LIS-Eligible Description Beneficiaries (millions) Total Beneficiaries Eligible for Low-Income Subsidy 1/ 13.20 Less: Drug Coverage from Medicare or Former Employer 2/ 9.26 SSA LIS Approved 1.80 Other Deemed Full/Partial Duals and SSI Recipients 7.50 Less: Additional Sources of Credible Drug Coverage 3/ 0.59 Veterans Affairs (VA) Coverage 0.35 Indian Health Service Coverage 0.11 SPAP Wraparound Coverage 0.13 Less: Anticipated Facilitated Enrollments 4/ 0.10 TOTAL Remaining LIS-Eligible Beneficiaries 3.25 1/ CMS estimate based on analysis of updated SIPP and CPS survey data 2/ CMS Management Information Integrated Repository (MIIR), June 11, 2006 3/ CMS estimate of beneficiaries receiving coverage from other sources, June 2006 4/ LIS-approved beneficiaries expected to be included in the next round of facilitated enrollments. CMS Management Information Integrated Repository (MIIR), June 11, 2006 State Enrollment in Prescription Drug Plans Nov. 15, 2006 - June 11, 2006 As of 6/11/2006 Medicare Advantage Medicare- Stand-Alone with Medicaid Prescription Prescription (Automatically State Drug Plan* Drugs** Enrolled) Alabama 229,367 83,005 96,550 Alaska 8,841 107 11,739 Arizona 137,246 254,527 61,809 Arkansas 180,410 16,332 70,790 California 570,138 1,292,709 924,354 Colorado 104,383 139,929 46,312 Connecticut 157,624 34,406 69,728 Delaware 46,656 728 10,912 District of Columbia 10,673 5,096 15,896 Florida 636,995 646,904 364,944 Georgia 373,932 50,377 155,670 Hawaii 11,270 52,961 24,554 Idaho 63,889 18,325 20,301 Illinois 544,836 81,699 261,519 Indiana 311,871 21,236 104,820 Iowa 223,916 21,281 59,349 Kansas 160,578 19,296 42,620 Kentucky 228,317 35,556 93,560 Louisiana 153,881 74,732 106,087 Maine 77,330 1,140 47,558 Maryland 183,796 32,256 62,047 Massachusetts 174,492 140,546 192,429 Michigan 376,773 60,372 203,052 Minnesota 239,868 125,059 68,436 Mississippi 139,818 9,041 132,331 Missouri 251,855 123,467 150,456 Montana 56,818 6,992 16,376 Nebraska 114,887 13,679 33,243 Nevada 54,000 86,444 19,892 New Hampshire 54,018 1,528 20,847 New Jersey 363,033 80,008 142,000 New Mexico 58,106 51,084 36,211 New York 354,129 443,969 531,820 North Carolina 376,774 109,565 230,050 North Dakota 56,684 2,528 11,708 Ohio 363,918 242,273 189,805 Oklahoma 175,786 45,888 78,846 Oregon 144,307 126,858 43,811 Pennsylvania 350,842 515,124 162,816 Rhode Island 29,007 54,202 27,152 South Carolina 176,090 29,723 120,440 South Dakota 64,675 2,218 13,128 Tennessee 225,027 104,489 222,731 Texas 750,184 263,047 341,490 Utah 70,353 25,219 22,399 Vermont 33,659 124 16,615 Virginia 306,631 46,676 115,196 Washington 218,751 84,747 103,607 West Virginia 111,062 13,706 46,932 Wisconsin 182,128 67,282 112,648 Wyoming 29,560 1,515 6,217 Puerto Rico 42,238 277,518 1,928 Virgin Islands 3,493 68 24 Other^ 3,997 2,082 1,183 Total 10,368,912 6,039,643 6,066,938 Estimated Federal Medicare Retirees Retiree Drug (Tricare, State Subsidy FEHBP) Total Alabama 117,448 93,930 620,300 Alaska 11,647 8,548 40,882 Arizona 106,791 85,643 646,016 Arkansas 52,712 45,916 366,160 California 433,835 332,533 3,553,569 Colorado 77,264 69,078 436,966 Connecticut 113,279 21,537 396,574 Delaware 32,732 11,799 102,827 District of Columbia 3,831 22,658 58,154 Florida 472,155 296,837 2,417,385 Georgia 130,904 119,295 830,178 Hawaii 32,563 34,271 155,619 Idaho 20,817 19,904 143,236 Illinois 345,332 71,564 1,304,950 Indiana 200,363 44,243 682,533 Iowa 44,910 25,731 375,187 Kansas 33,612 36,370 292,476 Kentucky 127,581 44,543 529,557 Louisiana 92,887 44,752 472,339 Maine 34,536 21,947 182,511 Maryland 143,120 129,057 550,276 Massachusetts 195,022 55,256 757,745 Michigan 463,907 48,070 1,152,174 Minnesota 78,563 35,450 547,376 Mississippi 30,668 44,043 355,901 Missouri 120,157 70,774 716,709 Montana 14,923 15,151 110,260 Nebraska 25,146 21,085 208,040 Nevada 41,853 35,251 237,440 New Hampshire 35,596 17,774 129,763 New Jersey 280,451 63,908 929,400 New Mexico 39,115 35,933 220,449 New York 548,876 97,869 1,976,663 North Carolina 220,583 111,581 1,048,553 North Dakota 5,145 7,473 83,538 Ohio 521,368 86,074 1,403,438 Oklahoma 53,606 68,722 422,848 Oregon 46,966 45,998 407,940 Pennsylvania 3325,920 121,181 1,475,883 Rhode Island 12,844 13,592 136,797 South Carolina 112,774 77,337 516,364 South Dakota 6,575 11,933 98,529 Tennessee 122,031 72,746 747,024 Texas 436,031 275,752 2,066,504 Utah 32,815 36,265 187,051 Vermont 17,446 6,394 74,238 Virginia 120,962 191,947 781,412 Washington 110,775 104,841 622,721 West Virginia 88,014 20,699 280,413 Wisconsin 143,489 35,092 540,639 Wyoming 8,035 7,438 52,765 Puerto Rico 11,788 11,650 345,122 Virgin Islands 3,092 238 6,915 Other^ 0 32,271 39,533 Total 6,902,855 3,459,944 32,838,292 * Stand-Alone PDP includes 2.2 million enrollees receiving the limited income subsidy. ** Medicare Advantage includes 925,000 enrollees receiving the limited income subsidy. About 478,000 of these are full. ^ Other includes other territories and beneficiaries whose address information is being updated. Note: All HHS press releases, fact sheets and other press materials are available at
2006-06-16
Over 38 Million People With Medicare Now Receiving Prescription
Student Operated Press, FL -
Among the 38.2 million beneficiaries who are now receiving prescription drug coverage, approximately 32.8 million have coverage from Medicare and 5.4 million have coverage from other sources, including the Department of Veterans Affairs (VA), primary coverage from an employer (from beneficiaries who are working after age 65), and state prescription drug programs that are not yet combined with Medicare Part D. Based on the latest information on the choices of veterans with VA benefits and Medicare coverage, almost 40 percent are enrolled in Medicare Part D, a much larger number of VA beneficiaries than previously expected.
2006-06-15
Monday 'D-Day' for most senior citizens
Carlisle Sentinel, PA -
Under the Medicare program, participants will pay monthly premiums expected to average $35 in 2006. And participants will pay the first $250 in drug costs. Medicare will pick up 75 percent of the next $2,000 in prescription expenses. After that, a gap is built into coverage, during which participants are responsible for the entire drug bills until costs top $5,100. After that, the government pays 95 percent.
2006-06-14
Medicare says Drug Benefit Enrollment Up, Costs Down
SeniorJournal.com, TX -
In particular, we will conduct a transition from the method of calculating the plan subsidy in 2006, before the unexpectedly high level of competitive savings in the drug benefit was observed, to the �weighted-average� method based on actual plan enrollments and costs. The transitional approach means low-income beneficiaries will have greater stability in their zero-premium plan options, and it provides an additional incentive for plans to bid low to continue to serve low-income Medicare beneficiaries.
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BALTIMORE - CMS has lowered oxygen payment rates by an average of 8.6% for stationary oxygen and 8.1% for portable oxygen. The new rates, which vary from ...
4. TMC Guard/Reserve committee legislative goals for 2005
Health Care for RC Members and Their Dependents. Seek permanent legislation as follows to provide servicemembers and their families in the National Guard and Reserve seamless health-care coverage f