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Over 1.5 Million Medicare Extra-Help Recipients will be Moved to New 2008 Medicare Part D Plans

Medicaid, LIS, & Extra Help · published Sep 24, 2007

If you are receiving “Extra Help” with your Medicare Part D plan premiums or work with low-income Medicare beneficiaries, you may want to prepare for some changes in 2008 Medicare Part D plan providers.According to the Centers for Medicare and Medicaid Services (CMS), in order to accommodate monthly premium changes in the current 2007 Part D plans, approximately 1.58 million Medicare Part D prescription drug plan enrollees who participate in the financial “extra help” program will be randomly reassigned to new 2008 Medicare Part D prescription drug plans.If the Medicare beneficiaries are not satisfied with their newly assigned 2008 plan, they will have the option to change Part D plans without penalty. 

As stated by CMS:
“Under Part D, beneficiaries with low incomes can receive valuable extra assistance with their drug plan premiums and cost-sharing. Nearly 9.5 million beneficiaries are currently receiving extra help through the Part D program. To avoid a premium for these low income beneficiaries and to avoid any gap in coverage, about 1 in 6 of these beneficiaries will be assigned by CMS to a new plan sponsor in their coverage area on a random basis (effective January 1, 2008). These beneficiaries will be able to switch to another plan if they choose.” (CMS Press Release, August 13, 2007).

What can you expect to see in your mail?You will be sent a letter in October from CMS explaining that your current Medicare Part D plan premium has increased above the established subsidy amount and you will be enrolled in a new Medicare Part D plan that has a lower premium. (see the next section on Important CMS Mailings) 

Bottom Line:Low-income Medicare beneficiaries should be prepared to re-evaluate their new 2008 Medicare Part D plan and ensure that their medications are covered.If they wish, low-income beneficiaries can enroll in a Medicare Part D plan of their own choosing.