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Medicare
Gets a Shot in the Arm
The
Medicare Prescription Drug, Improvement, and Modernization Act of 2003
represents the largest expansion in the Medicare health entitlement program
since it was enacted in 1965.¹ Three main provisions will affect most families.
Prescription
Drug Savings
A prescription drug benefit will be offered to all 40 million seniors and
disabled Americans in Medicare. After beneficiaries pay a $35 monthly premium
and a $250 annual deductible, the benefit will cover 75 percent of the cost of
each person's prescription drugs, up to $2,250 per year. Seniors will have to
pay all their own drug costs between $2,250 and $5,100; after costs reach the
$5,100 level, catastrophic coverage kicks in, paying 95 percent of drug costs.²
The drug benefit
program doesn't begin until 2006. In the meantime, seniors will be able to
purchase drug discount cards for about $30 a year. The cards will provide
discounts of about 10 to 15 percent off retail drug prices.
Medicare
Advantage Plans
One of the more controversial provisions of the new legislation
encourages seniors to join private health plans as an alternative to the
government-run program. These private plans will have the flexibility to adjust
the prescription drug benefit and the overall medical benefits in an attempt to
reduce premium and out-of-pocket costs to seniors. Any premium rebates would be
added to Medicare recipients' Social Security checks.
Health-Care
Savings Accounts
Seniors who choose Medicare Advantage plans with deductibles
over $1,000 will be eligible to set aside pre-tax dollars in special health-care
savings accounts, from which they can be reimbursed for specific health-care
expenditures.
The Medicare
Modernization Act will change the way in which Medicare provides health care for
seniors. Understanding how the system works could influence your personal
finances in the years ahead.
1) The
Washington Times, December 8, 2003
2) AARP, December 2003
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