Elder Angle

Have You Had Your 2010 Part D Plan Check-up?

By Mary Lee Tanca, SHINE Area Coordinator

It's almost that time of year again, November 15th - December 31st, better known as the Annual Enrollment Period (AEP) for Medicare Part D. It's time to find out if your current Part D prescription drug plan is the best plan for you in 2010.

By now you have received information from you current plan on the changes for 2010. Did you know that the information they provide only tells you your new premium, your deductible (if any) and the cost of your drugs in the Initial Coverage Period? (Your drugs in the Initial Coverage Period cost about 25 percent of the full cost of the drug.) Do you know how much your drugs will cost you at full cost when you are in the deductible or coverage gap? How long will it take to pay-off your deductible, if any? When do you reach the gap? Are there any alternatives for costly brand name drugs?


SHINE, a volunteer program with the Florida Department of Elder Affairs, is here to help you understand your options. SHINE volunteers provide free, confidential and unbiased assistance. To find a site near you or to be assisted over the phone, call 1-800-963-5337.

Bring your prescription bottles, your Medicare card and your current Part D plan card to a SHINE volunteer. These volunteers will take the time to explain what your options are, what exactly your drugs should cost and when you might hit the gap, or "donut hole." They can enroll you in the plan of your choice or explain how to do this yourself.

Through Social Security there is a program to help low income Medicare beneficiaries with the plan premium, deductible and cost of your drugs called Extra Help or Low Income Subsidy (LIS). You have no gap in this program. If you have full Medicaid, SSI, or if the state is paying for your Medicare Part B premium you automatically receive Extra Help. SHINE counselors can help determine if you qualify for these programs based on the income and asset limits.

Be an informed consumer. Contact SHINE today! §

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