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And so it begins,
the race to lure patients into new Medicare drug plans, and the
scramble to explain how senior citizens can take advantage of the
benefits to help pay for medicine.
While Humana Inc. and Wal-Mart stores began reaching out to
potential drug consumers in South Florida and around the nation, a
network of 40 national organizations launched an education and
advertising campaign Tuesday to encourage patients to enroll in drug
plans starting in November.
"You can save hundreds of dollars a year," a narrator, wearing
doctor's garb, tells viewers in nationwide television ads starting
today. "But you have to sign up."
The education and ad campaigns coincide with widespread confusion
and some skepticism about the prescription-drug benefits approved by
Congress in 2003. The public mood has soured in part by drug prices,
which continue to rise sharply along with other health-care costs.
"Thank goodness I'm not on many drugs," said Grace Krommes, a
retiree from Delray Beach, who isn't sure the benefits will be
worthwhile for her. "But you know, my day may come."
Krommes was headed for the vitamin section at a Wal-Mart in Delray
Beach when she encountered a Humana display, the first of many
consumer-education efforts to be sponsored by drug-plan providers.
Humana has set up shop in 500 Wal-Marts around the nation.
South Florida is a prime target for those who will be competing for
drug consumers, with about 130,000 beneficiaries already enrolled in
Humana's Medicare HMO.
Brochures bearing Humana and Wal-Mart logos were filled with general
information about the new Medicare benefit.
Federal law does not allow providers to promote their plans until
Oct. 1. But Cris Perry, sales director for the Palm Beach and
Treasure Coast, said Humana wants to get out front because
competition for enrollees is expected to be fierce. He thinks the
education materials are a good way to start.
While Humana and other providers gear up for the enrollment period,
a network of 40 groups -- including AARP and the National
Association of Drug Chain Stores -- is banding together to help
Uncle Sam promote and explain the drug benefits.
Its leader, former Sen. John Breaux, D-La., acknowledged that his
own father was so confused by the new drug law that he called to
say, "That prescription drug thing is not going to work, and I'm not
going to worry about it."
Breaux said he knew then he had to help educate the public. "This is
something the government cannot do by itself," he told reporters in
Washington at the formal launching of the Medicare Rx Education
Network.
The Network, while coordinating its efforts with the U.S. Centers
for Medicare and Medicaid Services, hopes to deliver a consistent
message to help consumers understand why and how they should enroll
in the plans.
All Medicare beneficiaries are eligible. Enrollments begin Nov. 15,
and patients must sign up by the end of this year to get coverage
beginning in January.
Beneficiaries can shop among various plans to compare costs.
Backers of the new law hope this private-market competition, while
initially confusing, will help rein in drug costs.
Most patients will pay a monthly premium, estimated at about $37,
and a yearly deductible of about $250. They also will pay a share of
drug costs, the provider will pay a share and Medicare will pay the
rest, up to $2,250. Once total out-of-pocket drug costs reach
$3,600, patients will pay 5 percent of remaining costs and Medicare
will pay the rest.
The program is weighted to help low-income people. Individuals with
annual incomes below $14,355 or couples with incomes below $19,245
may qualify for extra help.
The government says that by October, all patients will receive
information from plans in their area.
"Seniors are used to getting a Medicare product from Medicare. This
is a pretty big shift," said Tricia Neuman, vice president of the
Kaiser Family Foundation, a healthcare policy organization. "[Drug
plans] still come from Medicare, but they will have a lot of logos
from different companies attached.
"There is a fine line between consumer education and marketing," she
said. "Name recognition is going to be critical for these companies.
But in the end, seniors need to focus on what's best for them."
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