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Paul Rifenberg CLU, ChFC

 
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MEDICARE ADVANTAGE PLANS through Blue Cross/Blue Shield of MI

Here's how things worked in the "old days."

When you turned sixty-five, you became eligible for Medicare A (free) and most people opted for Medicare B (currently running $96.50 a month).

Most people also felt the need to purchase a supplement that picked up the Part A and B deductibles, the 20% coinsurance, and any excess expenses.  That required you to find a private carrier who wrote such plans, and necessitated you having to carry around a second ID card in your purse or wallet, in addition to your Medicare card.

Then the government came out with their Medicare D program, covering prescriptions.  Most people had to go out again, and select from dozens of different companies who offered such a plan, and now you had THREE cards to keep track of.

Incidentally, anyone ever wonder what happened to Medicare C?! How did we go from Medicare A and B. . .to D?  Didn't, we skip something?!

Not really. Medicare C is what the industry calls "Medicare Advantage Plans." They are not a supplement to Medicare. They literally are Medicare.

Blue Cross / Blue Shield of Michigan has four such plans, which they call their Medicare PLUS Blue plans.  In a nutshell, this is a program that takes Medicare A and B, the needed supplemental coverages, AND Medicare D prescription coverage. . . and wraps it all up under one comprehensive program.

These four plans range in cost from $0 to $141 a month, and they all include prescription drug coverage.  SEND ME YOUR EMAIL address, and I will send you the complete brochure on these products, OR JUST CALL. . .and we can arrange to meet to discuss it privately.

Prescription Drug Assistance for Seniors

Aside from the prescription drug coverage offered through Medicare D (and available through ALL Medicare Advantage plans), there are a few prescription drug assistance programs available that you might want to investigate. I can't help you directly with obtaining most of these programs, but here are just a few that I am aware of:

IF YOU'RE A VETERAN: There's a very nice program available for you. Call their toll-free number (877) 222-8387 or go on-line at www.va.gov/elig.

There is a company called Patient Assistant Services that works directly with over 100 pharmaceutical companies and 2,000 prescription drugs. If you are a legal United States citizen, have a family income less than or equal to $25,000, and are not qualified for private or government drug coverage, you may qualify for this program.

I have applications in my office. Call me at (269) 683-7400 or (888) 783-0498. They require a one-time non-refundable $20 application fee, but the potential savings are quite great. If for example, you are taking ten or more prescriptions, a full one year's supply through this program would only cost $575!!!

There is also a program sponsored by the Eli Lilly Company called the Lilly Answers Program. You can get all the information by calling their toll-free number (877) RXLILLY or going on-line to www.lillyanswers.com. Essentially, the requirements are similar to the ones offered by Patient Assistance Services, except they will provide you with the eligible drugs for a flat $12 co-pay. It's possible some drugs may be available through one program and not the other, so check both of them out.

Some other web-sites of interest:

www.pfizer.com The Pfizer for Living Card Program offers a 30 day supply of their drugs for just $15.

www.TogetherRx.com Multiple pharmaceutical companies participate in this web-site, each with their own savings of approximately 20-40% off the cost of prescriptions.

www.theunadvertisedbrand.com Get all the facts on generic drugs on this web-site. Use the generic drugs value calculator to see cost savings using a brand name prescription vs. a generic. You can take fruther action by writing your legislator or giving a pledge card to your physician.

www.needymeds.com Learned about this one through the public relations department at our own Lakeland Hospital. This is pretty much a hodge-podge of various programs that are available through different pharmaceutical firms.

Lastly, we are aware of a program through the State of Michigan that allows uninsured, low-income residents to get prescription drugs at a discount. For more information, call (866) 755-6479.

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