TUESDAY, June 1, 2004 (HealthDayNews) -- Today's the day the new Medicare-approved drug-discount card program takes effect. But so far seniors haven't rushed to sign up.
Medicare officials and private card sponsors say it's not surprising that beneficiaries would hold back. After all, it's a new offering, it's voluntary, and there's no penalty for enrolling after June 1.
Senior advocacy groups, however, point to other factors keeping many seniors on the sidelines.
For one, it's likely many older Americans will have trouble navigating the complex enrollment process. Nationally, 28 private sponsors are marketing a total of 77 Medicare-approved drug discount cards. In some markets, beneficiaries will have to sift through dozens of cards to find the best deal for them.
Getting accurate information also has been a problem. Some people trying to reach the government's toll-free hotline, 1-800-Medicare, report frustratingly long wait times to speak with a customer-service representative.
And while Medicare's Web site offers online tools for examining various discount card options and drug prices, frequent changes and updates to that information in the weeks leading up to the program's launch have made it difficult to make accurate comparisons.
Most beneficiaries still aren't aware that the program even exists, said Robert Hayes, president of the Medicare Rights Center, a New York City-based nonprofit organization that is helping beneficiaries navigate the system.
Federal officials have responded by taking steps to provide better data, speed up response times and improve outreach to beneficiaries.
Now that the program is under way, many seniors may be asking themselves whether they should sign up. For starters, here are some basic facts you need to know about the program:
Because of that credit, low-income seniors are likely to benefit the most by signing up for a Medicare discount card. Seniors who meet the income test are urged to apply promptly if they want to take full advantage of that assistance.
The card is also likely to help people who don't have any outpatient drug coverage and currently pay full retail prices for their drugs.
On the other hand, the card may not be for everyone. For example, seniors who have insurance that covers outpatient prescriptions may not need the card, some experts say.
"If you have employer-based retiree coverage, say a $2.50 or $5 co-pay, then the discount's not going to be relevant to you," said Gail Shearer, director of health policy analysis in the Washington, D.C., office of Consumers Union.
And if you live in a state that offers a generous prescription drug assistance program, such as New York or Pennsylvania, you're not likely to get a better deal through Medicare, senior advocates point out.
"Almost always those benefit packages are stronger than anything having to do with the discount card," Hayes noted.
To compare cards and decide for yourself, contact Medicare by calling 1-800-Medicare (1-800-633-4227) or visiting www.medicare.gov. Your local pharmacy also may help you get in contact with the sponsors of the drug cards they accept.
For help getting information or wading through the details, contact your local community center, Area Agency on Aging (AAA) or State Health Insurance Assistance Program.
Sandy Markwood, chief executive officer of the National Association of Area Agencies on Aging, said AAAs across the country are being inundated with calls from older adults and their sons and daughters who are confused and want help walking through the process.
"We want to make sure to the extent possible that people make the best-educated decision," she said.
More information
The Centers for Medicare and Medicaid Services has several publications to help answer consumers' questions about the Medicare drug-discount card program.