Published: September 23, 2005
Medicare Part D Contract Awarded to Medica
Coverage Available Through Medica's Medicare Cost and Advantage Plans
Medica has been awarded a Medicare Part D
contract by the Centers for Medicare and Medicaid Services (CMS). Medica
will be offering federally approved Medicare Part D coverage through all of
its Medicare plans including Medica Prime Solution® and Medica Advantage
Solution(SM).
The coverage will be available to 98 percent of Medicare-eligible people in
Medica's service area and will cost less than the $32 per month premium
targeted by CMS. The Medicare Part D coverage premium is in addition to
the premium for health care coverage. Additional, specific information
about the Medicare Part D offerings by Medica will be made available after
October 1, 2006. CMS rules do not allow health plans to begin marketing
their Medicare Part D products prior to that date.
"Medicare Part D will be a valuable benefit to many, many seniors," said
Mark Owen, vice president and general manager of the Medica Center for
Healthy Aging and Medica's Individual Business. "We believe we have a
variety of comprehensive, cost-effective health plan options that will meet
just about any coverage need."
Education Program
As part of its commitment to educating seniors, Medica has launched an
education initiative to inform seniors and/or their caregivers about the
many details of Medicare Part D. The initiative includes more than 600
Medicare Part D educational meetings to be held through mid-December in
communities throughout its service area in Minnesota, North Dakota, South
Dakota and Wisconsin. Medica also has published a booklet, "The Simple
Facts," to explain the program in greater detail. The booklet is available
by calling Medica's Center for Healthy Aging at 1-800-906-5432.
Health plans will begin marketing their Medicare Part D programs starting
October 1, 2005. After that date, it is expected that seniors will be
flooded with materials about specific plans offered by health insurers.
The Medica initiative is designed to arm seniors with information that will
help them make wise choices about which Medicare Part D plans would be
appropriate for them.
Medicare Part D is a voluntary prescription drug coverage program for the
more than 40 million Americans eligible for Medicare. It is part of the
Medicare Prescription Drug Improvement and Modernization Act passed in
2003. It is designed primarily to help seniors save money on the cost of
their prescription drugs and to safeguard against unforeseen catastrophic
drug costs they might otherwise incur.
Although it is a federal program, those wishing to enroll in Medicare Part
D must do so through private health insurers such as Medica, who will
administer the benefit. The program will go into effect on January 1,
2006, with an initial enrollment period running between November 15, 2005
and May 15, 2006. Those currently eligible for the program must enroll
during this period to avoid paying a monthly penalty. Following the
initial enrollment period, eligible individuals may enroll in Medicare Part
D during an annual enrollment period from November 15 to December 31.
About the Medica Center for Healthy Aging
The Medica Center for Healthy Aging is a comprehensive resource dedicated
to serving the health care needs of the senior and disabled population
living in Minnesota and bordering communities in North Dakota, South Dakota
and Wisconsin. The Center's staff provides resources for Medica members
looking to find the best short- or long-term health care coverage to fit
their needs.
About Medica
Medica is Minnesota's largest HMO, largest PPO, and leading non-profit and
independent provider of health plans. Medica has 1.2 million members and
24,000 providers in a regional health care network service area that
includes 98 percent of Minnesotans and a growing number of adjoining
counties in Wisconsin, North Dakota and South Dakota. Medica also offers
national network coverage to employers who also have employees outside the
Medica regional network.
Medica has the highest accreditation status, Excellent, from the National
Committee for Quality Assurance (NCQA®) for its Minnesota and North
Dakota Medicaid HMO plans and commercial health plans.
Medica® is a registered service mark of Medica Health Plans. Medica
refers to the family of health plan businesses that includes Medica Holding
Company, Medica Health Plans, Medica Health Plans of Wisconsin, Medica
Insurance Company, Medica Self-Insured, Medica Foundation, and Medica
Affiliated Services.
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