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A Place for Mom's Family » Legal and Financial Matters » Legal & Financial Matters in Eldercare » Medicare and Medicaid » Rule would eliminate premiums for some Part D enrollees

Rule would eliminate premiums for some Part D enrollees

Last post 05-08-2008 8:37 PM by Pam. 1 replies.

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01-14-2008 5:32 PM

JohnT
Joined on 12-11-2007
Seattle, WA
Posts 64

Rule would eliminate premiums for some Part D enrollees

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...Just saw this:

A new regulation proposed by the Centers for Medicare & Medicaid Services would allow some low-income Medicare beneficiaries, including dual-eligible individuals, to stay in their Medicare prescription drug plan without having to pay a premium.

Currently, the low-income subsidy (LIS) helps many people enrolled in Medicare Part D pay their premiums. As it stands, the premium for any individual Part D plan can be fully covered by the subsidy in one year and not the following year. CMS also can move beneficiaries to a different plan if they would have to begin paying a premium. Many nursing home residents are dual-eligible beneficiaries - those who receive Medicare and Medicaid.The new rule would allow drug plan sponsors to reduce the cost of their premiums for certain individuals who qualify for the LIS. It would effectively increase the number of sponsors providing "zero-premium" plans in certain regions and allow LIS-eligible enrollees in those regions to remain with their current plan without having to pay a premium.This new rule was first proposed in the Federal Register can be found in its entirety at http://www.cms.hhs.gov/PrescriptionDrugCovContra/downloads/CMS4133P.pdf. A final version of the rule is expected to be announced March 28.

John E. Temple, Jr.
Co-founder of A Place for Mom

05-08-2008 8:37 PM In reply to

Pam
Joined on 03-16-2008
Posts 2

Re: Rule would eliminate premiums for some Part D enrollees

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Oh great, more info to complicate things even more.....

1st-LIS? what exactly does that mean?

2nd- And how is one dual-eligible for Medicare and Medicaid? and how would a supplemental insurance like TFL effect them?

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