Gov.
Blagojevich extends Illinois Cares Rx protection until end of year
for seniors and people with disabilities who have not signed up for
Medicare Part D
Prevents
thousands of vulnerable residents from falling through cracks
between now and December 2006
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[MAY 20, 2006]
CHICAGO -- In light of the fact that thousands of
Illinois' low-income seniors and people with disabilities did not
enroll in a Medicare Part D plan by the federal deadline of May 15,
Gov. Rod R. Blagojevich announced Tuesday that the state's Illinois
Cares Rx program will continue to cover this population through
December 2006. Open enrollment for Medicare Part D does not start
again until Nov. 15, 2006, which means they will not be able to
receive benefits until Jan. 1, 2007.
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"The deadline to enroll in Medicare Part D has come and gone, and
still thousands of Illinois' most vulnerable seniors do not have the
critical prescription drug coverage they need," Blagojevich said.
"It would be wrong to turn our back on people who need their
medicine, just because they missed an arbitrary deadline. That's why
we're making sure they can get drug coverage through the state's
Illinois Cares Rx program while they wait for the next opportunity
to enroll in Medicare Part D." The Illinois Department on Aging
and the Department of Healthcare and Family Services along with the
Senior Health Insurance Program have been working together since
August 2005 on hosting Medicare Part D and Illinois Cares Rx
enrollment events in over 250 communities, staffing hot lines and
providing one-on-one counseling at hundreds of locations across the
state. Last weekend, the governor announced that these state
agencies would extend their hot line hours and staffing until
midnight on May 15.
Despite the ramp-up in resources and aggressive outreach efforts,
the complicated federal program was too daunting for hundreds of
thousands of Illinois seniors, including thousands of the
low-income, vulnerable residents who need affordable prescription
drug coverage the most.
So, the governor ordered the Department of Healthcare and Family
Services to directly cover prescription drugs for Illinois Care Rx
enrollees who have not yet enrolled in Medicare Part D.
Seniors eligible for Medicare Part D and Illinois Cares Rx who
did not select a Medicare Part D plan must select a Medicare Part D
plan when enrollment reopens in November. Once a senior has enrolled
in a Medicare Part D plan and begins receiving benefits, the
Illinois Cares Rx coverage will still provide the wraparound
coverage that it was designed to provide.
"We will provide this critical protection to our vulnerable
seniors and persons with disabilities as long as necessary," said
Department of Healthcare and Family Services Director Barry Maram.
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The federal Medicare Modernization Act has a $250 deductible and
then pays 75 percent of prescription drug costs after that
deductible, up to $2,250 worth of drugs, with an average $32 per
month premium. Beneficiaries are responsible for all of their costs
between $2,250 and $5,100, with the plan paying 95 percent of costs
beyond that top threshold. The gap where a beneficiary has to pay
all the drug costs, between $2,250 and $5,100, is commonly referred
to as the "doughnut hole."
The Illinois Cares Rx program was designed to lower the costs
mentioned above. The governor's program allows Illinois' low-income
seniors and people with disabilities, including those who have been
getting prescription drug assistance through state programs, to
avoid high out-of-pocket expenses and gaps in coverage created by
the new Medicare Part D program. To be eligible for Illinois Cares
Rx, individual seniors can have an annual income of up to $21,218. A
couple can have an annual income up to $28,480. There is no asset
test.
The governor's ongoing efforts to help seniors through the
Medicare Part D program are part of his long-standing effort to make
sure that more people get more health care and better benefits,
protect coverage for those who have health care, and help hospitals,
doctors and nurses provide better health care. Under the Blagojevich
administration, Illinoisans benefit from a wide array of programs
designed to assist them with the high cost of prescription drugs:
Illinois Cares Rx, the Rx Buying Club and the I-SaveRx drug
importation program.
Illinois seniors and people with disabilities who want to find
out if they are eligible for or enroll in the Illinois Cares Rx
program, who need assistance with Medicare Part D enrollment, or who
would like to know the nearest location of one of the over 200 SHIP
offices, should call the Department on Aging Help Line at 1 (800)
252-8966, the Senior Health Insurance Program at 1 (800) 548-9034 or
visit
www.illinoisbenefits.org or
http://www.idfpr.com/doi/ship/ship_volunteers.asp.
[News release from the governor's
office]
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