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Considering that the Medicare Part D drug benefit was unveiled, it has verified to be even much more confusing and inefficient than its critics predicted. Even seniors who have been in a position to register for the system must still struggle with a $three,000 gap in benefits coverage and a hefty monthly premium.

Currently the government has had to alter the program: The Centers for Medicaid and Medicare Solutions reversed an earlier choice prohibiting new Medicare prescription drug program recipients from participating in totally free or subsidized drug applications sponsored by pharmaceutical manufacturers.

But we can't stop there. The reversal fails to count the full value of these prescriptions toward seniors' $3,000 obligation, an expense that could put a lot of in the poorhouse.

The Bush administration claims that its new benefit is a very good deal for folks who are not eligible for Medicaid. However most individuals will pay not only a $250 deductible, but also 25 percent co-insurance on the subsequent $two,000 in covered drug fees. And add roughly $32 a month per individual for a monthly premium.

In addition, the new Medicare strategy demands every senior to cover 100 percent of the fees more than $2,000 till catastrophic coverage kicks in at $five,100.

We can and should close the holes that could ruin seniors' fiscal well being as they try to preserve their physical health.

Private businesses are already taking action. A group of pharmaceutical firms announced a program referred to as "Bridge Rx," which will support seniors trapped in the $three,000 hole afford their medications. Seniors will get drug discounts of at least 50 percent in exchange for a 15 percent co-spend.

Washington should also act by letting those who qualify for subsidized pharmaceutical manufacturer applications like Bridge Rx - but who concurrently spend a monthly Portion D premium - count the full worth of their medications' formulary price toward the $3,000 gap.

The goal of the Medicare prescription drug program was to help seniors, not create revenue for insurers and pharmacy benefit managers. It really is time to deliver on the promises that were made. billing medicare medical equipment billing reporting medical fraud