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Boring But Important: Medisucks Update

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From NAMI:

Medicare Drug Benefit Update: 2008 Plan Year Enrollment Begins November 14, 2007

November 15 marks the start of the open enrollment period for the Medicare Part D drug benefit for 2008. During the “open season” period for 2008 drug plan enrollment, Medicare beneficiaries will be able to select prescription drug coverage that goes into effect on January 1, 2008. The open season ends December 31.

As the 2008 plan year approaches, NAMI is watching closely to ensure that beneficiaries with serious mental illness, especially low-income dual eligibles, are able to maintain continued access to drug coverage that meets their complex treatment needs. Of particular concern are the 2.1 million dual eligibles and low-income subsidy (LIS) Medicare beneficiaries that are being required to switch to different prescription drug plans (PDPs) on January 1.

For more information on the important issue of Medicare drug plan reassignment of dual eligibles and LIS beneficiaries for 2008, click here.

Web-Based Search Tools for 2008 Drug Plan Options
There are a number of important web-based tools to search available plan options, research whether or not a specific medication is on a plan’s formulary for 2008 – or is subject to an access restriction (placed on a tier requiring higher cost sharing, prior authorization, step therapy, quantity limit, etc.). Most can be searched by zip code to check on availability by geographic region.

Centers for Medicare and Medicaid Services

CMS 2008 Plan Finder

CMS 2008 Formulary Finder

Access to Benefits Coalition

Medicare Rx Connect

Comments

Shouldn't NAMI do more than watch? A little less watching on its part and a little more doing especially with respect to its activities, initiatives, reports, and plans that might positively the impact of mental health consumers. (Perhaps, some doing with respect to the health consequences resulting from SGAs and encouraging those who have suffered damages to seek redress.)

"As the 2008 plan year approaches, NAMI is watching closely to ensure that beneficiaries with serious mental illness, especially low-income dual eligibles, are able to maintain continued access to drug coverage that meets their complex treatment needs."

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About

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Liz Spikol is senior contributing editor of Philadelphia Weekly. She writes the award-winning column The Trouble With Spikol, which began as a chronicle of her struggle with mental illness, and has since expanded into humorous musings on everything from graphic novels to how to use a mop. She also writes the paper's book review column, Lit Gloss. This blog -- named one of the Top 10 Bipolar Blogs of 2007 by PsychCentral -- is about mental illness policy, news, personal journeys and more.