Here is a Helpful article that was recently in the Dayton Daily News.
By Marci Vandersluis
Contributing Writer
I recently visited with a couple that shared that they were having difficulty paying for some of their prescription medications. One spouse stated that some of their medications had very high out of pocket costs. These co-pays were affecting their ability to pay for some needed home repairs along with food purchases. While this article has no magic solutions on how to eliminate prescription drug costs, it should be of some relief to know that with a little perseverance, along with some web “surfing”, there are programs and services available directed towards providing prescription assistance to lower income older adults.
Since 2006, those eligible for Medicare have been encouraged to enroll in a Medicare Part D plan, which provides prescription drug coverage. The two ways to get coverage are either through adding drug coverage to original Medicare, or to enroll in a Medicare advantage plan that offers Medicare prescription drug coverage. Beneficiaries must first have Medicare A and/or B to enroll in a drug plan and must have Medicare A and B to qualify for enrollment in a Medicare Advantage Prescription Drug plan. It is important to note that while enrolling in a Medicare D plan, is voluntary, not signing soon after eligible or when other medical coverage (such as an employer sponsored plan) ceases will result in a monthly financial penalty that will continue through the duration of coverage.
Most have found that while the implementation Part “D” has provided significant cost saving, it continues to present some challenges for beneficiaries. One such frustration is the feared coverage gap or “doughnut hole.” In 2015, once the beneficiary and drug plan have spent $2960, the person is responsible for much higher of pocket costs for prescriptions. Once these costs reach $4,700 the beneficiary is only responsible for 5 percemt of prescription costs, for the remainder of the year. While Medicare is working on more discounts for those in the coverage gap with the ultimate goal of closing the gap in 2020, there are still significant costs while in the “ doughnut hole.” Monthly statements from your drug plan will outline explanation how much has been spent on medication and if you have reached the coverage gap.
Co-pays for some medications can be very expensive even when not in the coverage gap. Fortunately, for those who meet certain financial guidelines there are some programs to help with prescription drug costs. One such program is the Chubby Checker, Patty Duke, endorsed Medicare Extra-Help program. Individuals with income of approximately $17,655 yearly income ($23,895 for married couples), with resources of approximately $13,640 ($27,250 for married couples) should consider applying for this program as it can offer considerable savings. See below for the link to apply online. If there are additional circumstances, if only marginally above these guidelines, or even if in doubt regarding eligibility, it is encouraged to apply. The Medicare website also advises contacting and your specific drug plan to see if eligible for any type of extra help.
Resources
Ohio Benefit Bank-Consumer Hotline: 800-648-1176 or www.ohiobenefits.org
United Health Solutions: 937 220-6600 or www.uhs-dayton.org
Partnership for Prescription Assistance: 888-477-2669 or https://www.pparx.org
Needymeds: Helpline 800-503-6897 or http://www.needymeds.org/newuser
Ohio’s Best Rx: 866-923-7879 or http://www.ohiobestrx.org/en/index.aspx
Good RX-drug discount card: 888-799-2553 or https://www.goodrx.com
Drug companies that offer assistance:http://www.needhelppayingbills.com/html/get_free_prescription_drugs.html
Medicare information on lowering drug costs: 800-633-4227 or https://www.medicare.gov/part-d/costs/coverage-gap/ways-to-lower-drug-costs.html
Ohio Senior Health Insurance Information Program (OSHIIP): 800-686-1578 orhttp://www.insurance.ohio.gov/Consumer/OSHIIP/Documents/whatisoshiip.pdf
Medicare Extra Help: 800-772-1213 or www.socialsecurity.gov/extrahelp (Online application)
March 13- William Macy may be best known for his lead role in Fargo (1996), for which he was nominated for an Academy Award. His film career has been built mostly on his appearances in small, independent films, Macy has described himself as “sort of a Middle American, WASPy, Lutheran kind of guy . . . Everyman.” He got his start in theater and had roles in more than 50 Off-Broadway and Broadway plays in New York. Later, he appeared in numerous films that David Mamet wrote and/or directed, including House of Games, Homicide and Spartan. Other Macy roles of the 1990s and 2000s included Boogie Nights, Pleasantville, Magnolia, Jurassic Park III and Seabiscut. Macy has also had a number of roles on television. In 2003, he won two Emmy Awards, one for starring in the lead role and one as co-writer of TNT’s Door to Door, based on the true story of a door-to-door salesman born with cerebral palsy. His work on ER and Sports Night has also been recognized with Emmy nominations. In 2007, Macy starred in Wild Hogs, a film about middle-aged men, which was a financial success. In 2010, Macy received high critical acclaim for his performance in Showtime’s Shameless, eventually getting an Emmy nomination for Outstanding Lead Actor in a Comedy Series in 2014. Macy made his directorial debut with the independent drama Rudderless (2014) and serves as director-in-residence at the Atlantic Theater Company in New York. He and actress Felicity Huffman have been married since 1997.
March 20- William Hurt made his film debut as a troubled scientist in the science-fiction feature Altered States (1980), for which he received a Golden Globe nomination for New Star of the Year. He subsequently played a leading role, as a lawyer who succumbs to the temptations of Kathleen Turner, in the well-received neo-noir Body Heat (1981). The step-grandson of Henry Luce, founder of Time magazine and actress-writer Clare Boothe Luce, Hurt co-starred in The Big Chill. In 1985, Hurt garnered substantial critical acclaim and multiple acting awards, including an Academy Award and a BAFTA Award (British Academy of Film and Television) for Best Actor, for portraying an effeminate gay man in Kiss of the Spider Woman. He received another two Academy Award nominations for his lead performances in Children of a Lesser God (1986) and Broadcast News (1987) and for Best Supporting Actor in A History Of Violence (2005). Throughout the 1980s, Hurt remained an active stage actor, appearing in Off-Broadway productions, including Henry V, Fifth of July, Richard II and A Midsummer Night’s Dream. In 1985, he received his first Tony Award nomination for the Broadway production of Hurlyburly.Hurt appeared in the cast of Vanya, an adaptation of Chekhov’s Uncle Vanya, at the Artists Repertory Theatre in Portland, Oregon. In 2006, he was in the TNT mini-series adaptation of Stephen King’s Nightmares and Dreamscapes. In 2008, Hurt starred as General Thunderbolt Ross in The Incredible Hulk. He appeared as President Henry Ashton in the 2008 action-thriller Vantage Point. In 2009, Hurt became a series regular on the FX series Damages, playing a corporate whistleblower, for which Hurt earned a 2009 Primetime Emmy Award nomination in the “Outstanding Supporting Actor in a Drama Series” category. In September 2010, Hurt played U.S. Secretary of the Treasury Henry Paulson in the HBO film Too Big to Fail and starred as Captain Ahab in the 2011 television adaptation of Herman Melville’s novel Moby-Dick.
March 26 – Martin Short is best known for his comedy work, particularly on the TV programs SCTV and Saturday Night Live. Originally intending to pursue a career in social work, in 1977 he came to public notice in Second City Television, or SCTV, which ran for several years in Canada, then the United States. At SCTV Short developed several characters before moving on to Saturday Night Live for the 1984–1985 season, including oddball man-child Ed Grimley. In addition to his work on SCTV and SNL, Short has starred in several television specials and series of his own, including The Martin Short Show (1994-2000), as TV interviewer Jiminy Glick on Comedy Central’s Primetime Glick (2001–03) and I, Martin Short, Goes Home (2011), which follows Short’s return to his native Hamilton, Ontario. Beginning in October 2014, Short has been starring in the Fox sitcom, Mulaney, playing the boss of the show’s central character.In film, Short appeared ¡Three Amigos!, (1989), the 1991 remake of Father of the Bride and Tim Burton’s sci-fi comedy Mars Attacks! (1996); and wrote and starred in Jiminy Glick in Lalawood (2004). Short also provided the voices of several animated film characters, including in We’re Back! A Dinosaur’s Story (1993) and in Madagascar 3: Europe’s Most Wanted (2012). In theater, Short played a lead role in the 1993 musical version of the Neil Simon film The Goodbye Girl, on Broadway, receiving a Tony Award nomination and an Outer Critics Circle Award. He had the lead role in the 1999 Broadway revival of the musical Little Me, for which he received a Tony Award and another Outer Critics Circle Award. In 2003, Short took to the stage once again in the critically acclaimed Los Angeles run of The Producers. Short performed in his satirical one-man show, with a cast of six, Martin Short: Fame Becomes Me, on Broadway and has continued to tour in his one-man show, which features many of his best-loved characters and sketches.