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To: Lou L
Agreed. For the past six months AT LEAST, you can't turn on the tv or radio without hearing about the drug plan. Then, when January 1 rolled around, the seniors (supposedly) and the politicians whined about not knowing anything about it.

Here in California, Arnold designated 15 million to help out until things got sorted out. Seniors were complaining every which way according to the news. I don't like it that we even HAVE this program, but its here and there is no reason why people should be confused.

I did the research, signed my mother up for a plan...her drugs are waaaaaya cheaper (thanks to the taxpayers) and we also have coverage after the 2250 is reached.

15 posted on 02/21/2006 7:33:21 AM PST by Watershed
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To: Watershed

No, it was not the seniors, for the most part, who were confused NOR why Schwarzenegger had to devote those millions, BUT THE INTERMEDIARY COMPUTER PROGRAM THAT WAS FAILING...it was not including people in the Plan even after enrolled and was spitting out preposterous denials at the cash register to Medicare enrolless advising them they owed "$3,500." or some such nonsense for a $13.00 generic refill and similar monstrosities.

What was occuring was that MEDICAID people were not receiving their MEDICAID priced refills and most of them really needed what they were taking uninterruptedly, and thus, the state had to intervene and "emergency fund" the Medicaid pharmacy costs until the Federal computer system was organized and corrected.

THE PLAN ITSELF CREATED THE PROBLEMS at the cash register for many enrollees, leaving them to go home wondering, like a lot of seniors are prone to do, "WHAT DID I DO WRONG" when, in fact, the PLAN AND THE COMPUTER SYSTEM was screwy.

Not nationwide, just in a few states that have the highest Medicaid enrolleess...California, New York, to name the two biggest problems.

And, the Plan itself has been confusing even IF the computer sytsem was workig well in that last two years, there was one "plan" for drug coverage under Medicare for some people, and that was replaced by this "new plan" January 1, which then dispensed or failed to dispense reasonably priced refills by thousands of dollars without explanation, or just refused to acknowledge people who were already enrolled correctly.

Thus, people already qualified for one plan in the last two years but now no longer do by the same income variables, combined with the huge computer problem in January, EVERYONE was confused and not because they weren't capable or able. EVEN PHARMACIES were being told to collect huge amounts of thousands of dollars for drugs that normally (even without the Plan) cost a mere few dollars.

But, it was the Medicaid numbers that required the emergency funding by some states, inorder to pay for two, three months refills for their enrollees while the federal plan (computer system) was/is being straightened out.


38 posted on 02/21/2006 4:17:44 PM PST by MillerCreek
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