How
common are prescription medications?
Data
for the CDC indicates that about 48 percent of adults in the United States have
used at least one prescription drug in the last 30 days. Not only so, but the
data also suggest that about 24 percent have used three or more within the same
period and about 12 percent have used five or more prescription drugs within
just over 4 weeks. It is also the case that the retail cost of prescription
drugs has ballooned significantly since 1960.
What
healthcare reforms mean for Americans
Before
the idea of the Affordable Care Act was implemented, about 20% of individual healthcare
insurance plans in the
United States did not provide coverage for prescription medications. Thus, once
the Affordable Care Act was instituted, it set a standard of the ten essential
benefits that should characterize all individual or small group healthcare
plans which included coverage for prescription drugs.
Medicare
& Medicaid
Medicare
differs from private health insurance in that the Original Medicare (Parts A and
B) does not cover prescription medications. Part D was established in 2003
specifically to cover prescriptions. Medicare prescription drug plans in Florida
and all states are regulated by Medicare and each state but offered by private
insurance carriers. If you are eligible for Medicare (age 65 and above or
younger for those who meet the disability qualifications), you definitely have some options to explore for your prescription coverage from available plans
offered in your zip code region.
You
can get a standalone Part D Medicare Prescription Drug plan. There is also a
Medicare Advantage plan that includes a Part D coverage plan.
Medicaid,
on the other hand, is a joint Federal-State program. It is means tested and responsible
for paying medical assistance for families and individuals, particularly those
with few assets or a low income. Medicaid covers prescription drugs in every state,
and the recipient either pays nothing or a small copay. But if you are a dual
beneficiary of Medicare and Medicaid, your drug prescription plans will be
covered by Part D of Medicare.
You
need prescription drug coverage
Studies
already show that out-of-pocket payment of healthcare services, including drug
prescriptions, is among the leading causes of bankruptcy in the United States. The
more your need for prescription drugs increases, the higher the cost of
out-of-pocket payments for drugs. Medicare provides a relatively cheaper option
for prescriptions with its Medicare prescription drug plans in Florida.
Conclusion
If
you live in Florida, you can enroll in Medicare Part D prescription drug plans
for Florida once you
meet the criteria for enrollment. There are plans and additional advantages
that you can use when you are ill and want to receive either in-patient or outpatient
healthcare services. While each plan has a relatively similar formulary listing
which drugs the plan covers, the plan premium, deductibles, and copays it
charges for each drug can differ significantly.
It is worthwhile to examine alternative Part D plans for these costs for
your specific prescriptions before enrolling in any plan.
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