A new prescription drug program provided through Medicare, called Medicare Part D, becomes effective January 1, 2006.
As a partner in your retirement years, CalSTRS wants you to be informed about this program. While we do not administer
Medicare Part D and cannot advise you whether you should enroll in it, we can give you information resources about it
to help you make a decision. Those resources are below.
It’s important for you to know that your use of this new program will not affect the dollar amount of your CalSTRS retirement benefit.
We strongly urge you to consult your health maintenance organization or health insurance company prior to
enrolling in Medicare Part D to determine whether or not this benefit is as good as or better than your current
prescription drug program.
Private companies that provide prescription drug insurance will offer Medicare Part D under contracts with the
federal government. Medicare Part D coverage and premiums will differ depending on a variety of factors such as
benefits offered, location and date of enrollment. The value of this new prescription drug benefit will vary from
individual to individual.
There is help in paying the premium. Those who are on a limited income and meet specific parameters may receive
financial assistance under Social Security Administration’s Limited Income Assistance Program. To determine whether
or not you are eligible for financial assistance, contact Social Security using the resources listed below.
It is important to note CalSTRS cannot provide financial assistance to pay the Medicare Part D premium. However,
we are looking into the possibility of deducting those payments from CalSTRS benefit checks as we do with other insurance
premium payments. We will update you on the availability of this convenience in the Retired Educator newsletter and here on
our Web site.
- Initial Enrollment: For those currently with Medicare coverage, the initial open enrollment period will be
November 15, 2005 through May 15, 2006.
- Coverage Begins: Coverage will begin January 1, 2006, for those who enroll through December 31, 2005.
- Coverage After January 1, 2006: For those who enroll between January 1 and May 15, 2006, coverage will begin
on the first day of the month after the month of enrollment.
- Subsequent Open Enrollment: An open enrollment period will be held annually starting November 2006 when enrollees
will have the opportunity to make modifications.
- Subsequent Coverage Dates: For those who become eligible to enroll after January 1, 2006, coverage will
begin on the first day of the month following the date that the enrollment is completed and accepted by the prescription
drug insurance provider.
For additional information about Medicare Part D, how to enroll and the Limited Income Assistance Program,
contact the following resources:
- Your current HMO or health care company.
- California Health Insurance Counseling and Advocacy Program at
www.calmedicare.org or (800) 434-0222 to receive objective information
from trained and registered volunteer counselors on Medicare, Medicare
supplement insurance and health insurance.
- Center for Medicare & Medicaid Services at www.medicare.gov or
(800) MEDICARE (633-4227) or TTY (877) 486-2048.
- Social Security Administration at www.socialsecurity.gov or
(800) 772-1213 or TTY (800) 325-0778 for information on the Limited Income Assistance Program. Please note CalSTRS cannot provide financial assistance to pay the Medicare Part D premium.
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