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Take Medicare Drug Plan Tools with a Grain of Salt

The newest tools designed to assist beneficiaries in evaluating a prescription drug plan that makes sense for them, apparently have some holes, according to a recent report in The Wall Street Journal.

The Journal reports the "Prescription Drug Plan Finder" tool is without benefit of some key pieces of information – namely which drugs each plan covers and at what rates. Additionally, another tool, the "Prescription Drug Plan Cost Estimator" is apparently programmed with a factor that may cause the program to return inaccurate cost estimates.

The Medicare Rights Center (MRC), a New York-based consumer service group, used four different cost calculators (from Medicare, AARP, GOP Medicare, and Kaiser Family Foundation) to estimate costs and savings for a "test" subject. The cost estimates ranged from $1,357 to $1,967.76 and the savings estimates ranged from $1,080 to $1,690.76. These variations indicate the tools are indeed to be used only for calculating approximations – not determining specific costs. In defense of Medicare's calculation tool, a spokesman stated the intent of the tool is to simply answer the question, "Is [a drug plan] generally going to offer me savings?"

The MRC also issued a recommendation to avoid using the drug plan finder tool altogether. A spokesman for the Centers for Medicare and Medicaid Services (CMS) indicated they were still receiving information and the plan providers were "cleaning up" the data they were providing. CMS anticipates having updated and complete information in November, prior to the date enrollments are set to begin.

Source: WSJ.com/Sunday with The Denver
Post, 10-30-05

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