The purpose of this dataset is to help inform geographical areas for targeted outreach efforts to find and assist individuals who may see an increase in their cost sharing while qualifying for the Low Income Subsidy.
Medicare’s Limited Income NET Program, effective January 1, 2010, provides temporary Part D prescription drug coverage for low income Medicare beneficiaries not already in a Medicare drug plan including:
– Full Benefit Dual Eligible and SSI-Only beneficiaries on a retroactive basis, up to 36 months in the past; and
– Low-Income Subsidy (LIS) Eligible beneficiaries at the pharmacy counter and up to 30 days in the past.
Medicare mails a notice (CMS Publication No. 11267) in early November to certain people whose premium cost will increase but Medicare isn’t re-assigning because they chose and joined their own plan. Medicare is mailing this notice to people who qualify for the full (100%) premium subsidy whose Medicare Prescription Drug Plan premium in 2010 would increase above the determined low-income premium subsidy amount. This notice lets people know the cost for their drug plan premiums in 2011 and their options to stay in their plan or join another plan, including plans for which they will pay no monthly premium.