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News Release

FOR IMMEDIATE RELEASE
Wednesday, May 10, 2006

Contact: CMS Media Affairs
(202) 690-6145

37 Million Medicare Beneficiaries Now Receiving Prescription Drug Coverage

Medicare announced today that over a million more people have enrolled in prescription drug coverage between late April and May 6, bringing the total of beneficiaries with prescription drug coverage to 37 million. This number includes about 9 million individual enrollees in �stand alone� prescription drug plans and more than 1 million new enrollees in Medicare Advantage plans. It also includes the estimated 5.8 million Medicare beneficiaries who receive drug coverage from the Veterans Affairs and other sources of coverage equal to Medicare. This week, beneficiary calls and online enrollments have accelerated.

�With six days left before the end of the enrollment period, I am traveling across the country and working with our many dedicated partners to ensure that everyone who wants help gets the assistance they need to make a confident decision,� HHS Secretary Mike Leavitt said. �I am very pleased with this increase in enrollment. With the help of so many, we have a real opportunity to make history and have prescription drug coverage for 90 percent of people with Medicare in the first year.�

�I continue to remind everyone everywhere I go, signing up is just three simple steps. One: get your prescriptions together. Two: Get your Medicare card. Three: Call 1-800-MEDICARE or go online at www.medicare.gov. Help is here -- 24/7.�

Medicare is making extra efforts to enroll minority populations and beneficiaries who are eligible for the low income subsidy, with the assistance of a broad range of community and advocacy groups.

�We�re pleased that 10 million of the 13 million beneficiaries eligible for the low-income subsidy now have coverage, and we will not stop our outreach to all those who are eligible,� said Centers for Medicare &Medicaid Services (CMS) Administrator Mark B. McClellan, M.D., Ph.D. �We will continue our work with both national and local partners after May 15th to reach those who might be eligible and assist them in enrolling in the benefit. Individuals who are approved for the low income subsidy and enroll after May 15th will not be charged any penalty.�

CMS has taken extra measures to be prepared for any late surge in enrollment, such as having 6,000 customer service representatives available for 1-800-MEDICARE and quadrupling the server capacity for www.medicare.gov.

�If you haven�t made a decision yet, our message is simple,� added Dr. McClellan. Take advantage of the help available right now to sign up, start saving, and get protection for the future � and avoid any last minute rush.�

Overall prescription drug coverage figures as of May 7 are:

  • Stand-Alone Prescription Drug Plans (PDPs): 8.9 million people with Medicare have enrolled in stand-alone prescription drug plans, including 2.1 million enrollees receiving the low income subsidy.
  • Medicare Advantage with Prescription Drugs (MA-PDs): 5.9 million beneficiaries receive coverage through Medicare Advantage plans with drug coverage (MA-PDs). Medicare Advantage includes 940,000 enrollees receiving the low income subsidy. About 490,000 of these are full Medicare/Medicaid beneficiaries.
  • Medicare/Medicaid: About 5.9 million Medicare/Medicaid beneficiaries were automatically enrolled in prescription drug plans. An additional 490,000 Medicare/Medicaid beneficiaries enrolled in Medicare Advantage plans with prescription drug coverage and are counted in the MA-PD total above.
  • Retiree Coverage: About 6.9 million retirees are enrolled in the Medicare retiree subsidy. In addition, about 1.4 million retirees are in employer and union-sponsored coverage that incorporates Medicare group drug coverage and are counted in the PDP and MA-PD totals above.
  • Federal retiree coverage: 3.5 million
    • TRICARE: There are 1.9 million beneficiaries with TRICARE retiree coverage.
    • FEHB: There are 1.6 million beneficiaries with FEHB retiree coverage. This figure includes spouses with Medicare who are covered under a FEHB family policy by retirees who also have Medicare coverage.
  • Additional Sources of Prescription Drug Coverage for Medicare Beneficiaries: Approximately 5.8 million Medicare beneficiaries have alternative sources of �creditable� prescription drug coverage:
    • Veterans Affairs (VA): There are an estimated 3.2 million beneficiaries with creditable drug coverage through the VA.
    • Indian Health Service (IHS): There are an estimated 0.1 million beneficiaries with creditable drug coverage through the IHS.
    • Active Workers with Medicare Secondary Payer: There are an estimated 2.0 million beneficiaries who are active workers with creditable drug coverage through an employer group health plan.
    • Other Retiree Coverage: An estimated 0.5 million retirees are continuing in coverage from a former employer that is not coordinated with Medicare drug coverage but is still creditable.

To view enrollment data online visit cms.hhs.gov/PrescriptionDrugCovGenIn/02_enrollmentdata.asp.

To enroll, visit www.medicare.gov.

Total Medicare Beneficiaries with Drug Coverage
As of 5-7-2006

Description

May
(millions)

Drug Coverage from Medicare or Former Employer

 

     Stand-Alone Prescription Drug Plan (PDP)

8.9

     Medicare Advantage with Prescription Drugs (MA-PD)

5.9

     Medicare- Medicaid (Automatically Enrolled)

5.9

     Medicare Retiree Drug Subsidy (RDS)

6.9

     FEHB Retiree Coverage

1.6

     TRICARE REtiree Coverage

1.9

TOTAL

31.1



LIS-Eligible Medicare Beneficiaries with Drug Coverage
As of 5-7-2006

Description

Total LIS-Eligible Beneficiaries
(millions)

Total Beneficiaries Eligible for Low-Income Subsidy 1/

13.2

Less: Drug Coverage from Medicare or Former Employer 2/

9.0

    SSA LIS Approved

1.7

    Other Deemed Full/Partial Duals and SSI Recipients

7.3

Less: Additional Sources of Creditable Drug Coverage 3/

1.0

    Veteran's Administration (VA) Coverage

0.6

    Indian Health Service Coverage

0.1

    SPAP Creditable Coverage

0.3

TOTAL Remaining LIS-Eligible Beneficiaries

3.2


1/ Updated CMS estimate based on analysis of updated SIPP and CPS survey data
2/ CMS CMS Management Information Integrated Repository (MIIR), May 7, 2006.
3/ CMS estimate of beneficiaries receiving coverage from other sources, May 2006




State Enrollment in Medicare Prescription Drug Plans Nov. 15, 2005 - May 7, 2006
As of 5/7/2006

State

Stand-Alone Prescription Drug Plan*

Medicare Advantage with Prescription Drugs**

Medicare-Medicaid (Automatically Enrolled)

Medicare Retiree Drug Subsidy

Estimated Federal Retirees (Tricare, FEHBP)

Total with Drug Coverage

Alabama

202,522

80,893

92,074

117,663

96,396

589,548

Alaska

7,179

114

11,601

11,658

8,762

39,314

Arizona

114,512

252,614

58,631

106,805

87,699

620,261

Arkansas

158,401

12,710

67,040

52,745

47,096

337,992

California

455,972

1,297,096

899,677

429,739

341,510

3,423,944

Colorado

88,052

137,411

44,442

76,810

70,923

417,618

Connecticut

119,472

33,402

68,100

113,317

22,077

356,368

Delaware

42,831

643

10,470

32,483

12,125

98,552

District Of Columbia

8,551

5,092

15,695

3,804

23,179

56,311

Florida

542,195

633,398

354,391

472,291

305,160

2,307435

Georgia

336,374

45,661

149,752

130,922

122,490

785,199

Hawaii

9,568

50,267

24,014

32,687

35,155

151,691

Idaho

51,970

16,325

19,312

20,754

20,403

128,764

Illinois

473,272

78,277

255,756

345,819

73,188

1,226312

Indiana

266,445

17275

100,831

200,275

45,259

630,085

Iowa

192,531

19,515

57,603

45,076

26,219

340,944

Kansas

131,923

17,830

41,178

33,665

37,242

261,208

Kentucky

202,607

33,115

88,680

128,210

45,629

498,241

Louisiana

136,541

72,416

102,991

93,139

45,897

450,984

Maine

69,020

989

46,648

34,546

22,457

173,660

Maryland

160,383

31,665

59,736

143,259

132,136

527,169

Massachusetts

150,191

144,256

186,204

192,615

56,640

729,906

Michigan

321,205

52,493

197,900

461,821

49,143

1,082562

Minnesota

204,194

120,398

63,849

78,522

36,234

503,197

Mississippi

120,731

7,670

130,597

30,338

45,199

334,535

Missouri

212,359

119,999

147,753

119,995

72,479

672,585

Montana

46,481

53,20

15,663

14,964

15,506

97,934

Nebraska

99,176

13,006

32,448

25,184

21,552

191,366

Nevada

46,111

85,892

18,938

41,759

36,229

228,929

New Hampshire

45,334

1,485

20,167

35,502

18,217

120,705

New Jersey

316,534

70,691

140,124

280,475

65,486

873,310

New Mexico

51,753

48,921

34,692

39,104

36,854

211,324

New York

297,081

440,501

520,461

546,631

100,065

1,904739

North Carolina

331,447

102,755

224,667

220,819

114,646

994,334

North Dakota

48,689

2,027

11,240

5,161

7,605

74,722

Ohio

309,618

234,486

183,706

523,584

88,138

1,339,532

Oklahoma

154,088

44,094

76,780

53,701

70,445

399,108

Oregon

122,969

126,029

37,155

46,920

47,174

380,247

Pennsylvania

296,456

502,108

158,643

313,132

124,021

1,394360

Rhode Island

23,647

53,261

26,678

12,824

13,948

130,358

South Carolina

153,408

26,597

117,432

112,768

79,490

489,695

South Dakota

54,929

1,915

12,577

6,571

12,186

88,178

Tennessee

193,421

99,460

219,192

121,139

74,635

707,847

Texas

652,032

252,790

324,311

436,735

283,273

1,949141

Utah

60,204

21,799

21,624

32,804

37,130

173,561

Vermont

29,451

125

16,388

17,408

6,513

69,885

Virginia

268,277

40,800

110,201

121,326

196,905

737,509

Washington

176,292

81,134

99,951

109,372

107,614

574,363

West Virginia

98,914

12,557

44,884

88,091

21,140

265,586

Wisconsin

151,445

62,456

110,796

143,783

35,874

504,354

Wyoming

25,333

1,152

5,941

8,041

7,614

48,081

Puerto Rico

28,537

237,783

1,625

11,643

12,019

291,607

Virgin Islands

2,857

55

21

3,089

244

6,266

Other^

3,088

2,042

1,031

0

34,121

40,282

Total

8,865,943

5,952,745

5,882,241

6,881,488

3,549,341

31,031,758

*Stand-Alone PDP includes 2.2 million enrollees recieving the limited income susidy.
**Medicare Advantage includes 930,000 enrollees recieving the limited income susidy. About 500,000 of these are Medicare-Medicaid beneficiaries.

^Other includes other territories and beneficiaries whose address information is being updated.

###


Note: All HHS press releases, fact sheets and other press materials are available at http://www.hhs.gov/news.

Last revised: May 10, 2006

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