Aside from an article I saw in the Greenwich Time that included an interview with Sam Deibler from Greenwich’s Commission on Aging, there’s been no coverage of the drastic cuts in ConnPACE, Connecticut’s prescription drug program for very-low-income seniors and disabled residents. ConnPACE used to provide coverage for prescription drugs for seniors and disabled residents earning less than $25,000 ($33,000 for couples). This year, they slashed the program, and all those Democrats that favored Sustinet and State-run healthcare, who supposedly care about helping people in need get health care, have been virtually silent.
ConnPACE used to pay for prescription drugs not covered by seniors’ Medicare Part D plan. Also, if a drug cost more than $16.25/month, ConnPACE paid the difference.They also paid for members’ Part D premiums, no matter which plan seniors chose. They did, however, encourage seniors to choose a “benchmark” plan, (one that cost less than $35/month – some cost up to $99/month) because ConnPACE would cover anything the plan didn’t; so why not save the State some money?
Effective next year, ConnPACE will no longer pay for any drug not in members’ benchmark plan’s formulary (the drugs the plan covers, and they vary considerably). Seniors can fight for an exception, but now they have to do it themselves with their doctor – previously, ConnPACE would fight for the exception.
Effective next year, ConnPACE will not premiums for Medicare Part D plans unless they are one of the benchmark plans. This is a particularly cruel change because if a very-low-income senior needs an expensive drug that’s not covered by any of the cheaper plan’s, and they choose a more expensive plan that does, then they have to pay the full premium for that plan. Not the difference between the cost of a benchmark plan and the more expensive plan, the full monthly cost. I can’t imagine why they wouldn’t at least pay what they would have paid had this senior been fortunate enough not to need a more expensive plan.
And with all these coverage cuts, they increased the cost to enroll in ConnPACE 50%.
Where were the Democrats when this program that serves Connecticut’s most needy residents was cut? I know they’re capable of droning on forever about the need for health care coverage for them; I watched the Sustinet debate on CT-N. Not a word about this in the press, they just let it happen. It’s also disappointing that there’s been nearly no coverage of this very important program in the media. Maybe it’s too complicated, I hope this article explains it.
Connecticut already had the worst prescription drug program for seniors and disabled in the country, our co-pay of $16.25 was the highest in the nation (average is around $5). Now it’s even worse. And our General Assembly Democrats want Connecticut to be a leader in State-run health care.
ConnPACE Programa de Medicamentos por Prescripción Reducido- Demócratas de Sustinent se Sientan en Silencio
Aparte de un artículo que vi en el Greenwich Time que incluía una entrevista con Sam Deibler de la Comisión de Greenwich para la Vejez (Greenwich Commision on Aging), no ha habido cobertura en los drásticos cortes en el programa de medicamentos ConnPACE para los envejecientes y minusválidos de bajo ingreso. ConnPACE proveía una cobertura para medicamentos por prescripción para los envejecientes y minusválidos que reciben un ingreso menor a US$25,000 (US$33,000 para parejas). Este año ellos cortaron el programa, y todos aquellos Demócratas que favorecieron el Sustinent y el programa de salud del estado, quienes supuestamente se interesaban por ayudar a las personas en necesidad de ayuda de salud, han permanecido en silencio.
ConnPACE solía pagar por los medicamentos que no cubrían la parte D del plan de Medicare. También, si un medicamento costaba más de US$16.25 mensual, ConnPACE pagaba la diferencia. Ellos también pS$99 mensual) porque ConnPACE cubriría cualquier plan. Así que, ¿por qué no ahorrarle dinero al estado?
Efectivo el próximo año, ConnPACE ya no pagará por los medicamentos de ningunos de los miembros de los planes de la banca (los medicamentos que cubre el plan, y ellos varían considerablemente). Envejecientes pueden luchar por una excepción, pero ahora deben hacerlo ellos mismos con sus médicos- antes, ConnPACE lucharía por su excepción.
Efectivo el año próximo, ConnPACE no pagará por los recargos adicionales de Medicare, planes de la Parte D a menos que ellos no estén en los planes de la banca. Este es un cambio particularmente cruel porque si un envejeciente de escasos recursos necesita un medicamento costoso que no es cubierto por ningún plan barato, y ellos eligen un plan más costoso que sí, entonces ellos tienen que pagar los cargos adicionales de ese plan. No la diferencia entre el plan de la banca y el plan más costoso, el costo de la mensualidad completa. No puedo imaginarme por qué ellos no pudieran por lo menos para lo que hubiesen pagar pagado si este envejeciente hubiese sido lo suficientemente afortunado de no requerir un plan más costoso.
Y con todos estos cortes en la cobertura, ellos incrementaron el costo para inscribirse en ConnPACE un 50%.
¿Dónde estaban los Demócratas cuando este programa que sirve a los residentes más necesitados de Connecticut fue recortado? Sé que ellos son capaces de ser monótonos sobre la necesidad de una cobertura de salud para ellos; yo vi el debate del Sustinent en CT-N. Ni una palabra de esto en la prensa, ellos sólo dejaron que pasara. Es muy decepcionante que no hay ninguna cobertura en este importante programa en los medios. Tal vez sea demasiado complicado. Tengo esperanzas de que este artículo lo explique.
Connecticut ya tenía el peor programa de medicamentos por prescripción para los envejecientes y minusválidos en país, nuestro pago de US$16.25 era el más alto en la nación (el promedio está cerca de US$5.00). Ahora es aún peor. Y nuestros Demócratas de la Asamblea General quieren que Connecticut sea el líder en programas de salud dirigida por el Estado.






I am one of those individuals dependent on ConPace to allow me to afford my drugs during the hole in part D RX insurance. I am totally dependent on Social Security. I meet the criteria by having a income of $15,000 annually. This past month when my son went to pick up a perscription at Walgreens I was charged $85 because Walgreens had changed the supplier and ConnPace did not cover this supplier. I was not notified of this in advance and only because my son picked up my perscription and paid the amount was I able to continue these pills for the month. My perscription will be running out shortly and I cannot not afford the $85.00 when it was my understanding that I would not have to pay more then $16.25 by being enrolled in this program. My son has expenses that are mind boggling with a disabled wife and a daughter in college. In no way will I allow him to have this added expense even if it is for an additional month. This medication I can not do without but will have to. HELP get this heath care system changed so we all can have the same care available.
That is my Xmas wish.
Comment by Name Withheld — December 1st, 2009 @ 11:36 am
Thanks for your comment. You are exactly the person ConnPACE was touted to help and likely to be most hurt by these cuts. It definitely isn’t fair because if wouldn’t cost much to restore this program, which keeps people like yourself living at home and not on Medicaid. I must say that in the case of your particular drug situation, it sounds like a problem that can be solved by asking your doctor to work with the pharmacy and your prescription drug plan to correct the situation. Another good contact is the Greenwich Commission on Aging, located at the Senior Center:
Director: Samuel E. Deibler
Telephone: (203) 862-6710 (office)
Fax: (203) 862-6701
Location: Senior Center, 299 Greenwich Avenue
Office Hours: Monday – Friday, 8:00 a.m. – 4:00 p.m.
Administrative Clerical Assistant: Chicky Krois
Best of luck to you and thanks for your comment.
- John
Comment by John Bowman — December 1st, 2009 @ 2:59 pm
My mother-in-law did not understand what ConnPace sent out in November, and failed to ask for any help too. She has been with a Medicare perscription plan for several years, and everything was going ok with the help of ConnPace. Now we find out in Janauary that her plan is not on the approved list of plans with ConnPace, plus she has received a payment book for $43.00 per month to continue a plan, ConnPace is not coordinating with. I tried making several phone calls yesterday to see what if anything can be done to help her, and all I got was recordings and music in the background, without a clue as to which buttons to press, to ask a human being some basic questions. What is an 88 year old woman suppose to do with this new generation of, press this button, if this, press this button if that, personal assistance has gone by the way side. OH, and you can look that up on the computer. NICE…..I have spent 1/2 a day reading info, legislation and blurps….not knowing if what I am reading has been updated, etc. ConnPace Plus??? did that pass or not. I will try the phones again tomorrow, but it appears her time table has lapsed to change plans, and no one seems to be able to direct us appropriately (or I can’t speak with anyone, unless I stay on hold for an hour or so.)
Comment by Denise — January 12th, 2010 @ 5:36 pm
As I said in my post, that particular new provision, that you have to use one of the really cheap plans or you get NOTHING, is really unfair to the people that need it most. I would suggest you contact the Greenwich Commission on Aging – see the comment above – there are ways to switch plans mid-year. Not always, but it is possible under certain conditions. They should be able to walk you through it.
Comment by John Bowman — January 17th, 2010 @ 2:16 pm