Advocacy / AMAC Action On Capitol Hill

Largest Conservative Seniors’ Organization Calls on Congress to Address Challenges Facing Medicare Part D

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WASHINGTON, D.C. – Dan Weber, President of the Association of Mature American Citizens (AMAC), issued the following statement encouraging Congress to address lingering challenges facing the Medicare Part D Program:

“The Association of Mature Americans, and millions of seniors nationwide, welcome the closing of the Medicare Part D ‘donut hole’ in 2019. However, in making structural changes to the ‘donut hole,’ Congress needs to make sure they maintain the competitive incentive structure that has made Part D successful over the last 15 years.

AMAC calls on Congress to fix recent changes made to Medicare Part D in the 2018 Bipartisan Budget Act (BBA).  Congress needs to keep its promise to close the ‘donut hole’ in 2019, while also ensuring the structure of Medicare Part D is not compromised by the recent changes they enacted.

Furthermore, Congress needs to address the drastic increase seniors will see in their out-of-pocket costs in 2020 as the Medicare Part D catastrophic threshold increases. If nothing is done, seniors will pay nearly $1,250 more to reach catastrophic coverage in January 2020 than they currently do.  This is completely unacceptable.

Our membership, and more than 42 million seniors nationwide, rely on Medicare Part D to afford their medications and live full, healthy lives.  Beneficiaries’ interests should be put first, and Congress must work diligently to ensure Medicare Part D remains as effective, efficient, and enduring as possible.”

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3 years ago

Interesting: my Part D insurer has created a new class of drugs other than brand-name, other than generic–and they don’t cover it! There are many things wrong with our health care/prescription medication system. No one solution is going to fix it. It’s like the elephant and the blind men. We all see the problems from our own perspective. Some action that fixes my problem may create a worse problem for you. The whole insurance coverage/non-coverage rule book has become so convoluted and confusing it is nearly impossible to understand it or work out the best plan for one’s situation – and I have a college education and years of employment reading complicated documents! Go, AMAC! But be sure you’re pushing for the right things.

3 years ago

One thing that would be helpful would be tax-free savings accounts for medical/healthcare and the elimination of all tax on healthcare services and goods. There also needs to be a national cap on all taxes paid of 20% with a goal of working it down to 10%. We need more control over our lives and less government control. We should be able to save for healthcare tax-free and not be forced into any government or other program.

3 years ago

Jackpot $70000 here

Bill Watt
3 years ago

Where is the beef with AMAC? All I can see is lots of buzz words, advertising and weak efforts make AMAC appear to join the works being done by others. Why renew my AMAC subscription?

3 years ago
Reply to  Bill Watt

Don’t know about you but I keep renewing because it ISN’T AARP!

Lila Quesenberry
3 years ago

Really sad when we Cannot get the Prescriptions that work for us because our insurance will not cover it ,Also we cannot get the same care because Medicare will not allow it .This is Discriminating against the older Generation .

Bettye .S
3 years ago

Agree with Dan. Drug prices , like college tuition, have SPIRALLED out of control since the Federal Government inserted itself into the act. I have ONE salve that alleviates my problem, but the cost has risen to over $300 per prescription!. My Insurer won’t cover it. Nothing else works!

3 years ago
Reply to  Bettye .S

I agree – my husband has life long psoriasis issues – now that he’s on Medicare, nothing is considered less than a Tier 4 in the RX formularies & costs are super prohibitive. Worse yet, the injectable he has used for years – and worked, mind you – is NOT covered – the cost would bankrupt us. Sad….sad….sad….. work your whole life only to be let down in the end.

Dan W.
3 years ago
Reply to  M.M.

You have identified a huge problem for people joining Medicare for the first time — their drug is no longer covered by any of the Part D plans in their state.

In Illinois, there are 10 insurance companies offering a total of 27 Medicare Part D drug plans for 2019. Since each company sets their own formularies and tiers, it is possible that some company covers a drug in their formulary that no other company covers or has a particular drug in a more favorable tier than the other companies.

Open enrollment for 2019 runs from October 15 thru December 7, 2018. Each year, each insurance company can change both its formulary and its tier structure for each of its plans.

I know it’s a long shot but maybe one of the plans in your state will begin offering your husband’s injectable that has not been covered in the past in 2019 or will begin offering one of your covered drugs in a more favorable tier in 2019. If so, you have until December 7th to switch plans.

Dan W.
3 years ago

Swing and a miss. Drug prices are out of control and Congress still will not allow the CMS (Medicare), the largest purchaser of prescription drugs, to negotiate price with the drug companies. That is the greatest challenge facing Medicare Part D.

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