You may or may not be interested, but this is for low income folks (250% of poverty guidelines income levels), who either have no Rx coverage or have maxed out on their coverage for the year.
The benefits are as follows: Anybody meeting the income levels below per (2009 Poverty Guidelines), and no Rx coverage in their major med policy, or those that hit their annual max coverage can also get Rx relief as follows:
The "client" will pay $20/medication/month regardless of the cost of the drug. Not all drugs are on the list, but there are around 4200 drugs or more on it, including diabetic supplies, needles, test strips, insulin. So for instance, someone who is a diabetic can get their needed insulin for $20/mos, and their syringes/test strips for another $20...I think they might gift the meters out. Not sure on that detail. Just as important, there are very expensive biologicals, i.e. (Remicade injectable that can cost $7K/5-6 weeks, also covered...at $20/mos, for instance)
I've posted my personalized website below if someone is interested in sending someone to it. You can also sign up at the website to be an agent, and get a small commission. My commission is $2/drug/month per sign up. Any agent interested in signing up (can do it right online, no paperwork) will get half of that, and can climb higher based on production.
My intentions are to help people that direly need this help. And yes, to get a small commission override. Considering the greater good brought to someone, the commission pales in comparison, and is not the overriding reason for posting. Those with a high degree of skepticism or cynicism might think it's all about the commission. Here is what I would say to you..you are welcome to devoting your full time and effort to philanthropic causes. You might consider giving up your commissions on your life or health insurance sales while you're at it. I see it as a great opportunity to bring a huge benefit to those in need, but it's an individual decision you have to make. Again, these 2 conditions must both be met in order to qualify:
1. income level within the 250% of poverty income levels below (might change in 2010)
2. Either no current Rx coverage, or after max-out on their annual coverage at which time they can participate and benefit.
Validation or proof of income is required from W-2's, etc. If someone is borderline there might be a way to analyze their income average over the last few years. Could be many who have gone up and down due to this punk economy. Not sure of the exact methodology, but if there is a potential for someone to get in the program they will try to do it.
Poverty income guidelines for 2009 are listed below starting with individual, couple, family size, etc.
1 $10,830
2. $14,570
3. $18,310
4. $22,050 (add $3740 per each additional)
Multiply each by 2.5 to get the income threshold. For an individual for instance, it would be $27,075, and so on.
Alfredo MEDPro - Prescriptions
That sounds like a very good program. Fotunately, in Pennsylvania there is a state operated low-income prescription program for seniors 65 or older that has been around for several years. It is two-tier program, PACE and PACENet depending on the income level (PACE=up to $14,500 for single and $17,700 for married couple; PACENet=between $14,500 to $23,500 for single and between $17,700 and $31,500 for married couples). In PACE there is zero premium and generics are $6, brand $9. In PACENet there is a $32.09 premium and generics are $8, brand $15. The PACE program has certain Part D partners that will pay the PACENet premium if the senior has both Part A and Part B Medicare. The details are a bit complex, but the program is great for seniors and, also, they do not need to have a Part D plan.
That sounds like a very good program. Fotunately, in Pennsylvania there is a state operated low-income prescription program for seniors 65 or older that has been around for several years. It is two-tier program, PACE and PACENet depending on the income level (PACE=up to $14,500 for single and $17,700 for married couple; PACENet=between $14,500 to $23,500 for single and between $17,700 and $31,500 for married couples). In PACE there is zero premium and generics are $6, brand $9. In PACENet there is a $32.09 premium and generics are $8, brand $15. The PACE program has certain Part D partners that will pay the PACENet premium if the senior has both Part A and Part B Medicare. The details are a bit complex, but the program is great for seniors and, also, they do not need to have a Part D plan.
Arn,
I am not sure that this can help seniors. I am actually exploring that option. But if they already have a drug plan PDP plans, or SNP's for dual-eligibles...it would all depend on what their PDP's or SNP's will cover, and if they max out. Since each plan is different, and I honestly don't know enough about any one of them to say, this program may or may not benefit seniors.
Outside of that population segment, it may help just plain old families struggling to get buy if they happen to have high Rx expenses. It's not uncommon to find a family of 4 with total household income under $55K these days (threshold income level to qualify). Obviously, this is a case by case analysis, and what MedPro will do is determine if there is a benefit to be had. There is no fee to sign up and have them analyze that individual or family's situation. They report back if they qualify, and be set up in the system to reap the benefits. Obviously, it wouldn't make sense to include a generic that can be purchased for less than that amount, but as you said, there are multi-level tier generic pricing whose pricing is higher even with Rx coverage.
Last edited by alphawave2k : 11-22-2009 at 05:05 PM.
Reason: Grammar
Arn,
I am not sure that this can help seniors. I am actually exploring that option. But if they already have a drug plan PDP plans, or SNP's for dual-eligibles...it would all depend on what their PDP's or SNP's will cover, and if they max out. Since each plan is different, and I honestly don't know enough about any one of them to say, this program may or may not benefit seniors.
Outside of that population segment, it may help just plain old families struggling to get buy if they happen to have high Rx expenses. It's not uncommon to find a family of 4 with total household income under $55K these days (threshold income level to qualify). Obviously, this is a case by case analysis, and what MedPro will do is determine if there is a benefit to be had. There is no fee to sign up and have them analyze that individual or family's situation. They report back if they qualify, and be set up in the system to reap the benefits. Obviously, it wouldn't make sense to include a generic that can be purchased for less than that amount, but as you said, there are multi-level tier generic pricing whose pricing is higher even with Rx coverage.
Is that nationwide? I know that Arkansas has a group health policy for those that meet the same criteria for $25.00 per month. I've sold it to some resturants, small retail stores, etc. Pretty good coverage such as 6 doctor visits, 2 prescriptions per month, no pre-existing conditions exclusions, and spouse can be added for another $25 per month. My comm is only $4.00 per person, but it was great to find some coverage for those that can't afford other coverage.
Is that nationwide? I know that Arkansas has a group health policy for those that meet the same criteria for $25.00 per month. I've sold it to some resturants, small retail stores, etc. Pretty good coverage such as 6 doctor visits, 2 prescriptions per month, no pre-existing conditions exclusions, and spouse can be added for another $25 per month. My comm is only $4.00 per person, but it was great to find some coverage for those that can't afford other coverage.
Lyn,
This is strictly an Rx program, which the client pays "no premium for", other than the $20 per med/mos on their drugs if they can qualify. It is meant to help those who either have major med w/o Rx (not advisable) but sometimes people get themselves in that bind when they insist on that type plan prior to getting really sick.
If you review my original post, you'll see that the plan is to help those who have very low income and can't afford the meds they have to take.
There has got to be a wide swath of folks out there that can benefit from this, but how to reach them is the key.
Good information. We have been using a similar service and it workd very well. Here is what we have found out:
This is a great service that just makes you feel good.
This is great for existing clients and generates a lot of referral business for us.
It does provide a little lunch money. No big deal though.
Frees up dollars in the family and they can use that to buy insurance that they need but just couldnt afford because so much money was being spent on prescriptions.
The company we use is Rx Help. They can be reached at 866-960-9497 or just Google them. We like using them because they just charge a flat fee per month ($55.00) regardless of the number of drugs they help them with. All we do is refer people to them with a name and phone number and they handle it all and if they are successful we get a $20.00 finders fee. Pretty cool.
Rx Help for Low Income
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