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MODESTO BEE
ORIGINAL
ARTICLE
By KEN CARLSON
BEE STAFF WRITER
Last Updated: December 23, 2005, 04:22:58 AM PST
Everyone from health advocates to government auditors are predicting
problems when about 1 million Medi-Cal beneficiaries start receiving drug
benefits in January through the Medicare program.
The state's Medi-Cal program wants to give people a safety net —
the option of obtaining 100-day supplies of medicines during the transition.
Medi-Cal will pay for the drugs if beneficiaries get prescriptions from
their doctors and the prescriptions are filled before Jan. 1, officials
said.
Some elderly and disabled people qualify for Medi-Cal and Medicare and
have received medicine through Medi-Cal in the past. But now, the federal
government is assigning them to Medicareapproved private drug plans.
It's feared some people will be lost in computer glitches and others
soon will discover that their private plans do not cover their medications.
Frank Dotson, director of the Health Insurance Advocacy and Counseling
Program in Stanislaus County, said people are allowed to drop their assigned
plan and choose another one.
"If they get a prescription for 100 days, it will give them three
months to make sure they have a plan that works for them," he said.
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