Medicare drug premiums will not increase in 2012

17 million receive free preventive services; 

900,000 get 50 percent off prescription drugs

Medicare average prescription drug premiums will not increase in 2012. The announcement from the U.S. Department of Health and Human Services (HHS) comes as more people with Medicare are receiving discounts on prescription drug costs and no-cost preventive services. New data indicates that 17 million people with Medicare have received free preventive services this year while 900,000 Medicare beneficiaries who hit the prescription drug donut hole have received a 50 percent discount on their prescription drugs.

“The Affordable Care Act is delivering on its promise of better health care for people with Medicare,” said HHS Secretary Kathleen Sebelius. “People with Medicare who hit the donut hole are paying less for their prescription drugs, 17 million Americans have received free preventive services and prescription drug premiums will remain low. These are important steps that are making a difference in the lives of millions of Americans right now."

Under the Affordable Care Act, people with Original Medicare can receive recommended preventive benefits and a new annual wellness visit without paying an additional penny out of pocket. In addition, the Affordable Care Act is closing the prescription drug donut hole by providing increasing discounts on covered drugs in the donut hole. In 2011, the number of people with Medicare benefiting from these improvements is growing:

From Jan. 1, 2011 to July, 17, 2011 there were 17,336,421 people, or 51.5 percent, with Original Medicare who received one or more free preventive services.

During the same time period, 1,061,780 Americans with Original Medicare have taken advantage of Medicare’s new Annual Wellness Visit, up from 780,000 in mid-June.

Through the end of June, 899,000 Americans with Medicare have benefited from the 50 percent discount on covered brand name drugs in the Medicare Part D donut hole -- an increase of over 420,000 individuals in the month of June alone.

The dollar amount of these out-of-pocket savings on drug costs for Medicare beneficiaries has risen to $461 million saved through June 2011 -- up from $260 million through May 2011, meaning beneficiaries in the donut hole saved over $200 million in the month of June alone.

HHS also announced that the cost of the average Medicare prescription drug plan premium in 2012 will be about $30. The average premium in 2011 is $30.76. The announcement was based on bids submitted by Part D plans for the 2012 plan year.

“The Affordable Care Act continues to improve the value of the drug coverage people with Medicare will receive next year. Out-of- pocket costs will be lower thanks to discounts on brand name prescription drugs and increasing generic coverage for people in the donut hole,” said Donald M. Berwick, M.D., CMS Administrator. “Beneficiaries should still carefully compare their current plan’s coverage and quality with what is being offered in 2012 when that information becomes available in the fall.”