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Retirees fear drug coverage will suffer

Susan Jaffe, Cleveland.com

December 27, 2003



The new Medicare drug plan could lead to leaner benefits for some of the 13 million retired Americans who have employer-sponsored drug coverage - even after the federal government pays employers billions of dollars to keep the policies.

In the month since Congress agreed to add drug coverage to Medicare beginning in 2006, supporters of the measure have tried to reassure retirees over 65 that their employer-sponsored prescription plans won't be replaced by less-generous Medicare coverage.

Private and public employers can get an incentive - about $87 billion - to maintain coverage for their retired workers, Sen. George Voinovich told representatives from seniors organizations in Cleveland last week.

“Some people say, 'I'm worried about this. I'm only paying $12 for a generic and $18 for a name-brand drug - what's going to happen to me?” he said after the meeting.

Voinovich, who voted for the bill, added that he hopes a “generous subsidy” will persuade employers to continue their retiree coverage.

Employers across Ohio and the country are now scrutinizing the fine print of the offer.

The federal government would pay the employers 28 percent of the drug costs for a retiree in an employer-sponsored plan, up to $1,330 per retiree in 2006, said Peter Ashkenaz, a Medicare spokesman in Washington .

But there's a catch: While the employer must offer drug coverage that is equal to or better than Medicare's, it could still accept the money and then cut benefits to match what Medicare offers.

AARP, the nation's largest seniors group, bought full-page newspaper ads at the beginning of December to explain its controversial support of the bill. The ads promised that “the legislation provides incentives [both public and private] so that people who already have good private coverage won't lose it.” Similar assurances appear on the AARP Web site.

However, AARP policy director John Rother said the group never intended to tell seniors that the subsidy would keep their employer-sponsored drug coverage intact.

“There's no way to freeze current benefits,” he said.

The Congressional Budget Office has estimated that 2.7 million retirees could lose their employer-sponsored drug benefits when the new Medicare benefit kicks in.

Unless retirees' drug coverage is part of a union contract, it is a voluntary benefit that companies can cancel entirely any time, said Gerry Smolka, a researcher in AARP's Public Policy Institute. In the past decade, employer-sponsored health coverage for retirees has declined dramatically.

"We did our best to get incentives to keep them volunteering," she said.

But State Sen. Eric Fingerhut, a Cleveland Democrat who is challenging Voinovich for the U.S. Senate, said the incentive could backfire and instead encourage employers to reduce their coverage to the Medicare level.

Many local employers who still offer their retirees drug coverage are now reviewing the Medicare offer, including the Cleveland Clinic Health System, which has 2,066 retired employees.

Michael Domanick, in the Cleveland office of Mercer Human Resource Consulting, helps design health plans for more than 100 businesses in Northeast Ohio . "They're weighing whether it is worth taking the subsidy versus eliminating the program," he said.

However, thousands of Ford Motor Co. retirees will not see any changes in drug coverage that was negotiated with the United Auto Workers, said Anne Marie Gattari, a Ford spokeswoman.

The 160,000 retirees and dependents covered by the Ohio Public Employees Retirement System also need not worry.

“We don't have any intention of changing or eliminating the drug coverage because of the Medicare prescription drug benefit,” said Dan Drake, PERS benefits director.

In one alternative under consideration, retirees would be transferred into the Medicare drug plan and PERS would pay the drug costs not covered by Medicare. In that case, PERS would not be eligible for the federal subsidy.

Drake said if PERS chooses this option and pays the costs Medicare doesn't, the system could save as much as $50 million a year.

PERS beneficiaries like Jack Climaco, 70, would not notice a change. His wife, a breast-cancer survivor, takes five prescription drugs.

“We only pay $10 for a three-month prescription, no matter what,” said Climaco, who lives in Brooklyn and used to work for Cuyahoga County . “If I didn't have that, I'd be back at work.”

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