The Centers for Medicare and Medicaid Services (CMS) have approved Colorado Access Advantage as a Medicare Advantage Part D Special Needs Plan for dual eligibles in the Denver metro area and El Paso County effective January 2006.
Also know as Medicare prescription drug coverage, Part D requires Access Advantage to charge members co-pays for prescription medications. The good news for members is that Access Advantage has been able to keep co-pays down to either $1 or $3 per prescription. The $1 and $3 co-pays include all approved maintenance drugs like insulin. For example, the cost for a three month supply of insulin is only $3 for brand name and $1 for generic.
In addition, Access Advantage still offers the same benefits including up to $500 per year for dental care from Delta Dental of Colorado, up to $400 every three years for a hearing aid, and up to $200 every two years for vision care.
Effective January 2006, Access Advantage will add the following benefits including a new transportation benefit that will provide 48 one-way, non-emergency trips to plan-approved locations per year and up to four exams per year for routine podiatry care.
"Our members identified transportation and podiatry as two of the benefits they would like to have added. We are very excited that we are able to include these benefits to our plan," said John Warren, executive director of Access Advantage. "In addition, we are happy that we are able to keep prescription co-pays down to nominal $1 and $3 amounts. Aside from the new prescription drug co-pays, there should be no other costs for our members. That includes plan premiums and doctor office visits."
Colorado Access is a private, non-profit health plan that has served the medical and behavioral health needs of the medically underserved for more than a decade. Colorado Access serves 147,000 members and operates five lines of business that includes Access Advantage, Access Health Plan, Child Health Plan Plus, Access Behavioral Care and Access Correctional Care. The company is sponsored by Children’s Hospital, Colorado Community Managed Care Network and University of Colorado Hospital/University Physicians, Inc.
The Denver metro area encompasses Adams, Arapahoe, Boulder, Broomfield, Denver, Douglas and Jefferson Counties. In 2006, Access Advantage will expand to cover El Paso County.