Behavioral Health Connection Resources
Are you underinsured or have no insurance? Do you need to see a doctor? FQHCs (Federally Qualified Health Centers)are health centers which provide health care even if you have no health insurance. You pay what you can afford, based on your income.
Health centers provide:
- checkups when you're well
- treatment when you're sick
- complete care when you're pregnant
- immunizations and checkups for your children
- dental care and prescription drugs for your family
- mental health and substance abuse care if you need it
Health centers are in most cities and many rural areas. Click here to find a FQHC nearest you.
Medicare UpdatesHealth Care Reform
Eventual Elimination of the Donut Hole
One of the most immediate changes relates to assistance for consumers struggling with the cost of their medications when they are in their Medicare Part D "donut hole" or coverage gap.
- In 2010, any beneficiary that goes into the "donut hole" will receive a one-time rebate/payment of $250. This payment will only be available to beneficiaries who actually go into the "donut hole."
- Beginning in 2011, beneficiaries who reach the donut hole will receive a 50% discount on the cost of their brand name prescriptions while they are in the coverage gap.
- Beginning in 2013, the amount these beneficiaries will pay for their drugs while they are in the donut hole will gradually decline so that by 2020 the donut hole will be eliminated. At that point, once a beneficiary pays their Part D deductible they will pay an average of 25% co-pay for their medications until they reach the catastrophic coverage period where they will have 5% co-pays.
Coordinating the Open Enrollment Period for Medicare Part D and for Medicare Advantage Plans
Beginning in the Fall of 2011, the Medicare Annual Open Enrollment Period will begin on October 15th and end on December 7th.
There will no longer be a separate Medicare Advantage Open Enrollment Period from January through March. Rather, starting in January, 2011 there will be a 45 day disenrollment period at the start of each year where beneficiaries can disenroll from a Medicare Advantage Plan and return to Original Medicare.
Starting January 1, 2011, Medicare beneficiaries will have access to certain preventive services such as an annual wellness visit without a co-payment. Medicare will pay 100% for these services. Beneficiaries will also be entitled to comprehensive health risk assessments and personalized prevention plans, and the deductible associated with colorectal cancer screening has been waived.