Ohio Senior Health Insurance Information Program (OSHIIP)

OSHIIP volunteers are available at the Council on Aging to help you navigate the Medicare maze.  Whether you are currently receiving Medicare or approaching age 65, we can help you understand your choices and give you the information you need to help you make the right decision.

If you have Medicare questions or problems, call us to set up a one-on-one appointment to meet with an OSHIIP counselor. 

For more information, call Alyea Barajas, Community Services Coordinator, at (440) 205-8111 ext 241 or email her at alyeab@lccoa.org.  

Medicare Q & A

Q: Am I eligible for assistance in paying for my prescription costs?

A: Individuals with limited income and resources may be eligible for assistance with their Medicare Part D prescription drug costs.  Social Security has a program referred to as extra help that subsidizes Part D costs. If you are a single individual and your monthly income is at or below $1361 gross, or $1838 gross for a married couple, there may be help available. 

If you are not eligible for extra help there are also programs available through the manufacturer that may be available.  In addition, Lake County has a Drug Assistance Program that may be able to help provide some relief.  Please contact Alyea Barajas at 440-205-8111 ext 241 for more details on any of these programs.

 

Additional Resources

Medicare

Social Security

Ohio Department of Insurance

Ohio's Best Rx

Pharmaceutical Assistance Programs

Application for Extra Help With Prescription Drug Costs Through Social Security

Lake County Drug Repository Program
(prescription assistance)

 

 

Medicare (Click to go to the Medicare Web site)

What is Medicare?
Federal health insurance program administered by the Centers for Medicare and Medicaid Services (CMS) for those who are:

  • Age 65 and older
  • Any age and Disabled
  • Diagnosed with End Stage Renal Disease

Initial Enrollment Period: Seven month period beginning three months prior to the month you turn 65 to three months after the month you turn age 65.

Original Medicare

Part A
*Inpatient Hospitalization
*Skilled Nursing Facilities
*Home Health Care
*Hospice

Part B
*Doctor Services
*Preventative Benefits
*Durable Medical Equipment

Part C (Medicare Advantage plans)
*Includes Part A, Part B, and usually other coverage including prescription
drugs

Part D
*Helps cover the cost of prescription medication

2011 Costs

Part A:
*Hospital deductible...$1156 per benefit period (days 1-60)
*Hospital daily copayment...$289 (days 61-90)
*Lifetime Reserve copayment...$578 (days 91-150)
*Skilled Nursing daily copayment...$144.50 (days 21-100)

Part B:
*Monthly Premium...$99.90*

Annual Deductible...$140
*Copayment...generally 20% of Medicare approved amounts

Part C:
*Costs vary by plan

Part D:
*Costs vary by plan
* Maximum deductable $320.00

Annual Open Enrollment Period: October 15 - December 7
*
Enroll in, disenroll from or switch Medicare Part D or Medicare Advantage plans
*Change is effective January 1

Medicare Advantage Disenrollment Period: January 1 - February 14
*
Disenroll from a Medicare Advantage plan and return to Original Medicare with or without Part D
*Change effective first day of the following month