Outreach Survey

NYS Coalition for the Aging, Inc.
Medicare Part D & EPIC
Provider Survey

NYS Coalition for the Aging (NYSCA) needs your help to improve the new Medicare Drug benefit!

NYSCA has received a subcontract from the NY Statewide Senior Action Council to development outreach and education efforts within the greater Buffalo Area and on Long Island regarding Medicare Part D & EPIC. We will be hosting outreach events in these areas during November & December 2007 as well as surveying providers on their experience in assisting seniors to enroll in Medicare Part D & EPIC.

If you provide seniors with assistance in signing up for Medicare Drug coverage and EPIC drug coverage, we would like to hear your experiences with this process. Are the drugs being covered? Have you run into trouble?

Your feedback will assist us in shaping our advocacy efforts. All submissions will be kept anonymous unless NYSCA obtains specific permission from you. Thank you for contributing to this monitoring project.

County(s) in which you provide services:
Number of seniors served in 2006:
Number of low income seniors served in 2006:
Problems you are experiencing: Inconsistent/lag in updating of enrollment information by CMS Inconsistent/lag in updating of enrollment information by EPIC Medicines not covered or restricted by Part D plan Not made aware of change in Part D plan’s coverage Difficulty switching Part D plans Unknowingly signed up for a Medicare Advantage (e.g. HMO, PPO) plan Unknowingly dis-enrolled myself from my Medicare Advantage plan Paying more for medicines Reached the coverage gap for plan where senior has to pay 100% of the cost of the drugs (hit the doughnut hole) Losing retiree coverage Losing Patient Assistance Program coverage Denied or still waiting to hear on application for extra help paying for Part D Confusion and chaos at the pharmacy Other: Please describe
What steps have you taken to address these problems?
What happened? What results did you get?
Can you please describe yourself? Government official Social worker/case manager Nonprofit organization Advocate Other: please describe
Can we follow up with you? If so, please complete the information below:
First Name
Last Name
Phone
Organization
Address
City
State
Zip
E-mail
Fax