Alternate PCP Plans
I just spoke with PCP. The Gold option is being eliminated but they have two other options for us. They said that the letter was mailed by Medicare under the PCP name because the specific plan isn't being offered and Medicare insisted on telling those affected (sounds weird but who cares really). The following is MY UNDERSTANDING ONLY (this is my disclaimer):
One plan is for those with renal failure or diabetes and another for those who don't have those conditions. The plan for those who don't have those conditions is called the Secure Plan. This plan has some increased copays for Tiers 2 & 3 drugs (Tier 2 from $15 to $40 and Tier 3 from $55 to $95, hospitalization for days 1-7 from $50 to $225/day then zero/day, specialists from $10 to $40, primary physician stays at zero copay, emergency room from $50 to $65, Urgent care from zero to $40. That's a quick summary the customer service rep gave me over the phone. The premium return goes from $75/mo to $99.90/month.
Sure beats having zero options! Hope this calms some fears.
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