Office of the Governor Scott Walker
Office of the Governor, Scott Walker - Press Release

Governor Walker Submits Formal Renewal Request for SeniorCare Through 2015

Friday, August 31, 2012 - Press Release

Madison — Governor Walker has submitted the formal request to the U.S. Department of Health and Human Services to renew the state’s successful prescription drug program, SeniorCare, through 2015. SeniorCare has provided affordable, comprehensive prescription drug coverage to thousands of Wisconsin seniors since 2002.

“I am committed to making sure SeniorCare remains available to those who need it,” said Governor Walker.  “Today, the Department of Health Services, with my full support, submitted a renewal request to keep SeniorCare intact through 2015.”

Facts about Senior Care

SeniorCare continues to be a popular and successful program.  SeniorCare has a simple enrollment process, a $30 annual enrollment fee, an income-based deductible and copayments of $5 for generic drugs or $15 for brand drugs.  The program provides exceptional value to its members. In fiscal year 2011, SeniorCare reduced drug costs for Wisconsin seniors by approximately $114 million.

  • SeniorCare is a prescription drug program for seniors 65 years of age or older with an income at or below $22,340 per year for an individual and $30,260 for a two person family.  
  • About 75 percent of those enrolled in SeniorCare are women.
  • Although the majority of members have been enrolled for 2 years or less, 11 percent are charter members and have been enrolled since the inception of the program, 9 years ago.
  • The per member spending has decreased due to a combination of factors including increased use of generic drugs, increased rebates from drug companies, and changes in reimbursement to pharmacists.
  • Many seniors are enrolled in both SeniorCare and a Medicare Part D drug plan or private insurance.  Almost 40 percent of those enrolled in SeniorCare have some other type of prescription drug coverage as well. 
  • For most seniors, SeniorCare provides a better value than Medicare Part D.  However, Part D is better for the lowest income members who qualify for federal subsidies and for members with high drug costs.
  • In state Fiscal Year 2011, the total cost of SeniorCare was $108.9 million.  This cost was divided among rebates from drug manufacturers (40%), the federal government (21%), members (19%), state funds (13.6%) and other insurance (6.7%).
  • The Senior Care waiver is estimated to lower total net Medicaid spending by $146 million in 2011, of which $53 million will be state savings.

For information about SeniorCare, call the SeniorCare hotline at (800) 657-2038 or visit: http://dhs.wisconsin.gov/seniorcare/

 

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