By Ceci Connolly
Washington Post Staff Writer
Friday,
September 3, 2004; 6:51 PM
Health insurance premiums for senior citizens enrolled in Medicare will rise
17.5 percent in 2005, bringing the total monthly payment to $78.20, Bush
administration officials said today. As most Americans began the Labor Day holiday weekend, federal health
officials held a late-afternoon briefing to announce that the 42 million
disabled and elderly Medicare beneficiaries will be hit with the largest premium
increase in 14 years. Nationwide, health care costs have been on a steady rise for several years,
although the Medicare increase exceeded recent premium hikes for private health
insurance. Mark McClellan, director of the Centers for Medicaid and Medicare
Services, blamed the sharp jump on overall rising medical costs, the need to
build up reserves in the Medicare Trust Fund and expanded benefits such as
physicals and diabetes screening. "The big component is Medicare is increasing payments for physicians, rather
than reducing them," he said, noting that Congress last year cancelled a 4.5
percent cut in physician rates and replaced it with a 1.5 percent raise. Retirees who choose a managed care plan, dubbed "Medicare Advantage," should
see lower co-payments and more preventive services such as dental and vision
care, McClellan said. Some of those plans also provide limited prescription drug
benefits. In dollars, the premium increase, up from $66 this year, is the largest ever.
In 1989, premiums climbed 28 percent, according to CMS. Robert M. Hayes, president of the Medicare Rights Center, said the increase
will be especially painful because Social Security payments are expected to rise
less than 3 percent. "Older Americans already are staggering under the
relentless increases in the cost of prescription drugs," he said. "More older
Americans will face harsh choices in meeting basic human needs -- health, food
and housing." Phil Singer, a spokesman for the Kerry-Edwards campaign, said, "After doing
nothing about the record increases in the cost of health care over the last four
years, George Bush is presiding over a Medicare system that is socking seniors
with the largest premium hike in the program's 40-year history." Last year, President Bush signed legislation that will offer drug coverage to
all senior citizens. When it is implemented in 2006, Medicare recipients will
have the option of paying about $35 a month extra for prescription coverage. The typical retiree who purchases traditional Medicare coverage and the drug
benefit will pay in excess of $115 in monthly premiums, a $110 annual deductible
for outpatient care and co-payments for physician visits and medications. "While Medicare patients will receive little or no benefit in return for the
increase in premium payments next year, the prescription drug bill provided an
immediate and dramatic increase in payments to HMOs -- that just doesn't make
sense," said Sen. Jeff Bingaman (D-N.M.) Since it was created in 1965, Medicare
has been divided into two parts: a hospital program, called Part A, and
outpatient care coverage, or Part B. The increases announced today pertain to
Part B services such as doctor visits, lab work and some medical equipment.
There are no premiums for hospital care, although patients will have to pay an
annual deductible of $912, up from $876 this year. Because the government pays 75 percent of Medicare costs, taxpayers will also
pay much more to care for the aging U.S. population. President Bush has budgeted
$339 billion for Medicare next year, and the drug package is estimated to cost
$564 billion over 10 years. McClellan touted several program changes included in the Medicare drug
legislation. As people reach age 65 and become eligible for the federal health
plan, they will receive a comprehensive, complimentary "welcome to Medicare"
physical, he noted. For the first time, however, the law requires wealthier patients to pay more
for their health care. The so-called means test will result in higher premiums
for seniors with incomes above $80,000. By law, McClellan's agency is required to keep adequate reserves in the
Medicare account. He attributed about a quarter of the increase to maintaining
the trust fund.