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The Honolulu Advertiser
Posted on: Thursday, December 8, 2005

Drug subsidy a hit, so far, for retirees

By KEVIN FREKING
Associated Press

WASHINGTON — Four in five businesses that provide prescription drug coverage for their retirees will accept a government subsidy next year and continue providing that benefit, according to a survey of 300 large companies.

With the start of a new drug benefit under Medicare, some feared that businesses would drop coverage for retirees.

Retirees generally would lose under such a scenario because the Medicare benefit is usually not as generous as that provided by private employers. The subsidy provided to businesses amounts to 28 percent of a retiree's drug expenses, versus about 75 percent under the new Medicare benefit.

Among the companies not accepting the subsidy, about 10 percent said they would provide supplemental coverage to what is offered through Medicare. Nine percent were dropping coverage altogether.

It's possible that some of the companies dropping coverage would have done so even if Congress had not approved a new benefit under Medicare. The number of large companies offering retiree health benefits has steadily declined over the years — from about 66 percent in 1988 to about 33 percent this year.

Officials at the Kaiser Family Foundation, which conducted the survey along with consulting company Hewitt Associates, said the 9 percent of companies dropping coverage were primarily smaller firms, which means only about 2 percent of the retirees identified through the survey would have to move to a private drug plan offered through Medicare.

"That's a smaller share than many had feared," said Tricia Neuman, a vice president with the Kaiser Family Foundation, a nonpartisan research group.

Under the Medicare law, government provides businesses with a financial incentive to continue providing retirees with prescription drug coverage. For the typical company, that translates to a savings of about $626 per retiree next year, the survey showed.

Companies that provide the supplemental coverage will save even more, about $826 per retiree.

Gary Karr, a spokesman for the Centers for Medicare and Medicaid Services, said the subsidy helps taxpayers because they pay less when a retiree stays in employer-sponsored coverage rather than government-sponsored coverage.

"Health insurance and drug coverage has generally been declining the last 10 years. The drug subsidy was passed in part to stem the tide," Karr said. "It seems ... to be working."

The survey indicates the long-term future is less certain for employer coverage of prescription drugs. Looking ahead to 2010, only 50 percent of firms said they are likely to continue retiree drug coverage, while 22 percent said they likely won't, and 28 percent said they don't know.