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This senior would rather stick with what she has

07:02 PM CDT on Monday, May 24, 2004

By MICHAEL PRECKER / The Dallas Morning News

Nita Aymond knows she's fortunate enough to be able to afford her prescriptions, so she doesn't complain about the cost.

"I really never paid much attention," said Ms. Aymond, 76, who lives in a retirement community near downtown. "I've got to have my drugs."

Still, when she heard about the new Medicare discount cards, "I was very interested," she said. "At least I wanted to check it out."

But all the numbers and options looked too complicated. So Ms. Aymond hired Kathryn Gohman, a health-care consultant, to navigate the new system and analyze her options.

Ms. Aymond has private medical insurance through AARP that pays 50 percent of her drug costs for the first $3,000 annually, then a smaller percentage after that.

For the eight prescription drugs she takes regularly, she paid about $2,900 out of pocket in the last year, but Ms. Gohman figures the cost has risen to just over $300 a month.

After about two hours of work on the Medicare Web site and a few phone calls to check on details, this is what Ms. Gohman found:

With the cheapest discount card that covered all of Ms. Aymond's prescriptions, she would have to spend $532 a month. That price would be the same at all the pharmacies near her home. If she used mail-order pharmacies covered by the card, the price would drop to $397 per month.

The conclusion, at least for now, was clear. "I'll stick with what I've got," Ms. Aymond said.

She probably could save some money with her current insurance plan by shopping around for lower prices at discount stores or on the Internet. But that doesn't factor in the hassles of long drives, extra paperwork and constant monitoring of changing prices.

"It's too complicated," Ms. Aymond said. "Now I don't have to go to any trouble. I'm just too old to deal with it."

Hank Gilliam, one of her neighbors, who also concluded he doesn't need the Medicare card, joked that with all the options and complications, "it makes your teeth hurt."

"If they were real, they'd hurt," she agreed.

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