METHOD AND SYSTEM FOR ANALYZING COSTS TO A PLAN MEMBER UNDER MEDICARE

• US 20080319788A1
• Filed: 05/15/2008
• Published: 12/25/2008
• Est. Priority Date: 05/15/2007
• Status: Abandoned Application

• Current Assignee: Edward A. Ross
• Original Assignee: Edward A. Ross
• Inventors: Ross, Edward A.
• Application Number:
  US12/121,737
• Publication Number:
  US 20080319788A1
• Time in Patent Office: Days
• US Class Current: 705/2
• CPC Class Codes: G06Q 10/10 Office automation; Time management
• CPC Class Codes: G06Q 40/08 Insurance
• CPC Class Codes: G16H 20/10 relating to drugs or medications, e.g. for ensuring correct administration to patients

Abstract

A method for facilitating an easy and practical detailed analysis of Medicare Part D plans that saves the user time in calculating what a single plan costs by analyzing and presenting data regarding actual and estimated drug costs under various healthcare plans and features. A list of prescription drugs likely to be used in the coming year is prepared, including dosage and frequency of use on a personalized template. Information is added to the forms generated from the template, including plan name, prices for initial coverage, and yearly fee and deductible, for each plan. The spreadsheets are analyzed to compare plans. The effect on yearly cost of options such as home delivery, non-formulary drug suppliers domestic and foreign, which local drugstores, and other health decisions may be taken into consideration. Experts may then be consulted on ways to save money without losing any health benefits.

Claims

1. A method of analyzing the cost of prescription drugs comprising the steps of:

receiving personal information data from a user;

preparing a template by inputting the personal information data;

obtaining prescription drug formulary information from a plurality of prescription drug plans;

inserting the prescription drug formulary information into the template;

creating a spreadsheet for each healthcare provider containing the personal information data and the prescription drug formulary information; and

analyzing the spreadsheets to compare the prescription drug plans.

2. The method of claim 1 wherein the personal information data from the user is a list of prescription drugs to be taken by the user within a prescribed period of time.

3. The method of claim 2 wherein the list of prescription drugs includes a dosage requirement and a frequency of use.

4. The method of claim 2 wherein the prescribed period of time is a year.

5. The method of claim 1 wherein the prescription drug formulary includes a name of a plan to be evaluated, an initial cost for each prescription drug, a yearly plan fee, and a deductible to be met.

6. The method of claim 1 wherein analyzing the spreadsheets determines if the user has reached an initial coverage limit for the prescription drug plan.

7. The method of claim 1 further comprising the step of calculating an actual out of pocket cost of the prescription drug.

8. The method of claim 7 wherein calculating the actual out of pocket cost of the prescription drug determines if the user may avoid paying for the prescription drug at full cost.

9. The method of claim 7 wherein calculating the actual out of pocket cost of the prescription drug determines if the user may pay a reduced catastrophic coverage cost for the prescription drug.

10. A method of analyzing the cost of prescription drugs comprising the steps of:

receiving personal information data from a user;

preparing a template by inputting the personal information data using a computer system;

obtaining prescription drug formulary information from a plurality of prescription drug plans;

inserting the prescription drug formulary information into the template;

using the computer system to create a spreadsheet for each healthcare provider containing the personal information data and the prescription drug formulary information; and

analyzing the spreadsheets to compare the prescription drug plans.

11. A system for analyzing the cost of prescription drugs comprising:

a means for receiving personal information data from a user;

a means for preparing a template by inputting the personal information data;

a means for obtaining prescription drug formulary information from a plurality of prescription drug plans;

a means for inserting the prescription drug formulary information into the template;

a means for creating a spreadsheet for each healthcare provider containing the personal information data and the prescription drug formulary information; and

a means for analyzing the spreadsheets to compare the prescription drug plans.

12. The system of claim 11 wherein the personal information data from the user is a list of prescription drugs to be taken by the user within a prescribed period of time.

13. The system of claim 12 wherein the list of prescription drugs includes a dosage requirement and a frequency of use.

14. The system of claim 12 wherein the prescribed period of time is a year.

15. The system of claim 11 wherein the prescription drug formulary includes a name of a plan to be evaluated, an initial cost for each prescription drug, a yearly plan fee, and a deductible to be met.

16. The system of claim 11 wherein analyzing the spreadsheets determines if the user has reached an initial coverage limit for the prescription drug plan.

17. The system of claim 11 further comprising a means for calculating an actual out of pocket cost of the prescription drug.

18. The system of claim 17 wherein calculating the actual out of pocket cost of the prescription drug determines if the user may avoid paying for the prescription drug at full cost.

19. The system of claim 17 wherein calculating the actual out of pocket cost of the prescription drug determines if the user may pay a reduced catastrophic coverage cost for the prescription drug.