Benefits Checkup

A Service of the National Council on Aging

Helping people with limited means to remain
healthy and improve the quality of their lives...
Couple Smiling

"Trusted staff and personalized enrollment assistance are key to ‘closing the deal.’"

-- Community Solutions, NCOA Report

Promising Practices Clearinghouse

The National Center for Benefits Outreach and Enrollment is compiling a database of promising practices related to benefits outreach and enrollment. We invite you to review these promising practices and cost-effective strategies that can strengthen your local or state efforts to increase access to benefits for seniors and younger adults with disabilities.




AREA OF FOCUS: OUTREACH AND CONNECTION, IDENTIFICATION OF ELIGIBLE POPULATIONS

Importance of Targeting in Direct Mail Campaigns

This following is excerpted from a larger case study of Connecticut's (CT) efforts to improve the enrollment of Medicare beneficiaries in Medicare Savings Programs (MSPs). Their efforts highlight the importance of targeting in direct mail campaigns. An outreach mailing to enrollees in CT's pharmacy assistance program (ConnPACE) proved far more effective in generating applications (and presumably enrollments) than a more general prior mailing undertaken by AARP for a similar purpose.

Who was the target audience?
Medicare beneficiaries potentially eligible for an MSP.

What did they do?
Connecticut’s Department of Social Services chose to conduct targeted mailings, in partnership with AARP and local SHIP programs, to enrollees in the ConnPACE program (the Connecticut pharmacy assistance program). Pharmacy assistance beneficiaries were chosen as a target audience because the eligibility criterion for the pharmacy program was similar to that of Connecticut's Medicare Savings Programs. Based on Connecticut's expanded income limit for the Medicare Savings Programs, a person eligible for the pharmacy benefit would also be eligible for the Medicare Savings Programs, as long as the asset guidelines were met. State officials began the mailings after the Department of Social Services approved the removal of the asset test for the Qualifying Individual (QI) program (one of the MSPs).

The mailing packets included:

  • a one-page, bilingual letter from AARP. The letter included the SHIP toll-free number for applicants to call for more information about the programs.

  • a Medicare Savings Programs brochure that reflected the elimination of the QI asset test

  • a coded short form application

  • a postage-paid envelope addressed to the Medicaid Agency

What was the result?
The mailing packet was sent to 30,000 ConnPACE recipients, with 4,800 MSP applications received -- a 16% response rate. The mailing to the state pharmacy assistance recipients was significantly more successful than previous mailings that were addressed to the general population -- generating nearly 15 times more applications.

Department of Social Services officials concluded that the pharmacy program recipients are a very receptive target population for Medicare Savings Programs outreach; they are, according to officials in the state, “very much on the cusp financially, have some familiarity with benefit programs, and are seeking ways to help their meet their medical costs.” The agency indicated that there was a large enrollment increase after the mailings indicating that many persons who applied were approved for benefits. Officials believed that the removal of the QI-1 asset test enabled many persons to qualify; if applicants had excess resources for the QMB or SLMB program, they could still qualify for the QI benefits.

For more information:
K. Glaun, “Medicaid Programs To Assist Low Income Medicare Beneficiaries: Working Paper on Medicare Savings Programs in Connecticut.” Kaiser Commission on Medicaid and the Uninsured (2002). To view the full report, click here.