FROM CMS PRESS RELEASE April 2, DESCRIPTIONS OF MSAs INCLUDED IN EACH OF THE INITIAL 10 SITES CHARLOTTE-GASTONIA-CONCORD, NC-SC

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1 FROM CMS PRESS RELEASE April 2, DESCRIPTIONS OF MSAs INCLUDED IN EACH OF THE INITIAL 10 SITES CHARLOTTE-GASTONIA-CONCORD, NC-SC The counties to be covered in the Charlotte-Gastonia-Concord, NC-SC metropolitan area for non-mail-order products are Anson, Cabarrus, Gaston, Mecklenburg, and Union Counties in North Carolina and York County in South Carolina. Zip codes that have at least 50 percent of their area in these counties will be covered. The coverage area for mail-order products is slightly larger because all zip codes with any area in these counties will be included. he full list of zip codes that will benefit from the program can be found on the CMS website at The 174,319 eligible beneficiaries residing in the area were served by 279 suppliers in 2005 Total Medicare spending for medical equipment and supplies in the Charlotte-Gastonia-Concord, NC-SC metropolitan area was $38 million in Anticipated savings for taxpayers in the Charlotte-Gastonia-Concord, NC-SC metropolitan area during the first full year of the program are about $6.2 million, and beneficiary out-of-pocket costs in the area are projected to decrease by an estimated $1.5 million.

2 Charlotte-Gastonia-Concord, NC-SC Zip Codes

3 CINCINNATI-MIDDLETOWN, OH-KY-IN The counties to be covered in the Cincinnati-Middletown, OH-KY-IN metropolitan area for non-mail-order products are Brown, Butler, Clermont, Hamilton, and Warren Counties in Ohio; Boone, Campbell, and Kenton Counties in Kentucky; and Dearborn County in Indiana. Zip codes that have at least 50 percent of their area in these counties will be covered. The coverage area for mail-order products is slightly larger and also includes Bracken, Gallatin, Grant, and Pendleton Counties in Kentucky and Franklin and Ohio Counties in Indiana. All zip codes with any area in these counties will be covered. The full list of zip codes that will benefit from the program can be found on the CMS website at The 251,390 eligible beneficiaries residing in the area were served by 305 suppliers in Total Medicare spending for medical equipment and supplies in the Cincinnati-Middletown, OH-KY-IN metropolitan area was $38 million in Anticipated savings for taxpayers in the Cincinnati-Middletown, OH-KY-IN metropolitan area during the first full year of the program are about $6.1 million, and beneficiary out-of-pocket costs in the area are projected to decrease by an estimated $1.5 million.

4 Cincinnati-Middletown, OH-KY-IN Zip Codes

5 CLEVELAND-ELYRIA-MENTOR, OH The counties to be covered in the Cleveland-Elyria-Mentor, OH metropolitan area for non-mail-order products are Cuyahoga, Geauga, Lake, Lorain, and Medina. Zip codes that have at least 50 percent of their area in these counties will be covered. The coverage area for mail-order products is slightly larger because all zip codes with any area in these counties will be included. The full list of zip codes that will benefit from the program can be found on the CMS website at The 287,511 eligible beneficiaries residing in the area were served by 325 suppliers in Total Medicare spending for medical equipment and supplies in the Cleveland-Elyria-Mentor, OH metropolitan area was $47 million in Anticipated savings for taxpayers in the Cleveland-Elyria-Mentor, OH metropolitan area during the first full year of the program are about $7.6 million, and beneficiary out-of-pocket costs in the area are projected to decrease by an estimated $1.9 million.

6 Cleveland-Elyria-Mentor, OH Zip Codes

7 DALLAS-FORT WORTH-ARLINGTON, TX The counties to be covered in the Dallas-Fort Worth-Arlington, TX metropolitan area for non-mail-order products are Collin, Dallas, Denton, Ellis, Hunt, Johnson, Kaufman, Parker, Rockwall, Tarrant, and Wise. Zip codes that have at least 50 percent of their area in these counties will be covered. The coverage area for mail-order products is slightly larger because all zip codes with any area in these counties will be included; Delta County is also included. The full list of zip codes that will benefit from the program can be found on the CMS website at The 481,835 eligible beneficiaries residing in the area were served by 580 suppliers in Total Medicare spending for medical equipment and supplies in the Dallas-Fort Worth-Arlington, TX metropolitan area was $101 million in Anticipated savings for taxpayers in the Dallas-Fort Worth-Arlington, TX metropolitan area during the first full year of the program are about $16.2 million, and beneficiary out-of-pocket costs in the area are projected to decrease by an estimated $4.1 million.

8 Dallas-Fort Worth-Arlington, TX Zip Codes

9 KANSAS CITY, MO-KS The counties to be covered in the Kansas City, MO-KS metropolitan area for non-mail-order products are Cass, Clay, Jackson, Lafayette, Platte, and Ray Counties in Missouri and Franklin, Johnson, Leavenworth, Miami, and Wyandotte Counties in Kansas. Zip codes that have at least 50 percent of their area in these counties will be covered. The coverage area for mail-order products is slightly larger, and also includes Bates, Caldwell, and Clinton Counties in Missouri and Linn County in Kansas. All zip codes in these counties will be covered. The full list of zip codes that will benefit from the program can be found on the CMS website at The 225,481 eligible beneficiaries residing in the area were served by 248 suppliers in Total Medicare spending for medical equipment and supplies in the Kansas City, MO-KS metropolitan area was $40 million in Anticipated savings for taxpayers in the Kansas City, MO-KS metropolitan area during the first full year of the program are about $6.4 million, and beneficiary out-of-pocket costs in the area are projected to decrease by an estimated $1.6 million.

10 Kansas City, MO-KS Zip Codes

11 MIAMI-FORT LAUDERDALE-MIAMI BEACH, FL The counties to be covered in the Miami-Fort Lauderdale-Miami Beach, FL metropolitan area for non-mailorder products are Broward, Miami-Dade, and Palm Beach. Zip codes that have at least 50 percent of their area in these counties will be covered. The coverage area for mail-order products is slightly larger because all zip codes with any area in these counties will be included. The full list of zip codes that will benefit from the program can be found on the CMS website at The 514,523 eligible beneficiaries residing in the area were served by 1,275 suppliers in Total Medicare spending for medical equipment and supplies in the Miami-Fort Lauderdale-Miami Beach, FL metropolitan area was $192 million in Anticipated savings for taxpayers in Miami-Fort Lauderdale-Miami Beach, FL during the first full year of the program are about $30.6 million, and beneficiary out-of-pocket costs in the area are projected to decrease by an estimated $7.7 million.

12 Miami-Fort Lauderdale-Miami Beach, FL Zip Codes

13 ORLANDO-KISSIMMEE, FL The counties to be covered in the Orlando-Kissimmee, FL metropolitan area for non-mail-order products are Lake, Orange, Osceola, and Seminole. Zip codes that have at least 50 percent of their area in these counties will be covered. The coverage area for mail-order products is slightly larger because all zip codes with any area in these counties will be included. The full list of zip codes that will benefit from the program can be found on the CMS website at The 246,880 eligible beneficiaries residing in the area were served by 331 suppliers in Total Medicare spending for medical equipment and supplies in the Orlando-Kissimmee, FL metropolitan area was $49 million in Anticipated savings for taxpayers in the Orlando-Kissimmee, FL metropolitan area during the first full year of the program are about $7.8 million, and beneficiary out-of-pocket costs in the area are projected to decrease by an estimated $2 million.

14 Orlando-Kissimmee, FL Zip Codes

15 PITTSBURGH, PA The counties to be covered in Pittsburgh, PA for non-mail-order products are Allegheny, Armstrong, Beaver, Butler, Fayette, Washington, and Westmoreland. Zip codes that have at least 50 percent of their area in these counties will be covered. The coverage area for mail-order products is slightly larger because all zip codes with any area in these counties will be included. The full list of zip codes that will benefit from the program can be found on the CMS website at The 265,608 eligible beneficiaries residing in the area were served by 289 suppliers in Total Medicare spending for medical equipment and supplies in the Pittsburgh, PA metropolitan area was $47 million in Anticipated savings for taxpayers in the Pittsburgh, PA metropolitan area during the first full year of the program are about $7.5 million, and beneficiary out-of-pocket costs in the area are projected to decrease by an estimated $1.9 million.

16 Pittsburgh, PA Zip Codes

17 RIVERSIDE-SAN BERNARDINO-ONTARIO, CA The counties to be covered in the Riverside-San Bernardino-Ontario, CA metropolitan area for non-mailorder products include densely populated zip codes in the western part of Riverside County and the southwestern region of San Bernardino. San Bernardino is the largest county in the contiguous 48 states and Riverside is also very large. Both counties include sparsely populated areas in the mountains and desert. These areas are not included in the competitive bidding area for non-mail-order products because they have low population and allowed charges, are predominantly rural, are geographically distant from the center of the competitive bidding area, and are served by few suppliers. However, because mail-order products can be delivered anywhere, the coverage area for mail-order products includes all areas in Riverside and San Bernardino Counties. The full list of zip codes that will benefit from the program can be found on the CMS website at The 248,766 eligible beneficiaries residing in the area were served by 495 suppliers in Total Medicare spending for medical equipment and supplies in the Riverside-San Bernardino-Ontario, CA metropolitan area was $42 million in Anticipated savings for taxpayers in the Riverside-San Bernardino-Ontario, CA metropolitan area during the first full year of the program are about $6.8 million, and beneficiary out-of-pocket costs in the area are projected to decrease by an estimated $1.7 million.

18 Riverside-San Bernardino-Ontario, CA Zip Codes

19 SAN JUAN-CAGUAS-GUAYNABO, PR The municipios to be covered in the San Juan-Caguas-Guaynabo, PR metropolitan area for non-mail-order products are Aguas Buenas, Aibonito, Arecibo, Barceloneta, Barranquitas, Bayamón, Caguas, Camuy, Canóvanas, Carolina, Cataño, Cayey, Ciales, Cidra, Comerío, Corozal, Dorado, Florida, Guaynabo, Gurabo, Hatillo, Humacao, Juncos, Las Piedras, Loíza, Manatí, Maunabo, Morovis, Naguabo, Naranjito, Orocovis, Quebradillas, Río Grande, San Juan, San Lorenzo, Toa Alta, Toa Baja, Trujillo Alto, Vega Alta, Vega Baja, and Yabucoa. The coverage area for mail-order products is identical. The full list of zip codes that will benefit from the program can be found on the CMS website at The 297,950 eligible beneficiaries residing in the area were served by 402 suppliers in Total Medicare spending for medical equipment and supplies in the San Juan-Caguas-Guaynabo, PR metropolitan area was $60 million in Anticipated savings for taxpayers in the San Juan-Caguas-Guaynabo, PR metropolitan area during the first full year of the program are about $9.6 million, and beneficiary out-of-pocket costs in the area are projected to decrease by an estimated $2.4 million.

20 San Juan-Caguas-Guaynabo, PR Zip Codes