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2017 Federal Poverty Level Guidelines (FPL): 2017-2018 LIS Qualifications and Benefits
The 2017 Federal Poverty Level (FPL) Guidelines determine the income level requirements for people applying for the Medicare Part D Low Income Subsidy (LIS) program, also known as the "Extra Help" pro ...

What does the letter after my Medicare number mean?
We have been getting more questions from people asking what the letters mean in their Medicare Claim Number.  Here is an explanation and chart of the letter meaning provided by the Social Securit ...

2017 Low-Income Subsidy Benchmark Premium Amounts (includes 2017 - 2006 for comparison)
The Centers for Medicare and Medicaid Services (CMS) released the 2017 low-income premium subsidy amounts (or Benchmark) for Medicare Part D plans on July 29, 2016.  In 2017, ten (10) states wi ...

Medicare Advantage plan and Medicare Part D prescription drug plan Special Enrollment Periods(SEP)
In certain situations, people with Medicare may be eligible for a Special Enrollment Period (SEP) allowing them to join a Medicare Advantage plan or Medicare Part D prescription drug plan , or switch ...

What is the difference between 2016 Preferred Network Pharmacies and Network Pharmacies?
First, both preferred and non-preferred network pharmacies are included in a Medicare prescription drug plan’s pharmacy network.  However, preferred network pharmacies usually have lower c ...

Does Medicare Cover Vitamin B-12 Injections (Shots)?
In specific cases, Medicare will cover Vitamin B-12 injections (as noted in the Medicare benefits manual). Medicare Benefit Policy Manual Chapter 7 - Home Health Services (Rev. 208, 05-11-15) 4 ...

2016 Federal Poverty Level Guidelines (FPL): 2016-2017 LIS Qualifications and Benefits
The 2016 Federal Poverty Level (FPL) Guidelines determine the income level requirements for people applying for the Medicare Part D Low Income Subsidy (LIS) program, also known as the "Extra Help" pro ...

Roughly a 3% increase in the 2016 Income Related Medicare Adjustment Amounts (IRMAA) for Medicare beneficiaries with higher annual incomes.
Medicare beneficiaries who earn over a certain amount will pay an additional premium for the their Medicare Part B (out-patient coverage) and Medicare Part D prescription drug plan coverage (whether r ...

WellCare Medicare Plan 2017 Medicare Pharmacy and Healthcare Provider Search Tools
You can find the WellCare Medicare Part D (PDP) pharmacy search and Medicare Advantage plan provider search tool at:  https://www.wellcare.com/Find-a-Provider#/Search. You can also start at:(1)&n ...

SilverScript Medicare Part D Pharmacy and Formulary Search
Question: What drug stores accept the SilverScript Medicare Part D prescription drug plans? Most Medicare Part D plans are accepted by over 50,000+ pharmacies across the country. However, if you ...

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Reminder: The Special Enrollment Period (SAR SEP) for people who were enrolled in discontinued 2016 Medicare plans ends February 28th
If your Medicare Part D prescription drug plan (PDP) or Medicare Advantage plan (MA or MADP) was discontinued at the end of 2016 (that is, your Medicare plan did not renew its contract for 2017 or th ...

2017 Federal Poverty Level Guidelines (FPL): 2017-2018 LIS Qualifications and Benefits
The 2017 Federal Poverty Level (FPL) Guidelines determine the income level requirements for people applying for the Medicare Part D Low Income Subsidy (LIS) program, also known as the "Extra Help" pro ...

How drugs are organized on a plan formulary -- the meaning of the 2017 drug tiers
Medicare prescription drug plans (PDPs and MAPDs) organize covered medications into different "logical" categories or tiers -- each with a different cost-sharing amount. For example, you may have a $3 ...

Reminder: The Medicare Advantage Disenrollment Period (MADP) ends Today, February 14th
Remember that the 2017 Medicare Advantage Disenrollment Period (MADP) continues only through today, February 14th. During the MADP, you can leave your 2017 Medicare Advantage plan (MA or MAPD) a ...

Saving money on your 2017 prescriptions using your Medicare Part D plan's preferred network pharmacies
Each Medicare Part D plan has a national pharmacy network that includes 50,000 to 60,000+ pharmacies and both "preferred" and "standard" pharmacies are included in a Medicare prescription drug plan ...

Paying more for your 2017 medications? Your drug purchase may still be within your new Medicare Part D plan's initial deductible and you are paying full retail costs for your prescriptions.
Your Medicare Part D plan's Initial Deductible affects your prescription drug costs in that you are responsible for 100% of your drug costs until you meet your plan's Initial Deductible.  After y ...

Paying more for your medications in 2017? Check for increases in your 2017 prescription co-payments or cost-sharing.
Very few Medicare Part D plans keep their cost-sharing structure (co-payments and/or co-insurance) the same from year to year.  In theory, cost-sharing can increase or decrease year-to-year, but ...

A preview of 2018: CMS releases the proposed 2018 Medicare Part D standard drug plan coverage parameters
On February 1st, the Centers for Medicare and Medicaid Services (CMS) released the 2018 Advance Notice and Draft Call Letter that included proposed defined standard benefits for 2018 Medicare Part ...

Paying more for your 2017 Medicare Part D medications? Check for changes in your 2017 Medicare drug plan's co-payments or cost-sharing designs.
Your Medicare Part D plan's cost-sharing structure (how the plan's formulary is divided into drug tiers and the cost-sharing per tier) directly influences your medication costs.  When a new drug ...

What should I do if my 2017 Medicare drug plan no longer covers one of my expensive medications?
If one of your medications is no longer covered by your 2017 Medicare Part D plan, there are at least three steps you can take at this time: (1)  If your medication is not excluded from the Me ...




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Tips & Disclaimers
  • The Medicare Advantage and Medicare Part D prescription drug plan data on our site comes directly from Medicare and is subject to change.
  • Medicare has neither reviewed nor endorsed the information on our site.
  • We provide our Q1Medicare.com site for educational purposes and strive to present unbiased and accurate information. However, Q1Medicare is not intended as a substitute for your lawyer, doctor, healthcare provider, financial advisor, or pharmacist. For more information on your Medicare coverage, please be sure to seek legal, medical, pharmaceutical, or financial advice from a licensed professional or telephone Medicare at 1-800-633-4227.
  • We are an independent education, research, and technology company. We are not affiliated with any Medicare plan, plan carrier, healthcare provider, or insurance company. We are not compensated for Medicare plan enrollments. We do not sell leads or share your personal information.
  • Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year. Our PDP-Compare.com and MA-Compare.com provide highlights of annual plan benefit changes.
  • The benefit information provided is a brief summary, not a complete description of benefits. For more information contact the plan.
  • Limitations, copayments, and restrictions may apply.
  • We make every effort to show all available Medicare Part D or Medicare Advantage plans in your service area. However, since our data is provided by Medicare, it is possible that this may not be a complete listing of plans available in your service area. For a complete listing please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week or consult www.medicare.gov.
  • When enrolling in a Medicare Advantage plan, you must continue to pay your Medicare Part B premium.
  • Medicare beneficiaries with higher incomes may be required to pay both a Medicare Part B and Medicare Part D Income Related Monthly Adjustment Amount (IRMAA). Read more on IRMAA.
  • Medicare Advantage plans that include prescription drug coverage (MAPDs) are considered Medicare Part D plans and members with higher incomes may be subject to the Medicare Part D Income Related Monthly Adjustment Amount (IRMAA), just as members in stand-alone Part D plans. In certain situations, you can appeal IRMAA.
  • You must be enrolled in both Medicare Part A and Part B to enroll in a Medicare Advantage plan. Members may enroll in a Medicare Advantage plan only during specific times of the year. Contact the Medicare plan for more information.
  • If you are enrolled in a Medicare plan with Part D prescription drug coverage, you may be eligible for financial Extra Help to assist with the payment of your prescription drug premiums and drug purchases. To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult www.medicare.gov; the Social Security Office at 1-800-772-1213 between 7 a.m. and 7 p.m., Monday through Friday. TTY users should call, 1-800-325-0778; or your state Medicaid Office.
  • Medicare evaluates plans based on a 5-Star rating system. Star Ratings are calculated each year and may change from one year to the next.
  • A Medicare Advantage Private Fee-for-Service plan (PFFS) is not a Medicare supplement plan. Providers who do not contract with the plan are not required to see you except in an emergency.
  • Disclaimer for Institutional Special Needs Plan (SNP): This plan is available to anyone with Medicare who meets the Skilled Nursing Facility (SNF) level of care and resides in a nursing home.
  • Disclaimer for Dual Eligible (Medicare/Medicaid) Special Needs Plan (SNP): This plan is available to anyone who has both Medical Assistance from the State and Medicare. Premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. Please contact the plan for further details.
  • Disclaimer for Chronic Condition Special Needs Plan (SNP): This plan is available to anyone with Medicare who has been diagnosed with the plan specific Chronic Condition.
  • Medicare MSA Plans combine a high deductible Medicare Advantage Plan and a trust or custodial savings account (as defined and/or approved by the IRS). The plan deposits money from Medicare into the account. You can use this money to pay for your health care costs, but only Medicare-covered expenses count toward your deductible. The amount deposited is usually less than your deductible amount, so you generally have to pay out-of-pocket before your coverage begins.
  • Medicare MSA Plans do not cover prescription drugs. If you join a Medicare MSA Plan, you can also join any separate (stand-alone) Medicare Part D prescription drug plan
  • There are additional restrictions to join an MSA plan, and enrollment is generally for a full calendar year unless you meet certain exceptions. Those who disenroll during the calendar year will owe a portion of the account deposit back to the plan. Contact the plan provider for additional information.
  • Medicare beneficiaries may enroll through the CMS Medicare Online Enrollment Center located at www.medicare.gov.
  • Medicare beneficiaries can file a complaint with the Centers for Medicare & Medicaid Services by calling 1-800-MEDICARE 24 hours a day/7 days or using the medicare.gov site. Beneficiaries can appoint a representative by submitting CMS Form-1696.