|•|| 2018 Federal Poverty Level Guidelines (FPL): 2018/2019 LIS Qualifications and Benefits
The 2018 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?
March 2018 Update - Medicare Cards are Changing - New Card, Same BenefitsThe Centers for Medicare and Medicaid Services (CMS) is mailing new Medicare cards starting April 2018 and continuing through A . . .
|•|| 2019 IRMAA: 5% decrease in Medicare Part D IRMAA for individual earning incomes between $85,000 - $500,000 and couples earning $170,000 - $750,000.
Since 2011, people with Medicare who earn over $85,000 have been paying an additional monthly premium or Income-Related Monthly Adjustment Amount (IRMAA) for their Medicare Part D prescription drug p . . .
|•|| 2019 State Low-Income Subsidy Benchmark Premium Amounts - with a comparison of benchmark changes since 2006
The Centers for Medicare and Medicaid Services (CMS) released the 2019 low-income premium subsidy amounts (or Benchmark) for Medicare Part D plans on July 31, 2018, and in 2019, thirteen (13) regions . . .
|•|| Changes are coming for 2019 Medicare Part D plans: A few highlights from the 2019 final CMS Call Letter and Final Rule
Seniors, Medicare plan providers, and caregivers can expect a few changes in the 2019 Medicare Part D program. Below are a few highlights from the final 2019 Call Letter and a 1,156 page Medic . . .
|•|| Understanding the 2018 Medicare Part D Coverage Gap or Donut Hole
The Donut Hole or Coverage Gap is a term used to describe a gap or pause in your Medicare Part D prescription drug plan or Medicare Advantage plan coverage where, prior to 2011, you were 100% respon . . .
|•|| Does Medicare cover Vitamin B-12 injections (B-12 shots)?
Medicare Part D prescription drug plans expressly excludes coverage for vitamins - although some Medicare plans do cover "excluded" drugs such as B-12 vitamin injections as "Bonus" or Supplemental dru . . .
|•|| 2018 State Low-Income Subsidy Benchmark Premium Amounts - with a comparison of benchmark changes since 2006
Update See: 2019 State Low-Income Subsidy Benchmark Premium Amounts - with a comparison of benchmark changes since 2006 at https://Q1News.com/703.html. The Centers for Medicare and Medicai . . .
|•|| 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 . . .
|•|| 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 . . .
|•|| I am qualified for Medicaid and Medicare, so why am I still paying a premium for my 2019 Medicare Part D drug plan?
If you are qualified to receive Medicaid, then you automatically qualify for the Medicare Part D Extra Help program and the cost of your Medicare Part D premium will be covered up to a certain level & . . .
|•|| The 2019 Donut Hole Discount increases (... and what this means to you)
The 2019 Donut Hole discount will increase to 75% of retail cost for all brand-name medications purchased in the Donut Hole (you pay 25% of the retail cost and receive 95% credit toward TrOOP). This m . . .
|•|| Will I enter the 2019 Medicare Part D Coverage Gap or Donut Hole?
If the retail cost of your medications is over $319 each month, you will enter the 2019 Donut Hole or Coverage Gap. As a reminder, you will enter your Medicare Part D prescription drug plan's Don . . .
|•|| What happens after I meet my 2019 Medicare Part D plan's $5,100 TrOOP threshold (total out-of-pocket drug spending limit)?
You exit the Coverage Gap (or Donut Hole) and enter into the Catastrophic Coverage phase of your Medicare Part D coverage - and remain in Catastrophic Coverage for the remainder of the plan year (unt . . .
|•|| Medicaid "Spend Down" and Medicare Part D
People with Medicare who are also eligible for Medicaid because of high medical expenses can get Medicare prescription drug coverage no matter if they are in the Original Medicare Plan or a Medicare A . . .
|•|| The 2019 Medicare Part D annual Open Enrollment Period (AEP) ends today, Friday, December 7th.
As a last reminder, the 2019 Annual Medicare Open Enrollment Period (AEP) ends at midnight tonight, Friday, December 7th. During this final day of the 2019 AEP, you can still join, change, or drop . . .
|•|| CMS Notice of Imposition of Intermediate Sanctions (Suspension of Enrollment and Marketing) for Medicare Advantage-Prescription Drug contract number: H2773.
On November 8, 2018, the Centers for Medicare and Medicaid Services (CMS) gave notice to QHP Financial Group, Inc. (QHP) that CMS has made a determination to impose intermediate sanctions on Medi . . .
|•|| Q1Group 2019 PDP Analysis: Will your 2018 Medicare Part D prescription drug plan begin using preferred pharmacy pricing in 2019?
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 . . .
|•|| Q1Group 2019 Drug Plan Analysis: Examples of how 2019 Medicare Part D plans can change prescription cost-sharing designs
As in past years, some 2018 Medicare Part D plans are changing their cost-sharing designs for 2019 prescription drug purchases. For example, the Cigna-HealthSpring Rx Secure-Extra (PDP) will add . . .
|•|| 2019 Medicare Drug Plan Analysis: Over 11 million Medicare beneficiaries will see at least 100 fewer medications on their 2019 Medicare Part D drug plan formulary
With each new plan year - and throughout the plan year - your Medicare Part D plan (PDP) or Medicare Advantage plan that provides prescription coverage (MAPD) can change their formulary or drug list, . . .
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