|•|| 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 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 ...
|•|| 2018 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 2018 low-income premium subsidy amounts (or Benchmark) for Medicare Part D plans on July 31, 2017, and in 2018, forty (40) states will ...
|•|| Does Medicare cover Vitamin B-12 injections (B-12 shots)?
Medicare Part D prescription drug plans usually do not provide coverage for vitamins. However, in specific cases - or for specific conditions, Medicare will cover Vitamin B-12 injections. ...
|•|| 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 ...
|•|| 2018 IRMAA: 35% to 58% Medicare Part D IRMAA payment increases for individual earning incomes between $133,500 - $214,000 and couples earning $267,000 - $428,000.
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 ...
|•|| 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 ...
|•|| 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 ...
|•|| Roughly a 3% increase in the 2016 Income Related Monthly 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 ...
|•|| 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 ...
|•|| Will you enter the 2018 Medicare Part D Coverage Gap or Donut Hole?
You will enter your Medicare Part D prescription drug plan's Donut Hole or Coverage Gap if the total retail value of your formulary prescription purchases exceeds your plan's Initial Coverage Limit ...
|•|| A preview of 2019: CMS releases the proposed 2019 Medicare Part D standard drug plan coverage parameters
On February 1st, the Centers for Medicare and Medicaid Services (CMS) released Part II of the 2019 Advance Notice and Draft Call Letter that included proposed defined standard benefits for 2019 Med ...
|•|| I am qualified for Medicaid and Medicare, so why am I still paying a premium for my 2018 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 & ...
|•|| I enrolled into a new 2018 Medicare Part D plan and still have not received my Member ID card. What should I do?
(1) If you have received an enrollment confirmation or “Welcome” letter from your 2018 Medicare prescription drug plan, the letter should include your: (1) Member ID number, (2) P ...
|•|| CMS announces Medicare Special Enrollment Period (SEP) for people affected by Hurricane Harvey, Irma, Maria, Nate, and California wildfires
If you are a Medicare beneficiary affected by Hurricane Harvey, Irma, Maria, or Nate you are entitled to a "weather related emergency or major disaster" Special Enrollment Period (SEP) extending the 2 ...
|•|| The 2018 Medicare Part D annual Open Enrollment Period (AEP) ends today, December 7th.
As a last reminder, the 2018 annual Medicare Open Enrollment Period (AEP) ends tonight, Thursday, December 7th at midnight. During this final day of the 2018 AEP, you can still join, change, or dr ...
|•|| Changes in 2018 Medicare Part A and Part B Premiums and Deductibles
CMS NEWS: 2018 Medicare Parts A & B Premiums and Deductibles Announced. Summary of changes to Medicare Part A and Medicare Part B premiums and deductibles: Increase in SS Benefits.  ...
|•|| How is your 2017 Medicare plan changing in 2018?
We want to remind you that, if you decide to stay with your current 2017 Medicare plan into 2018, your Medicare plan coverage and costs can (and usually do) change each year - so please take time to ...
|•|| The 2018 Donut Hole Discount increases (... and what this means to you)
The 2018 Donut Hole discount will increase to 65% for all brand-name medications purchased in the Donut Hole (you pay 35% of the retail cost and get 85% credit toward TrOOP) and the 2018 generic Donut ...
|•|| Q1Group 2018 Medicare Plan Analysis: Over 1.2 million members in non-renewing 2017 Medicare Advantage plans may lose their 2018 Medicare plan coverage
Is your 2017 Medicare Part D prescription drug plan or Medicare Advantage plan still being offered in 2018? Each year, Medicare plans have the option of not renewing their Medicare contract.  ...
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|Pharmacies & Providers|
|Changing Medicare plans|
|Special Enrollment Periods SEP|
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|Donut Hole discounts|
|Straddle Claims and high costs|
|Out of Pocket: TrOOP and MOOP|
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|IRMAA - for Higher Incomes|
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