Q1Medicare.com - Medicare Prescription Drug Plans: FAQs

Medicare Part D prescription drug plans provide insurance coverage for out-patient prescription drugs.A Medicare Part D plan works just like any other types of insurance: (1) you usually pay a mont . . .

You can drop, disenroll, or cancel your Medicare Part D plan or Medicare Advantage plan coverage during the annual Open Enrollment Period - or a Special Enrollment Period - or you can be involuntarily disenrolled from your plan.

Medicare prescription drug coverage is available through either stand-alone Medicare Part D prescription drug plans (PDPs) or Medicare Advantage plans that include prescription drug coverage (MAPDs) . . .

Starting back in the 2011 Medicare Part D plan year, a discount or co-insurance (cost-sharing) was introduced to reduce the cost of generic and brand-name prescription drugs purchased by non-LIS . . .

A Special Enrollment Period (SEP) allows a Medicare beneficiary to join, switch, or drop their Medicare Part D prescription drug plan (PDP) or Medicare Advantage plan (MA or MAPD) outside of the ann . . .

The Qualified Medicare Beneficiary (QMB) program is one of four Medicare Savings Programs (QMB, SLMB, QI, and QDWI) established by Medicare to help low-income Medicare beneficiaries pay their Medicare . . .

Your (1) Member ID number, (2) Rx BIN, (3) PCN, and (4) Group ID (or Rx Group) number are the four numbers that uniquely identify you and your Medicare Part D prescription drug plan - and these four n . . .

If you did not enroll into a Medicare Part D prescription drug plan during your Initial Enrollment Period (IEP) and you did not have other creditable prescription coverage (like VA or employer benefit . . .

No.  Medicare Advantage plans are not the same as Medicare Supplements or Medigap policies. Medigap policy design.  Medicare Supplements (also called Medigap policies) work togethe . . .

If you are paying IRMAA (the Income-Related Monthly Adjustment Amount), this means that, based on your income, you will pay higher premiums for your Medicare Part B and Medicare Part D coverage. As . . .

Below are links to health departments in all states and Washington, DC, the 8 US territories, and the freely associated states. 50 U.S. State Health Department Websites Alabama Depa . . .

Yes,  you can keep your Medicare Advantage plan.Medicare states, [i]f you have ESRD, you'll usually get your health care through Original Medicare. You can only join a Medicare Advantage Plan in . . .

Maybe.  The Centers for Medicare and Medicaid Services (CMS) has recognized that some insulin delivery systems may now be covered by a Medicare Part D prescription drug plan when the devices are . . .

Yes - but only some plans in certain areas.  Medicare Advantage plans change plan coverage each year, and depending on the estimated cost for each Medicare Advantage plan member, some $0 premium . . .

Your Medicare Part D late-enrollment penalty is calculated as the number of months you are without some form of "creditable" prescription drug coverage multiplied by 1% the annual base Medicare Part D . . .

You enter the Donut Hole when the retail cost of your formulary drug purchases exceeds your plan's Initial Coverage Limit (ICL) and you exit your Medicare Part D drug plan's the Initial Coverage Phase . . .

The Qualifying Individual (QI) program is one of four Medicare Savings Programs (QMB, SLMB, QI, and QDWI) established by Medicare.  QI helps low-income Medicare beneficiaries pay their Medicare P . . .

Yes, in some situations, limited chiropractic services are covered by Medicare.According to the Medicare.gov website, your "Medicare Part B (Medical Insurance) covers manual manipulation of the spine . . .

If your formulary medications have a total retail cost over $319 each month, you will exceed your Medicare Part D plan's $3,820 Initial Coverage Limit and enter the Donut Hole or Coverage Gap sometime in 2019.

If your Medigap policy is type C, D, E, F, G, H, I, J, M or N; your plan may offer additional coverage for health care services or supplies that you get outside the U.S.