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14-10-2014

Q1Group reminds seniors and other Medicare beneficiaries that the 2015 annual Open Enrollment Period begins October 15th and continues through December 7th. During the Open Enrollment Period, Medicare beneficiaries can add, change, or drop their 2015 Medicare prescription drug plan or Medicare Advantage plan coverage.

09-10-2014

Q1Medicare.com now has their updated 2015 Medicare Part D Formulary Browser online with the latest available prescription drug list information. The updated Formulary Browser includes information on all 2015 stand-alone Medicare Part D prescription drug plans and Medicare Advantage plans with prescription drug coverage.



22-09-2014

An analysis by Q1Group shows that 69% of Florida seniors can expect to see their 2015 stand-alone prescription drug plan premiums increase by $7.25 per month unless they switch to a lower premium 2015 Medicare Part D or Medicare Advantage plan.


19-09-2014

Q1Group provides an analysis of the newly released 2015 stand-alone Medicare Part D prescription drug plan landscape data on their Q1Medicare.com site. National and state level summaries show increases in 2015 Medicare Part D plan premiums and decreases in the availability of stand-alone Medicare Part D plans.


31-07-2014

Q1Medicare.com alerts seniors that they can expect higher costs associated with their upcoming 2015 Medicare Part D prescription drug plan coverage. According to information recently released by CMS, Medicare beneficiaries can expect slightly higher monthly Medicare Part D plan premiums, deductibles, late-enrollment premium penalties, and Income-Related Monthly Adjustment Amounts (IRMAA).


24-04-2014

The finalized 2015 Medicare Part D prescription drug plan defined standard benefit parameters are now online at Q1Medicare.com/2015, along with a chart illustrating how these plan values have changed over the past years.  Q1Medicare.com has also launched their 2015 PDP-Planner or Donut Hole Calculator to help the Medicare community estimate how these 2015 parameter changes could impact their prescription drug spending next year.


06-12-2013

Q1Group reminds seniors and other Medicare beneficiaries that the 2014 Open Enrollment Period will end on Saturday, December 7, 2013. During the annual Open Enrollment Period, Medicare beneficiaries can join, change, or drop their Medicare Part D prescription drug or Medicare Advantage plan.

19-10-2013

Analysis by Q1Group shows that the quality of Medicare Advantage plans has improved over the last year, even though fewer plans earned a 5-star “excellent” quality rating. More 2014 Medicare Advantage plans have an “above-average” rating and far fewer 2014 plans fall into the “below-average” star-rating category.



18-10-2013

Analysis by Q1Group shows fewer 2014 Medicare Part D and Medicare Advantage plans have achieved an overall 5-star quality rating. Only one 2014 Medicare Part D prescription drug plan earned a 5-star rating and is available to the residents of New York, whereas 2014 Medicare Advantage plans with a 5-star rating are available to residents living in 133 counties across 13 states.

15-10-2013

Q1Medicare reminds seniors and other Medicare beneficiaries that the 2014 annual Open Enrollment Period begins today, October 15th and continues through December 7th. During the Open Enrollment Period, Medicare beneficiaries can add, change, or drop 2014 Medicare prescription drug plan or Medicare Advantage plan coverage.

13-10-2013

An analysis by Q1Medicare shows that 56 percent of California seniors can expect to see their 2014 stand-alone prescription drug plan premiums increase unless they switch to a lower costing 2014 Medicare Part D or Medicare Advantage plan.

12-10-2013

Q1Medicare now has their 2014 stand-alone Medicare Part D prescription drug plan and Medicare Advantage plan search tools online providing the Medicare community with a quick overview of the coverage offered by all 2014 Medicare plans.

12-10-2013

An analysis by Q1Medicare shows that 88% of Florida seniors can expect to see their 2014 stand-alone prescription drug plan premiums increase unless they switch to a lower costing 2014 Medicare Part D or Medicare Advantage plan.



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Announcements

2016 stand-alone Medicare Part D prescription drug plan and Medicare Advantage plan information available on Q1Medicare.com
15-10-2015

Seniors and other Medicare beneficiaries can now find more information on 2016 Medicare Part D prescription drug plans (PDPs) and Medicare Advantage plans (MAs or MAPDs) on our recently updated Q1Medicare.com site. We provide 2016 Medicare Part D plan details - including monthly premiums, deductibles, quality star ratings, and even the size of the plan's drug list or formulary - for all Medicare Part D prescription drug plans across the country (and United States Territories: American Samoa Guam Northern Marina Islands Puerto Rico, and US Virgin Islands).


Medicare Part D plan benefits and features of all 2016 Medicare Part D plans are available through our 2016 PDP-Finder.  You can click here for an example of our PDP-Finder showing all 2016 Florida Medicare Part D plans with a $0 initial deductible.  If you wish to see how your 2015 Medicare Part D plan changed in 2016, try our 2015/2016 PDP-Compare.


The 2016 Medicare Advantage plan coverage information is also online - including monthly plan premiums, deductibles, and maximum out of pocket limits (or MOOP) - for all Medicare Advantage plans in all counties across the country.  You can begin by entering your ZIP code into our 2016 MA-Finder and click “Search” to see all of the Medicare Advantage plans in your area (including Medicare Health plans with prescription drug coverage (MAPDs) and without prescription drug coverage (MAs), as well as Special Needs Medicare Advantage plans (or SNPs)).  You can click here for an example of $0 premium Medicare Advantage plans that include prescription drug coverage (MAPDs) in New York, NY – just change the ZIP code to see the plans in your area.  If you wish to see how your 2015 Medicare Advantage plan changed in 2016, try our 2015/2016 MA-Compare. Is your medication covered on your Medicare Part D prescription drug plan?


We have several tools online to help you learn more about which Medicare Part D plans cover your medications.


You can use our 2016 Drug Finder to see if your medications are covered by any Medicare Part D plan in your state or Medicare Advantage plan in your county - and at what cost. The Q1Medicare Drug Finder also is one of the few places to find information on actual "usage management limits" such as Quantity Limits for specific drugs in a particular Part D plan.  Here is an example: Show a comparison of the Ohio AARP & Humana plans covering Nexium 40MG.


We also have our 2016 Formulary Browser Search tool online that will help you search any Medicare Part D or Medicare Advantage plan's entire drug list or formulary. All you need to do is select your State and then select your Medicare Part D plan (or choose your Zip Code / County and Medicare Advantage plan).  You can then browse through the whole formulary - electronically. (To get you started, here is an example of the 2016 AARP MedicareRx Preferred (PDP) Formulary in Florida (you can change the plan and state to meet your own needs)).


Our 2016 Long-Term Care (LTC) Drug Finder (Q1Rx.com/LTC is also online and provides a simple way to compare drug usage management restrictions for the top LTC medications for all Low-Income Subsidy (LIS) $0 premium Medicare Part D plans along with Institutional Medicare Advantage Special Needs Plans (SNPs).  You can click here to see an example of our LTC Drug Finder in Pennsylvania.


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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.
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