Nov, 03 2023 — If you are eligible for Medicare and you don't have drug coverage through your employer, VA, or other source, additional prescription drug coverage is available to you through either:
(1) a stand-a . . .
Nov, 14 2023 — Yes. Medicare Part D prescription drug plans do cover the shingles vaccine (stand-alone Medicare Part D plans and Medicare Advantage plans that include drug coverage). And, beginning Janua . . .
Nov, 05 2023 — Your Initial Coverage Limit (ICL) is the "boundary" between your Medicare Part D plan's Initial Coverage phase (where you and your drug plan share the cost of your drug purchases) and the Coverage Gap (where you receive a fixed 75% Donut Hole discount on formulary drugs
Mar, 06 2024 — Yes. A stand-alone Medicare Part D prescription drug plan (or PDP) only provides out-patient prescription drug coverage.
However, a Medicare Advantage plans provide coverage for your
Origina . . .
Oct, 29 2023 — Within 2 to 3 months. Depending on any administrative issues, you can usually expect your Social Security check premium deductions to begin within 2 to 3 months after the start of a new Medicare . . .
Jul, 09 2023 — You can call the Social Security Administration to report the death of a Medicare beneficiary at 1-800-772-1213 (TTY 1-800-325-0778).
As noted on the Social Security Administration site:
"You ca . . .
Apr, 20 2024 — In general, if you were involuntarily disenrolled from your Medicare Part D plan for not paying your monthly premiums, you must show that your failure to make timely premium payments was due to
uniqu . . .
Nov, 11 2023 — Sometimes your Medicare plan will not have enough time to organize the automatic premium deduction from your Social Security check, resulting in a 3+ month delay in premium payments - and instead the plan will ask that you pay the premium directly until auto deductions can begin.
Apr, 20 2024 — Your Medicare Part D late-enrollment penalty is calculated by multiplying the number of months you were without some form of "creditable" prescription drug coverage by 1% of the annual base Medicare Part D premium ($34.70 in 2024).
Nov, 07 2023 — You will never pay more than your Medicare Part D plan's negotiated retail drug price - so even when your low-costing generic drug is placed on an expensive formulary tier - you will pay the lower retail cost and not the higher co-pay.
Jan, 30 2024 — Yes. If you use a Special Enrollment Period (SEP) to change Medicare drug plans during the year, you will find that both the total retail value of your drug purchases and the total value of your out-of-pocket spending (TrOOP) transfer to your new Part D plan.
May, 25 2023 — The Centers for Medicare and Medicaid Services (CMS) provides the following guidance explaining how Medicare beneficiaries can receive a refund or repayment of their overpaid copayments and premiums f . . .
Jul, 07 2023 — Yes, in most cases. When you move out of your Medicare Part D (PDP) or Medicare Advantage (MA or MAPD) plan's service area, you are granted a Special Enrollment Period
to join another Medicare . . .
Feb, 02 2024 — The Donut Hole or Coverage Gap is the third part or phase of your Medicare Part D prescription drug coverage where you will pay 25% of the retail price for any prescriptions found on your plan's formu . . .
Jul, 10 2023 — No. You do not need to cancel or disenroll from your existing Medicare Part D plan before enrolling in a new Medicare Part D prescription drug plan.
When you change Medicare Part D prescripti . . .
Apr, 09 2023 — Maybe. If you are able to change or transfer to another Medicare Advantage plan offered by the same company during the plan year, you may be able to transfer the amount that you have spent for your Medicare Part A and Part B coverage toward your new plan's MOOP limit.
Dec, 14 2023 — You can get a 30-day temporary or transition prescription drug fill if you:
stayed with the same Medicare Part D prescription drug plan (or Medicare Advantage plan that includes drug coverage) . . .
Apr, 20 2024 — Forever, except for a few situations. The late-enrollment premium penalty is permanent for most people over 65 and you will pay the penalty as long as you are enrolled in a Medicare Part D presc . . .
Apr, 20 2024 — Yes. If you are a Medicare beneficiary and your annual income (MAGI) exceeds certain limits - and you are enrolled in a Medicare Advantage plan (HMO, PPO, or PFFS) that includes prescription dru . . .
Feb, 02 2024 — The Initial Coverage Phase is the second part of your Medicare drug plan and follows the Initial Deductible (if your plan has a deductible). During this phase, you and your Medicare Part D plan share in the cost of your formulary drugs (for example, you pay $47 for a $500 drug).
Apr, 20 2024 — Yes. Even though Medicare plans sanctioned by the Centers for Medicare and Medicaid Services (CMS) are not allowed to accept new enrollment, Q1Medicare® shows “sanctioned” Medicare pl . . .
Apr, 20 2024 — There are several reasons why you are paying more this year for your drugs even when you are in the same Medicare plan: Your drugs are no longer covered or covered at a higher price, you used a non-network or standard pharmacy, you lost Extra Help benefits, and more . . .
Apr, 20 2024 — Forever, except for a few situations. The late-enrollment premium penalty is permanent for most people over 65 and you will pay the penalty as long as you are enrolled in a Medicare Part D presc . . .
Apr, 20 2024 — No. If you wish to stay in your current Medicare Part D or Medicare Advantage plan, you do not need to do anything during the annual Open Enrollment Period (AEP) and you will be automatically re . . .
Apr, 20 2024 — Yes. If you are a Medicare beneficiary and your annual income (MAGI) exceeds certain limits - and you are enrolled in a Medicare Advantage plan (HMO, PPO, or PFFS) that includes prescription dru . . .
Apr, 20 2024 — The complete list of Medicare abbreviations used by the Centers for Medicare and Medicaid Services (CMS) describing Medicare Part D prescription drug plans or Medicare Advantage plans is rather long ( . . .
Apr, 20 2024 — In general, if you were involuntarily disenrolled from your Medicare Part D plan for not paying your monthly premiums, you must show that your failure to make timely premium payments was due to
uniqu . . .
Apr, 20 2024 — Yes. If your annual income (MAGI) exceeds certain limits - and you are enrolled in an employer-sponsored Medicare Part D prescription drug plan (PDP) or Medicare Advantage plan with prescription . . .
Apr, 20 2024 — If you are
enrolled in a Medicare Part D prescription drug plan or a Medicare Advantage plan sanctioned by the Centers for Medicare and Medicaid
Services (CMS), your Medicare plan coverage is not us . . .
Apr, 20 2024 — No. TrOOP and MOOP are two different measures of out-of-pocket (OOP) costs - and TrOOP and MOOP are not related, aside from both defining OOP costs - and your TrOOP does not count toward your MO . . .
Apr, 20 2024 — Your Medicare Part D late-enrollment penalty is calculated by multiplying the number of months you were without some form of "creditable" prescription drug coverage by 1% of the annual base Medicare Part D premium ($34.70 in 2024).
Apr, 20 2024 — No. You are not responsible for a late-enrollment penalty (LEP) if you become eligible for the Medicare Part D Extra Help or Low-Income Subsidy (LIS) program.
However, you may still be . . .
Apr, 20 2024 — Contact your Medicare plan
immediately. A Medicare Part D or Medicare Advantage plan
can “involuntarily" disenroll you from the plan if you fail to pay your monthly
premiums - and once . . .
Mar, 13 2024 — Yes. Although, Medicare Part D drug plans must continue to cover a medication dropped from the plan’s formulary until the end of the plan year for anyone using the particular medication, Medicare allows several exceptions when a drug plan can drop a formulary drug mid-year.
Mar, 06 2024 — Yes. A stand-alone Medicare Part D prescription drug plan (or PDP) only provides out-patient prescription drug coverage.
However, a Medicare Advantage plans provide coverage for your
Origina . . .
Feb, 28 2024 — No. Your Medicare Part D plan's Initial Deductible does not affect
when you go into the Donut Hole or Coverage Gap. However, your Initial Deductible
will impact how quickly you exit the . . .
Feb, 02 2024 — The Donut Hole or Coverage Gap is the third part or phase of your Medicare Part D prescription drug coverage where you will pay 25% of the retail price for any prescriptions found on your plan's formu . . .
Feb, 02 2024 — The Initial Coverage Phase is the second part of your Medicare drug plan and follows the Initial Deductible (if your plan has a deductible). During this phase, you and your Medicare Part D plan share in the cost of your formulary drugs (for example, you pay $47 for a $500 drug).
Jan, 30 2024 — Yes. If you use a Special Enrollment Period (SEP) to change Medicare drug plans during the year, you will find that both the total retail value of your drug purchases and the total value of your out-of-pocket spending (TrOOP) transfer to your new Part D plan.
Jan, 29 2024 — The Medicare Part D Extra Help or Low-Income Subsidy (LIS) program helps people with limited financial resources pay for their Medicare Part D prescription drug coverage.
If you receive Medicare Pa . . .