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 . . .

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 . . .

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.

As we move toward the warmer months of the year, we need to think more about the combination of sun, heat, and humidity and protecting ourselves during these longer, warmer days.

Yes.  Our Medicare Part D Donut Hole calculator or PDP-Planner is designed so seniors and other Medicare beneficiaries can see how their Part D drug spending could change throughout the year and . . .