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2015 Federal Poverty Level Guidelines: 2015-2016 LIS Qualifications and Benefits
The 2015 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 ...

2016 Low-Income Subsidy Benchmark Premium Amounts (includes 2016 - 2006 for comparison)
The Centers for Medicare and Medicaid Services (CMS) released the 2016 low-income premium subsidy amounts (or Benchmark) for Medicare Part D plans on July 29, 2015.  In 2016, eleven (11) states ...

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 ...

Does Medicare Cover Vitamin B-12 Injections (Shots)?
In specific cases, Medicare will cover Vitamin B-12 injections.Please read the excerpt below from Medicare Benefit Policy Manual, Chapter 7 - Home Health Services.  Section -Administrati ...

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 ...

Roughly a 3% increase in the 2016 Income Related Medicare Adjustment Amounts (IRMAA) for Medicare beneficiaries with higher annual incomes.
Medicare Part D beneficiaries with an income above a certain level (see charts below) have an increase in their monthly Medicare Part D prescription drug plan premiums, based on the implementation of ...

Medicaid "Spend Down" and Medicare Part D
People with Medicare who are also eligible for Medicaid because of high medical expenses can get Medicare prescription drug coverage no matter if they are in the Original Medicare Plan or a Medicare A ...

How do you choose a new Medicare Part D plan?
I am trying to select a new Medicare Part D Plan and I need help!  How do you choose a Medicare Part D plan for 2007? This question is being asked by almost everyone who is faced, either for the ...

The Medicare & You Handbook is online and available for download
If you are a Medicare beneficiary, you should have received a printed version of the Medicare & You Handbook prepared by the Centers for Medicare and Medicaid Services (CMS or Medicare) som ...

WellCare Medicare Plan 2015 & 2016 Medicare Pharmacy and Healthcare Provider Search Tools
You can find the 2016 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: ...

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Are there any 2016 Medicare Advantage plans available that offer prescription drug coverage and have a $0 monthly premium with no initial deductible?
Yes. There are quite a few Medicare Advantage plans that offer prescription drug coverage with a $0 deductible and a $0 monthly premium ($0/$0).  In fact in 2016, 1,191 counties (or county ...

Do I need to keep paying my Medicare Part B premiums even after I have joined a 2016 Medicare Advantage plan?
Yes.  You must be enrolled in Medicare Part A and Part B in order to join a Medicare Advantage plan and you need to keep paying your Medicare Part B premiums along with your Medicare Advantage pl ...

CMS Press Release: 70% of Medicare beneficiaries will see no change in their 2016 Medicare Part B premiums, but all Medicare beneficiaries will have an increased Medicare Part A and Medicare Part B deductible.
Summary of changes to 2016 Medicare Part A and Medicare Part B premiums and deductibles:70% of the 52 million Medicare Part B beneficiaries will continue to pay $104.90 for their 2016 Medicare Part B ...

I am new to Medicare and do not use any prescriptions, but don't want any future penalty, should I just join a Medicare Part D plan or Medicare Advantage plan with the cheapest monthly premium?
Yes, or you may wish to consider a low premium $0 deductible plan. If you are not using any medications and just want to avoid the permanent late-enrollment premium penalty, you may want to join ...

What is the difference between 2016 Preferred Network Pharmacies and Network Pharmacies?
First, both preferred and non-preferred network pharmacies are included in a Medicare prescription drug plan’s pharmacy network.  However, preferred network pharmacies usually have lower c ...

Will I save money if I enroll in a 2016 Medicare Part D plan that has a $0 initial deductible or a really low monthly premium?
Maybe.  The answer depends on your medication and healthcare needs.  Although many media sources still advise people to look at Medicare plans with low premiums and low deductibles, we sugge ...

ANOC Reminder: How is your 2015 Medicare Part D prescription drug plan or Medicare Advantage plan changing in 2016?
Studies show that most people do not change their Medicare Part D or Medicare Advantage plan each year, even if they can save money on their prescription and medical costs. We can appreciate that, for ...

Over 10 million Medicare beneficiaries will see at least 100 drugs removed from their 2016 Medicare Part D drug plan formularies
With each new plan year - and throughout the plan year - your Medicare Part D plan (PDP) or Medicare Advantage plan that provides prescription coverage (MAPD) can change their formulary or drug list, ...

Approximately 573,000 Medicare beneficiaries will see an increase of 16% or more in their 2016 Medicare Part D initial deductible
The standard Medicare Part D prescription drug plan initial deductible will increase to $360 in 2016 from the $320 standard deductible in 2015.  Therefore, any members of Medicare Part D prescrip ...

Example of how 2016 Medicare Part D plans can change prescription co-payments or cost-sharing designs
As in past years, some 2015 Medicare Part D plans are changing their cost-sharing structures for 2016 prescription drug purchases.  For example, the SilverScript Choice plan will add a "Preferre ...

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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.