| • | What to do if your prescription needs change after joining your Medicare Part D plan.
If your prescription needs have changed since you enrolled into your current 2013 Medicare Part D plan, you can first double-check your plan’s formulary or drug list to see if your new prescri ...
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| • | Special Enrollment Period for Members of Universal Health Care
If you are one of the Members of the Universal Health Care Medicare Advantage plans, you probably already know that the company filed for bankruptcy in March and Medicare beneficiaries in many areas a ...
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| • | April 2013 Medicare Part D Formulary Additions of new Long-Term Care Drugs
The April 2013 formulary data released by the Centers for Medicare and Medicaid Services (CMS) included 18 new national drug codes for prescription medications that are often used at long-term care (o ...
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| • | 2013 Federal Poverty Level Guidelines: 2013-2014 LIS Qualifications and Benefits
The 2013 Federal Poverty Level (FPL) Guidelines determine the income level requirements for people applying for the Low Income Subsidy (LIS) program. For the remainder of 2013, if your income is below ...
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| • | Medicare Imposes Immediate Sanctions (Suspension of Enrollment and Marketing) on SmartD Stand-Alone Medicare Part D Plans
On April 23, 2013, the Centers for Medicare and Medicaid Services (CMS) imposed immediate Intermediate Sanctions on Smart Insurance Company (Smart) Stand-Alone Medicare Part D Prescript ...
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| • | April 2013 Summary of the Most Recent Updates for the Medicare Part D Plan Formularies (Drug Lists)
The most recent (April 2013) Medicare Part D plan formulary data (or drug lists) updates include the addition of 267 new National Drug Codes (NDC) to the Medicare Part D program. These represent ...
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| • | April 2013 Formulary Changes to the Top 10 Medicare Drugs
The most recent (April 2013) Medicare Part D plan formulary data (or drug lists) updates included 49 new drugs to the Medicare Part D program. As to the top 10 Medicare Part D drugs, Actos® 30 MG ...
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| • | If I am in the 2013 Donut Hole and I purchase a $100 generic medication, does that total retail cost of $100 go towards meeting my out of pocket limit of $4,750?
No. If you purchase a generic medication in the 2013 Donut Hole, you will receive a 21% discount on the purchase this year – but only your actual payment will count toward meeting your t ...
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| • | Since I now get a 52.5% Donut Hole Discount on my brand-name drugs in the Coverage Gap, do I still get full retail credit for my prescription purchase toward meeting the Donut Hole exit?
No. In 2013, when you purchase a brand-name drug while in the Donut Hole, you get a 52.5% discount on your purchase and credit for 97.5% of the drug’s retail price. You get credit ...
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| • | Preview of Your 2014 Medicare Part D Prescription Drug Plan Coverage
On April 1st, the Centers for Medicare and Medicaid Services (CMS or Medicare) released the final 2014 Medicare Part D prescription drug plan defined standard benefit parameters for Medicare Part D ...
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| • | Does Medicare Cover Vitamin B-12 Injections (Shots)?
In specific cases, Medicare will cover Vitamin B-12 injections. Please read the exerpt below from Medicare Benefit Policy Manual, Chapter 7 - Home Health Services.
Intravenous, intramuscular, o ...
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| • | Can you search for a Medicare Part D plan by county and not just state?
Question: I am looking for an AARP Medicare Part D plan that is available in Smith County, Texas. Is it possible to search for a Medicare Part D plan just by county?
No. Stand-alo ...
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| • | Does the partial LIS deductible apply to the drug plan or is it a separate deductible that applies to the subsidy?
Question: I have read your tables for the partial low income subsidy deductibles and coinsurance. It refers to a $66 deductible and 15% coinsurance up to the threshold of $4750. Then $2.65 to $6.60 th ...
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| • | CMS Proposes 2014 Payment and Policy Updates for Medicare Health and Drug Plans
Greater Value for Medicare Beneficiaries and Improved Payment Accuracy
Beneficiaries will get greater protections, value, and care in the Medicare services they receive through proposed pol ...
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| • | January 2013 Formulary Changes to the Top 10 Medicare Drugs
The most recent (January 2013) Medicare Part D plan formulary data (or drug lists) updates included no new drugs to the Medicare Part D program.
We have chosen to include Altorvastatin, Clopidogrel ...
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| • | How Drugs are Organized on the 2013 Plan Formularies - Drug Tier Meanings
Medicare prescription drug plans organize covered medications into different logical categories or tiers -- each with a different co-payment or cost-sharing amount (for instance, you may have a $5 co- ...
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| • | 2013 Sees Increase in the Number of Medicare Part D Plans Using Preferred Network Pharmacy Pricing
In 2013, Medicare beneficiaries are finding more Medicare Part D plans that are using preferential pricing for "Preferred Network Pharmacies" vs. "Network Pharmacies." During ...
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| • | Medicare Imposes Immediate Sanctions (Suspension of Enrollment and Marketing) on SilverScript Stand-Alone Medicare Part D Plans
On January 15, 2013, the centers for Medicare and Medicaid Services (CMS) imposed immediate Intermediate Sanctions on Silverscript Insurance Company's (SSIC) Stand-Alone Medicare Part D Pres ...
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| • | Still waiting for your new or replacement 2013 Medicare Part D plan Member ID card?
If you still have not received your new 2013 Medicare Part D or Medicare Advantage plan Member ID card, please contact your Medicare plan’s Member Services department and ask that a new card be ...
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| • | Is there a way to quickly see which drugs are covered by my 2013 Medicare prescription drug plan?
We have our 2013 Formulary Browser tool online that lets you search through any 2013 Medicare Part D or Medicare Advantage plan formulary.
To get started, you can click here or go to FormularyBr ...
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