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Medicare Part D Blog

Browse the Most Viewed and Newest Medicare Part D Blogs
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Most Viewed Blogs

2014 Federal Poverty Level Guidelines: 2014-2015 LIS Qualifications and Benefits
The 2014 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 ...

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 ...

WellCare Medicare Plan 2014 & 2015 Pharmacy and Provider Search Tools
The WellCare stand-alone Medicare Part D (PDP) plan pharmacy search tool is available at: https://www.wellcarepdp.com/our_pharmacies/default. The WellCare Medicare Advantage plan pharmacy, service ...

2015 Low-Income Subsidy Benchmark Premium Amounts (includes 2015 - 2006 for comparison)
The Centers for Medicare and Medicaid Services (CMS) released the 2015 low-income premium subsidy amounts (or Benchmark) for Medicare Part D plans on July 31, 2014. The benchmark is the maximum m ...

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. Intravenous, intramuscular, ...

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 ...

Slightly higher Income Related Medicare Adjustment Amounts (IRMAA) in 2015 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 ...

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 ...

Fifty-Four (54) New Generic Equivalents Added to Medicare Part D in May 2014
The most recent (May 2014) Medicare Part D plan formulary data (or drug lists) updates include the addition of 285 new National Drug Codes  (NDC) to the Medicare Part D program.  These repre ...

Newest Blogs

2015 Donut Hole discount example for a $250 brand name medication purchase
Question:  I use a brand name drug that usually costs $250 and has no generic. What will I pay for this medication once I reach the Donut Hole or the Catastrophic Coverage portion of my 2015 ...

2015 Medicare Part D and Medicare Advantage Plans with Consistently Low CMS Quality Ratings
The chart below lists the 2015 Medicare Advantage plans that have received low quality ratings for the last three years, and therefore members may qualify for a Special Enrollment Period (SEP) to ...

2015 Medicare Part D and Medicare Advantage Plans with a CMS 5-Star Quality Rating
The chart below lists the Medicare Part D and Medicare Advantage plans that have a 5-Star CMS quality rating for the plan year 2015.  Click on the Plan ID to see plan details including servi ...

Special Enrollment Period available due to inaccurate pharmacy network information displayed during the 2015 annual Open Enrollment Period
As reported by the National Community Pharmacists Association (NCPA®) , a Special Enrollment Period (SEP) is now available for people who enrolled in a 2015 Medicare Part D prescription drug plan ...

Still waiting for your new or replacement 2015 Medicare Part D prescription drug plan Member ID card?
If you still have not received your new 2015 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 ...

Reminder: the 2015 annual Open Enrollment Period (AEP) ends tonight, Sunday, December 7th at midnight.
During these last few hours of the 2015 Open Enrollment Period, you can join, change, or drop your Medicare Part D or Medicare Advantage plan coverage.   You can also still choose another 2015 ...

When a 2015 Medicare drug plan states a $1 or 20% copay, is that copay the same at all pharmacies and what about cost-sharing prices during the deductible?
The answer depends on your chosen 2015 Medicare plan. Two important factors influence co-payment pricing: (1) whether your Medicare prescription drug plan uses preferred network pharmacy pricing ...

2014 Straddle Claim example for $9,000 medication purchase
Question: I was diagnosed with CML and now using Tasigna (r), a drug with a retail cost of more than $9,000 per month.  My Medicare Part D plan said that the cost of this medication could be ...

Using the Cigna HealthSpring Medicare Part D Pharmacy Provider Search Tool
You can review the Cigna HealthSpring pharmacy network by following: (1) Starting on the Cigna HealthSpring site: http://www.cigna.com/medicare/cigna-healthspring (2) Browse under the Medicare ...

Humana 2015 Medicare Part D Pharmacy and Medicare Advantage Provider Search Tools
You will need to follow only a few steps to get to the Humana Provider and Pharmacy search tools. Humana Provider or Pharmacy Search: First, go to www.humana.com.Directly in the middle, righ ...

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