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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 Part D Special Enrollment Periods (SEP)
In certain situations, people with Medicare may be eligible for a Special Enrollment Period (SEP) to join a plan that provides Medicare prescription drug coverage, or switch to a different plan. A Spe ...

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 ...

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 ...

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 ...

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 ...

WellCare Medicare Plan 2014 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 ...

CMS Tip Sheet - Calculating the Late Enrollment Penalty (2014 Revision)
What is the Part D late enrollment penalty? The late enrollment penalty is an amount that is added to a person’s Part D premium. A person enrolled in a Medicare drug plan may owe a late enrol ...

Newest Blogs

About 70% of Medicare Part D beneficiaries can expect higher monthly 2015 Medicare Part D prescription drug plan premiums
Based on the current 2014 Medicare Part D plan enrollment, we can determine that around 70% of seniors and other Medicare beneficiaries can expect to see an increase in their monthly 2015 Medicare P ...

Monthly 2015 Medicare Part D Premiums: The Highs and Lows
The Humana Walmart Rx plan will continue to be the lowest premium plan in most states with a monthly premium of about $15.60 (up $3 from 2014). The exception is New Mexico where the SilverScript Choic ...

2015 California Medicare Part D plans qualifying for the full-LIS $0 premium
Six (6) stand-alone 2015 Medicare Part D prescription drug plans (or PDPs) qualify as full Low-Income Subsidy (LIS) $0 premium benchmark plans in California.  Nine Medicare Part D plans also qual ...

A number of 2014 stand-alone Medicare Part D plans are no longer available (or being re-named) in 2015
As was true in past years, some Medicare Part D prescription drug plans will not be available in 2015.If you are enrolled in a Medicare Part D plan (or Medicare Advantage plan) that is not being of ...

Most 2015 Medicare Part D Plans Will Have an Initial Deductible
The standard or model 2015 Medicare Part D plan includes a $320 initial deductible; as compared to the $310 initial deductible in 2014 Medicare Part D plans.  However, although most 2015 Part D ...

Medicare Part D Low-Income Subsidy (LIS) recipients still will have some $0 premium qualifying Part D plan choices for 2015
Extra Help or the Low-Income Subsidy (LIS) is a federal program helping low-income Medicare beneficiaries pay a portion of their Medicare Part D prescription drug costs.  Based on a person’ ...

There will be fewer stand-alone Medicare Part D prescription drug plan choices in 2015
According to the 2015 Centers for Medicare and Medicaid Services (CMS) Medicare Part D landscape data, Medicare beneficiaries will have slightly fewer stand-alone Medicare Part D prescription drug pla ...

Who pays the 2015 Donut Hole discount and how does the discount count toward getting out of the 2015 Coverage Gap?
The 2015 Donut Hole discount will increase to 55% for all brand-name medications purchased while in the Donut Hole (you pay 45% of the retail cost and get 95% of the retail price credited toward you ...

What determines when you exit the Donut Hole portion of your Medicare Part D prescription drug plan, retail drug cost or your actual cost?
You exit the Donut Hole portion of your 2014 Medicare Part D prescription drug plan and enter into your plan's Catastrophic Coverage phase when your out-of-pocket costs reach $4,550 (or $4,700 in ...

How does the 2014 Doughnut Hole work if you have a Medicare Advantage plan?
If your 2014 Medicare Advantage plan includes prescription drug coverage, then the Donut Hole portion of your coverage works just like a stand-alone Medicare Part D prescription drug plan (or PDP). ...

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