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Medicare Part D Blog

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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 ...

2014 Low-Income Subsidy Benchmark Premium Amounts (includes 2014 - 2006 for comparison)
The Centers for Medicare and Medicaid Services (CMS) has released the 2014 low-income premium subsidy amounts (or Benchmark) for Medicare Part D plans on August, 7, 2013.  This is the maximum mon ...

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 ...

Changes in 2012 Original Medicare Part A, Medicare Part B Premiums & IRMAA
Social Security Benefits Increase and Medicare Part B Premiums Increase for Most People: This week, the Social Security Administration announced a 3.6% increase in 2012 Social Security benefits &ndash ...

2013 Income Related Medicare Adjustment Amounts (IRMAA) Remain Near Constant
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 ...

2012 Federal Poverty Level Guidelines: 2012-2013 LIS Qualifications and Benefits
The 2012 Federal Poverty Level (FPL) Guidelines determine the income level requirements for people applying for the Low Income Subsidy (LIS) program. If your income is below 135% of the FPL ($15,079.5 ...

What are Bonus Drugs and how do they work with my Medicare Part D prescription drugplan?
Is it possible to have certain prescription drugs that are covered under my Medicare Part D prescription drug plan when these same medications are actually excluded from the Medicare Part D program? ...

CMS Tip Sheet - Calculating the Late Enrollment Penalty (2009 Revision)
What is the Part D late enrollment penalty? People who don’t join a Medicare drug plan when they are first eligible for Medicare Part A (Hospital Insurance) and/or Medicare Part B (Medical In ...

Newest Blogs


Is the retail drug price the same on every 2014 Medicare Part D plan?
No. The negotiated retail drug price for each medication may differ:from Medicare Part D plan to plan,from pharmacy to pharmacy for the same Medicare Part D plan, andpricing may also be different f ...

I have already reached my Medicare drug plan's Initial Coverage Limit of $2,850 and entered the 2014 Donut Hole, so do I now pay the difference between the $4,550 out-of-pocket limit and my plan's $2,850 initial coverage limit before exiting the Donut Hole?
Not exactly. You will stay in the 2014 Donut Hole until your total out-of-pocket spending (not including monthly plan premiums) exceeds the $4,550 threshold - less any brand-name drug discounts yo ...

Can you please explain the 2014 Medicare Part D Gap or Donut Hole?
The Coverage Gap or Donut Hole is actually similar to a second deductible in an insurance policy where you are, once again responsible for your own coverage (or a portion of your own coverage due to ...

How much money could I possibly save with the 2015 Donut Hole Discount?
About $2,153.68 - maybe even a little more depending on your Medicare Part D plan. Your actual savings in the 2015 Donut Hole will depend on several things including: (1) how much you spent persona ...

If I reach the 2014 Coverage Gap and get a 52.5% Donut Hole discount, how much of my purchase counts toward exiting the Donut Hole?
If you are in the 2014 Donut Hole, 97.5% of your brand-name drug's retail cost counts toward exiting the Donut Hole. As is true since 2011, if you exceed your Medicare Part D prescription drug pl ...

Reminder: Special Enrollment Period for Members of Florida Physicians United Plan, Inc. (PUP) Medicare Advantage Plans
Important: If you are enrolled in a Physicians United Plan, Inc. (PUP) Medicare Advantage plan, and want Medicare Advantage plan coverage starting July 1st, you will need to enroll into anothe ...

2015 Low-Income Subsidy Benchmark Premium Amounts (includes 2015 - 2006 for comparison)
The Centers for Medicare and Medicaid Services (CMS) will release the 2015 low-income premium subsidy amounts (or Benchmark) for Medicare Part D plans in early August, 2014. The benchmark is the ...

Preparing for Summer 2014: Protect yourself against sun, heat, and humidity
Although Summer 2014 officially starts this Saturday, June 21st, many areas across the country are already experiencing high temperatures and we wanted to remind everyone to take precautions against t ...

Is the 2015 Medicare plan information already available this summer?
Question: My insurance agent said the 2015 Medicare plan changes will available by the end of June, but your site says the 2015 information will be released late-September.  Is the 2015 Medicare ...

May 2014 Medicare Part D drug plan formulary updates are now online
The May 2014 Medicare Part D prescription drug data is now online and includes the addition of 285 national drug codes representing 170 different prescription medications, many with multiple strength ...




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