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Medicare Part D Blog

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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 ...

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 ...

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 ...

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 ...

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 ...

Latest Blog

I have the same Medicare drug plan as I had in 2013, so why am I now paying more for my 2014 prescriptions?
I did not change my Medicare Part D prescription drug plan during the Annual Enrollment Period and have the same Medicare prescription drug plan as in 2013.  But  now one of my prescriptions ...

Still waiting for your new or replacement 2014 Medicare Part D prescription drug plan Member ID card?
If you still have not received your new 2014 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  ...

How Drugs are Organized on the 2014 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- ...

CMS lifts SilverScript Medicare Part D Marketing and Enrollment sanctions
Starting on January 1, 2014, the sanctions imposed on SilverScript Medicare Part D plans have been lifted by the Centers for Medicare and Medicaid Services (CMS) and SilverScript can once again market ...

What is the difference between Preferred Network Pharmacies and Network Pharmacies?
The good news is that both preferred and network pharmacies are included in a Medicare Part D prescription drug plan’s pharmacy network.

However, preferred network pharmacies have lower cost- ...

New Rx$ Feature Showing Formulary Cost-Sharing for Preferred and Non-Preferred Network Pharmacies

Updated for 2014 plans:  We now have a new Medicare Part D prescription cost-sharing feature online at Q1Medicare.com.  For every Medicare plan that includes Medicare prescription drug cov ...

Social Security Press Release: Social Security Announces 1.5 Percent Benefit Increase for 2014
Monthly Social Security and Supplemental Security Income (SSI) benefits for nearly 63 million Americans will increase 1.5 percent in 2014, the Social Security Administration announced today.

The 1. ...

Comparing 2013 and 2014 Medicare Plan Star Ratings
Medicare Advantage plans and Prescription Drug plans can earn a star rating from one to five stars. A 2-star rating means below average performance and a 5-star rating is considered exc ...

Is your Medicare Part D prescription drug plan or Medicare Advantage plan still being offered in 2014?
Each plan year, Medicare Part D and Medicare Advantage plans have the option of not renewing their Medicare contract and their plans can be discontinued across the country or in a specific service are ...

Are you being reassigned to another Medicare Part D plan in 2014?

A number of 2013 Medicare prescription drug plans and Medicare Advantage plans are being consolidated or merged into other Medicare plan in 2014.

If you are currently in one of the 2013 Medicare ...

Health Net 2014 Medicare Part D Pharmacy and Provider Search Tools
The Health Net ProviderSearch can be found at https://www.healthnet.com/portal/providerSearch.action.  Choose how you wish to search and click CONTINUE.  You can take a tour of the ProviderS ...

The PDP-Finder is designed to help you select a Medicare Part D Plan - sorted by Plan Features
Need help finding a Medicare Part D prescription drug plan? Try our Medicare Part D Prescription Drug Plan Finder - PDP-Finder. PDP-Finder helps you search the 2014 Part D prescription drug plans i ...

Humana's 2014 Medicare Part D Pharmacy and Provider Search Tools
Humana does not provide a direct link to their provider search, so you will have to follow the directions below to get to the search tool.

If you have trouble finding the links described below on ...

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 ...

First Health & Coventry Health 2014 Medicare Part D Pharmacy and Provider Search Tools
The Coventry Health Medicare Advantage (MAPD) and First Health stand-alone Medicare Part D (PDP) plan pharmacy search can be found on the Coventry website at: https://coventry.destinationrx.com/PlanCo ...

AARP & United HealthCare 2014 Pharmacy and Provider Search Tools
The AARP Medicare Advantage plan provider (hospitals and doctors) search tool can be found on the United HealthCare website at: https://www.uhcmedicaresolutions.com/health-plans/find-medicare-provider ...

What can you expect from 2014 stand-alone Medicare Part D plans?
Based on the recently released 2014 Medicare Part D prescription drug plan information from the Centers for Medicare and Medicaid Services (CMS), you can expect to find slightly fewer stand-alone (or  ...

There will be fewer stand-alone Medicare Part D prescription drug plan choices in 2014
According to the 2014 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 pl ...

Which drugs will fall under the 14-day supply rules in nursing homes and will I have to pay multiple copays?
First a bit of history, under Section 3310 of the Affordable Care Act of 2010, CMS will require 14-day-or-less dispensing specifically for solid oral doses of brand name drugs. CMS will not require th ...

Find discounted prescription drugs at local retailers with the RxSavings-Center
Although most people are well aware of the discount drug programs offered by national or regional retailers, they don't have an easy way to compare the programs and determine where they should make th ...

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