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I have Medicare and live in a nursing home or other institution
- If you move into or move out of a nursing home or other institution, you can switch Medicare drug plans at that time. You can switch Medicare drug plans at any time while you are living in the institution.
- If you aren’t able to join on your own, your authorized representative can enroll you in a plan that meets your needs.
- If you are in a skilled nursing facility getting Medicare-covered skilled nursing care, your prescriptions generally will be covered by Medicare Part A (Hospital Insurance).
If you live in a nursing home or other institution, you will get your covered prescriptions from a long-term care pharmacy that works with your plan. This long-term care pharmacy usually contracts with (or is owned and operated by) your institution.
Medicare automatically enrolls people with both Medicare and full Medicaid coverage living in institutions into Medicare Prescription Drug Plans. If you live in a nursing home and have full Medicaid coverage, you pay nothing for your covered prescriptions after Medicaid has paid for your stay for at least 1 full calendar month.
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Note: Institutions don’t include assisted living or adult living facilities or residential homes, or any kind of nursing home not identified by Medicare.
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(Primary Source: Centers for Medicare and Medicaid Services - Your Guide to Medicare Prescription Drug Coverage 2008. This content may have been added upon by Q1Group LLC to include further examples, explanations, and links.)
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Last updated on: 10/14/2012
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