Closing the Coverage Gap | [ All FAQs In This Category ] |
| • What exactly is TrOOP or True Out of Pocket costs? |
| • What kind of discount can we expect in the Doughnut Hole? |
| • Will the Coverage Gap or Donut Hole eventually close? |
| • Will all Generic drugs get the Coverage Gap discount or only generics drugs in Tier 1 or the lowest formulary tier? |
| • Will generic "Bonus Drugs" and generic drugs excluded by Medicare also receive the 7% Coverage Gap discount? |
| • I have a Medicare Part D plan that provides coverage for some generics while I am in the Coverage Gap, will this same Doughnut Hole coverage apply to all generics in 2011? |
| • Since all 2011 Medicare Part D plans will now have a 7% Coverage Gap discount for generics, will there no longer be plans with a Coverage Gap description of “No Gap Coverage”? |
| • If I go into the 2011 Coverage Gap, will my Doughnut Hole discount be deducted at the pharmacy or will I get a refund from my Part D plan? |
| • Who is really paying for the discount on drugs purchased in the Coverage Gap? |
| • Will the Coverage Gap discount program affect which brand drugs are offered under Medicare Part D? |
| • Which brand name prescription drugs are eligible for the 2011 Coverage Gap or Donut Hole discount? |
| • Does everyone receive a discount in the Coverage Gap? |
| • I have a PACE plan, will I get the discount on brand-name drugs purchased in the Coverage Gap? |
• Will monthly Medicare Part D premiums increase due to the manufacturer’s discount on brand-name drugs purchased in the Coverage Gap?
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| • Can you provide an example of the 2011 Donut Hole Discount? |
| • My current prescription drug retail cost are $230 per month. What will be my discount in the Doughnut Hole? |
| • For 2011 you indicate that the full retail cost of drugs while in the donut hole will apply to the amount required to get out for name brands even though I'm only paying 50%. I talked directly with Medicare and they said I will still have the same out of pocket requirements, i.e. it'll just essentially take me twice as long. Can you clarify? |
| • How much do I have to pay for generics in the donut hole in 2011, 2012, 2013,2014, 2015, etc. until it reaches 25% |
| • Does the Donut Hole Discount apply to a retail drug purchase that straddles my Medicare Part D plan's Initial Coverage phase and the Coverage Gap or Donut Hole phase? In other words, does the Donut Hole discount apply to a Straddle Claim? |
• I use one expensive medication that cost almost $2000 a month and I have already reached my Doughnut Hole for this year. I asked my pharmacist about the new discount program and he did not seem to know anything about it. So will I still receive this 50% discount on my refills while I am in the doughnut hole or do I need to find another pharmacy?
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• I use a brand name drug, but it is not covered by my Medicare Part D plan. Will the 50% discount on brand-name drugs still apply to this drug when I am in the Donut Hole?
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• I am enrolled in a Medicare Part D plan and just entered the Donut hole. Now my Medicare drug plan said that I couldn’t get a 50% discount on one of my formulary medications because it was not on the list of eligible drugs. How can that be?
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• If I purchase one of my prescription medications and the total cost of this one drug takes my annual cost over my Medicare plan's coverage limit and into the Donut Hole, will I pay the copay for my drug plus 50% of the cost that is over the coverage limit?
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| • How much money could I possibly save with the 2011 Donut Hole Discount? |
| • What do I pay when the purchase of my medications moves me from my regular coverage into the Donut Hole? Do I get coverage from my plan or do I receive the Donut Hole Discount? |
| • I just joined a Medicare Part D plan and I am now trying to figure out when I will go in the donut hole. At this time, I pay 33% for my brand name medication that normally costs about $1800 a month. After I go into the Donut Hole will the $1800 retail cost go toward my out of pocket costs or TrOOP - or will I only get a credit for my 50% discount or $900? |
General Medicare Part D | [ All FAQs In This Category ] |
| • How can I get financial "extra help" with my medication or Medicare Part D prescription drug costs? |
| • What happens after the Out of Pocket Threshold or True Out of Pocket Cost or TrOOP limit (in 2006 = $3600 and up to $4,350 in 2009) has been met? |
| • Is anybody doing something about coverage for Niaspan? |
| • What is Cost Sharing in Medicare Part D? |
| • What is the Deductible in the Medicare Part D Plans? |
| • What is a Demonstration/Pilot Program in Medicare Part D? |
| • What is an Employer or Union Retiree Plan as defined in Medicare Part D? |
| • What is a Formulary in the Medicare Part D Plans? |
| • What is Gap Coverage according to the Medicare Part D Plans? |
| • What is a Generic Drug? |
| • If I Qualify for Extra Help, will My Full Premium be Covered? |
| • What is a Medicare Advantage Plan? |
| • What is a Medicare Cost Plan in Medicare Part D? |
| • What is a Medicare Health Plan and how does it compare to a Medicare Advantage Plan? |
| • What is a Medicare Medical Savings Account (MSA) Plan? |
| • What is a Medicare Prescription Drug Plan? |
| • What is a Medicare Savings Program? |
| • What is a Medicare Advantage Special Needs Plan (SNP) and can anyone join a SNP? |
| • What is the Monthly Premium in Medicare Part D? |
| • What is a Non-preferred pharmacy in Medicare Part D? |
| • What is an Original Medicare Plan? |
| • What are PACE (Programs of All-inclusive Care for the Elderly) Programs? |
| • What is Part A (Hospital Insurance)? |
| • What is Part B (Medical Insurance)? |
| • What is a Plan Name in Medicare Part D? |
| • What is a Preferred Pharmacy in Medicare Part D? |
| • What is a Prior Authorization in Medicare Part D? |
| • What is a Qualified Medicare Beneficiary (QMB) in Medicare Part D? |
| • What is a Quantity Limitation in Medicare Part D? |
| • What is a Specified Low - Income Medicare Beneficiary (or SLMB)? |
| • What is Step Therapy in Medicare Part D? |
| • What are Tiers in Medicare Part D? |
| • Is Medicare and Humana the same thing? Do they both have the same benefits? Does Humana pay more for medication that maybe Medicare? Please explain. |
| • What is Medicare Prescription Drug Coverage? |
| • Will the drugs covered by Medicare drug plans meet the needs of both seniors and people with disabilities? |
| • Do people who sell Medicare drug plans have to be licensed insurance agents? |
| • How many companies will be offering a Medicare Part D prescription drug plans on a national basis? |
| • What are the CMS Medicare Part D prescription drug plan regions? |
| • What is Public Law No: 110-275 - Medicare Improvements for Patients and Providers Act of 2008 or MIPPA? |
| • Where can I get a Medical Power of Attorney form? |
| • What are the United States territories that are also covered by Medicare Part D prescription drug plans? Is there a way to see the Medicare Part D plans offered in these U.S. Territories? |
| • Medicare Part D? What is it? How do I do to get it? Who pays for it? How do I enroll? |
| • What is meant by the abbreviations: EA BA DS AE in the plan benefit type? |
| • My COBRA ends on 4/15 whereas Part D plans begin on the first of the month. When should I enroll? |
Medicare Advantage Plans | [ All FAQs In This Category ] |
| • What is a Medicare Advantage Plan? |
| • What is a Medicare Health Plan and how does it compare to a Medicare Advantage Plan? |
| • What is a Medicare Medical Savings Account (MSA) Plan? |
| • What is a Medicare Advantage Special Needs Plan (SNP) and can anyone join a SNP? |
| • What is a Preferred Provider Organization (PPO) Medicare Advantage Plan? |
| • What is a Private Fee-for-Service Plan (PFFS) in Medicare Part D? |
| • Can an insurance company drop you from their Medicare Advantage Plan or can you continue on it indefinitely? |
| • Is there really any difference between a Medicare Part D Prescription Drug Plan and a Medicare Advantage Plan? |
| • Will I lose my original Medicare Part A and Part B coverage if I enroll in Medicare Advantage Plan? |
| • What is an HMO POS Medicare Advantage Plan? |
| • Can anyone join a Medicare Advantage Plan? |
| • What is a Health Maintenance Organization (HMO) Medicare Advantage Plan? |
| • Are Medicare Advantage Plans the same as Medicare Supplements? |
| • If I am not happy in my Medicare Advantage plan, can I go back to my Original Medicare Part A and Part B or my old Medicare Supplement coverage? |
| • I already have a Medicare Supplement Plan, can I also enroll in a Medicare Advantage Plan? |
| • Are all Medicare Advantage Plans pretty much the same? |
| • Is a Medicare Advantage plan the best choice for most people? |
| • Can we find more information about Medicare Advantage plans on the Q1Medicare.com site? |
| • What are Coordinated Care Plans? |
Before Enrolling in a Medicare Prescription Drug Plan | [ All FAQs In This Category ] |
| • I am trying to select a new Medicare Part D Plan and I need help! How do you choose a Medicare Part D plan? |
• Do most of the major providers have plans for individuals that also are low income and have a secondary medical plan of medicaid?
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• I have chosen a plan, but I am waiting on info package. However, I need to find out what medications are on Tier One or Two would match one I'm on in Tier three. My doctor is willing to work with me, but neither of us know where to look.
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| • I am comparing plans for WA state. What is the email address or site for Humana Inc.? |
| • It is my understanding that I need to give you the names of the drugs my husband and I take to find out if you would provide us with the insurance we need. Is this so, or do I need to wait until I receive your application and return that and wait to see if we are approved. |
• What will my drugs cost in the donut hole? Negotiated price of insurer or retail price? How can I find out my cost of drugs in the donut hole?
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• I am covered under Humana Gold Choice for my part D prescription coverage. I would like to know what exact coverage I have.
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| • I plan to enroll in a Part D program sometime in May to avoid the higher premium. My question is will there be any additional cost if I just add the Plan D to my existing plan |
| • I have a friend that applied for extra help and recieved her letter that she qualified. She also appied for a Unicare premier part D plan. Now the pharmacy says she has to pay $10 and $30 copay. Unicare is telling her that because she qualifies for extra help that she has to apply for a value plan. Is this true? What should she do now? |
| • I AM ON DISB, AND SSI SO WHY IS IT THAT IT IS ALL DIFF NOW TELL ME HOW I CAN GET ALL THE SAME STUFF I HAD BEFORE AND NOT ALL THIS RUNNING AROUND SHIT |
| • I live in New Jersey during the summer and in Florida in the winter. Do I need to purchase two plans? |
| • How does this work. I see now that I have to choose a plan. Does SS take money out of my account for this ? What is the cost of the plans? Are you charged whether you use it or not. I called mecicare 3 times and in the middle of everything it just hung up on me. |
• My garandmother is on a fixed income, $700.00 to be exact! and thats a month, all together for the year she spends $200 annually for her perscription drugs! Now shes going to be spending that a month from what we see and she wont make it!! Unless you could help us with finding the right company! she cannot afford that much! let me list what she takes,,, actonel, lorel, zocor, diavan! HELP!!!!!!! Thank you!
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• I would like to know if a list exists which shows company, pdp plan name, bin, PCN, Group #, phone on it?
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• I need to be enrolled into a rx plan. I am disabled and have Hospital part A and Medical part B. Does Highmark Security( medco )blue have a rx plan for me
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| • Please clearly explain the cost of the prescripts they will use for the out of pocket expense. If the plan they choose has a co-pay or deductable that cost to the individual will be what they use for the out of pocket expense correct? I have an indivual confused thinking that what the origainal cost of the drug is, is what they consider the cost, which is going to put the indivual in the gap period quickly depending on prescripts. |
| • Can I have a medicare supplement plus medicare prt d and what would the premium cost. |
| • What are the Humana co-pays for meds? Is there a way to get a 90 day supply? |
| • What is Co-Payment or Co-Pay? |
| • What is Co-Insurance? |
| • I turn 65 on September and will not have Medicare until that month. So when do I register for Part D. |
| • Where can I find the formulary for the Coventry AdvantraRX plans? |
| • Where can I download a copy of the Humana Formulary |
| • I am on Medicare part A and B. My wife works and we have prescription drug insurance through her present employer. What do I have to do? Will I be able to get on Medicare Part D if she retires in a few years or looses her job? |
| • I presently receive my prescriptions from the Veterans Administration (VA) - how does the prescription drug coverage from the VA work with the Medicare Part D plans? |
| • What is the contact information for the YOURx Medicare Part D plans? |
| • What is the contact information for the SierraRx Prescription Drug Plans. |
| • What is the contact information for the Advantage Star Plan - Medicare Part D Prescription Drug Plan? |
| • How do I contact AmeriHealth Advantage Medicare Part D Prescription Drug Plans? |
| • What actually is the Annual Deductible? |
| • What is the Approval Status of a Presciption Drug Plan? |
| • What is the meaning behind Cobrands or Cobranding Medicare Part D Plans? |
| • What is Coinsurance for the Medicare Part D Plans? |
| • What is a Copayment in the Medicare Part D Plans? |
| • Is it true that the WellCare Signature plan has a $0 deductible and a $0 generic drug co-pay? |
| • Do any Medicare Part D plans ever cover extended drugs beyond the normal Medicare Part D formulary? |
| • I joined [a Medicare Part D plan] in May 2006. Will my new year start in may 2007 or january 2007 |
| • When selecting a Medicare Part D plan for this year, is choosing the cheapest plan better (that is, choosing a plan with the lowest cost monthly premium)? |
| • Where can I get additional help with choosing a Medicare Part D plan? |
| • What other information should I (or can I) consider when choosing a Medicare Part D plan? |
| • Is there someone to help me choose a Medicare prescription drug plan? |
| • Can I use my regional drug plan all over the country? |
| • Do I have to join a Medicare drug plan? |
| • What are the out-of-pocket costs for Medicare prescription drug coverage? |
| • Should I join a Medicare drug plan even if I don't take many prescription drugs? |
| • Will my drugs be covered? |
| • What do I need to know if I have drug coverage from TRICARE, the Department of Veteran's Affairs (VA), or the Federal Employee Health Benefits Program (FEHB)? |
| • Where can I get a Medical Power of Attorney form? |
| • Does prescription drug coverage under a Medigap (or Medicare Supplement) plan H, I or J qualify as “creditable coverage” for purposes of avoiding the Medicare Part D late enrollment premium penalty? |
| • What is the Initial Coverage Limit or drug cost ceiling before going into the donut hole or coverage gap? The limit seems to vary between Medicare Part D plan providers. |
| • Medicare Part D? What is it? How do I do to get it? Who pays for it? How do I enroll? |
| • I would like to enroll in a Cigna Medicare Part D prescription drug plan or Cigna Medicare Rx plan. Is there a pre-enrollment disclaimer that I can review before enrolling? |
| • If I enroll in a Medicare prescription drug plan that has an initial deductible, will it have any impact on when I go into, or out, of the Doughnut Hole or Coverage Gap? |
| • Who actually calculates the amount of my late-enrollment penalty? |
• I am considering changing my prescription drug coverage to the Humana Walmart-Preferred Rx Plan and I was wondering if I can only go to Walmart for my prescriptions?
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| • What do the Medicare plan ratings measure? |
Medicare Part D Enrollment | [ All FAQs In This Category ] |
| • How do I enroll in a Medicare Part D plan? |
| • How do I contact WellCare about my Medicare Part D enrollment? |
| • I enrolled into a Medicare Part D prescription drug a few weeks ago and I still have not heard anything from my new plan! How long will it take before I receive any information from the Medicare plan? |
| • I live in Alabama, do you offer Medicare Part D plans for me? |
| • I live in Alaska, do you offer Medicare Part D plans for me? |
| • Do you offer Medicare Part D plans in Arizona? |
| • Do you offer Medicare Part D plans in Arkansas? |
| • Do you offer Medicare Part D plans in California? |
| • Do you offer Medicare Part D plans in Colorado? |
| • Do you offer Medicare Part D plans in Delaware? |
| • Do you offer Medicare Part D plans in Florida? |
| • Do you offer Medicare Part D plans for Georgia? |
| • Do you offer Medicare Part D plans for Hawaii? |
| • Do you offer Medicare Part D plans for Illinois? |
| • Do you offer Medicare Part D plans for Indiana? |
| • Do you offer Medicare Part D plans for Iowa? |
| • Do you offer Medicare Part D plans for Kansas? |
| • Do you offer Medicare Part D plans for Kentucky? |
| • Do you offer Medicare Part D plans for Louisiana? |
| • Do you offer Medicare Part D plans for Maine? |
| • Do you offer Medicare Part D plans for Maryland? |
| • Do you offer Medicare Part D plans for Michigan? |
| • Do you offer Medicare Part D plans for Minnesota? |
| • Do you offer Medicare Part D plans for Missouri? |
| • Do you offer Medicare Part D plans for Nebraska? |
| • Do you offer Medicare Part D plans for Nevada? |
| • Do you offer Medicare Part D plans for New Mexico? |
| • Do you offer Medicare Part D plans for New York? |
| • Do you offer Medicare Part D plans for Ohio? |
| • Do you offer Medicare Part D plans for Oklahoma? |
| • Do you offer Medicare Part D plans for Oregon? |
| • Do you offer Medicare Part D plans for Utah? |
| • Do you offer Medicare Part D plans for Tennessee? |
| • Do you offer Medicare Part D plans for Vermont? |
| • Do you offer Medicare Part D plans for Virginia? |
| • Do you offer Medicare Part D plans for Wisconsin? |
| • Do you offer Medicare Part D plans for Wyoming? |
| • Do you offer Medicare Part D plans for Massachusetts? |
| • Do you offer Medicare Part D plans for Connecticut? |
| • Do you offer Medicare Part D plans for Montana? |
| • Do you offer Medicare Part D plans for Idaho? |
| • Do you offer Medicare Part D plans for Mississippi? |
| • Do you offer Medicare Part D plans for New Jersey? |
| • Do you offer Medicare Part D plans for North Carolina? |
| • Do you offer Medicare Part D plans for South Carolina? |
| • Do you offer Medicare Part D plans for North Dakota? |
| • Do you offer Medicare Part D plans for South Dakota? |
| • Do you offer Medicare Part D plans for Pennsylvania? |
| • Do you offer Medicare Part D plans for Rhode Island? |
| • Do you offer Medicare Part D plans for Texas? |
| • Do you offer Medicare Part D plans for Washington? |
| • Do you offer Medicare Part D plans for Washington, DC? |
| • Do you offer Medicare Part D plans for West Virginia? |
| • If I have a disability and receive Medicare benefits before reaching 65, can I also sign up for a Medicare Part D prescription drug plan at the same time? What if I decide NOT to join a Part D plan, do I pay a penalty if I decide to join a Part D plan later? |
| • When can I join a Medicare drug plan? |
| • What do I need to know if I have the Original Medicare Plan (Medicare Part A and Part B) and I don't have prescription drug coverage? |
| • How will my TRICARE coverage work with my Medicare prescription drug plan? |
| • How will my Federal Employee Health Benefits (FEHB) work with my Medicare prescription drug coverage? |
| • What should I do if I have drug coverage through an employer or union and will also get the extra help with my drug costs? |
| • Where can I get a Medical Power of Attorney form? |
| • I am a recent State of Georgia retiree. I had United HealthCare medical coverage and need to select a Part D plan. I would like to stay with United HealthCare. What are my options? |
| • What are the Annual Enrollment Period dates? |
| • When I enroll in a new Medicare Part D prescription drug plan, do I need to dis-enroll from my old Medicare Part D plan or do I need to notify the current prescription drug plan about the change? |
| • I enrolled in a new Medicare Part D plan during the Annual Enrollment Period, then, after speaking with some other people, I changed my mind and enrolled in Medicare Advantage plan that also include prescription drug coverage. What happens if I enrolled in more than one Medicare plan during the enrollment period? |
| • What is the Initial Coverage Limit or drug cost ceiling before going into the donut hole or coverage gap? The limit seems to vary between Medicare Part D plan providers. |
| • Should I send a monthly payment in with my Medicare Part D enrollment form? |
| • I noticed that there are many different ways to pay our monthly Medicare Part D premiums. Is there one way to pay that is better than the others? |
| • I didn’t enroll in a Medicare Part D plan when I was first eligible, how will I calculate my Part D premium penalty? |
| • Last year, my Part D prescription drug coverage was delayed because of a problem with my enrollment application. How can I avoid this problem this year? |
| • I just selected a Medicare Part D plan and now the CMS Part D plan ratings are online. Are the Plan ratings really important? |
| • Do any companies offer a non deductible and no pay in the donut hole? In the beginning of he Part D program they did for a higher premium then it was stopped. |
| • I am enrolling in a new Medicare Part D plan for next year. I still have enough of a 90 day prescription left from my old company plan to last me until February. Can I make my part D plan effective beginning February 1 to save the cost of the January Part D premium? |
| • I would like to enroll in a Cigna Medicare Part D prescription drug plan or Cigna Medicare Rx plan. Is there a pre-enrollment disclaimer that I can review before enrolling? |
| • I do not use any medicatons at this time, so if I decide not to enroll in a Medicare Part D prescription drug plan next year does that prevent me from enrolling in future years? |
| • My COBRA ends on 4/15 whereas Part D plans begin on the first of the month. When should I enroll? |
Medicare Enrollment Periods | [ All FAQs In This Category ] |
| • I will turn 65 in February. When should I enroll in Medicare? |
Special Enrollment Periods (or SEPs) | [ All FAQs In This Category ] |
| • Where can I learn about which special enrollment periods are available |
| • Is there any danger if I use the 5-star Special Enrollment Period? |
Switching Medicare Part D Plans | [ All FAQs In This Category ] |
| • How can I change the plan I have selected? What is the procedure??? |
| • I have signed up and been accepted in a plan. Since then I have found another plan that is a lot cheaper can I drop the plan I have have signed up with? |
| • i disenrolled from my Humana Medicare Part D Olan in error by phone a couple days ago and i wish to stay enrolled in my plan. |
| • How do I cancell (dis-enroll) from my plan? |
| • How do I know if I have enrolled in the most cost-effective plan? |
| • I moved to a different state (in another Part D Region) where my original plan offers no coverage (it was a local plan in my former state). I am now forced to change Part D plans - how do I avoid a premium penalty increase with the new plan? |
| • When selecting a Medicare Part D plan for this year, is choosing the cheapest plan better (that is, choosing a plan with the lowest cost monthly premium)? |
| • I want to know if if there are any [Medicare Part D] plans that pay for all drugs through the donut hole or coverage gap? A few years ago, I found a plan with complete donut hole coverage and hope there will be some new plans in the future. |
| • What happens if I have automatic premium deduction from my Social Security benefit and I switch to a different Medicare drug plan later? Will the automatic premium deduction carry over to my new drug plan? |
| • What happens if I change plans and request automatic premium deductions from my Social Security benefits for my new plan, but the premium deduction from my previous plan doesn't stop? |
| • How soon will I get a refund of any premiums that are withheld for my current plan after I enroll in a new plan? Who will the refund come from? |
| • When and how often can I switch my Medicare drug plan? |
| • I wish to cancel my Medicare Part D prescription drug plan coverage. What should I do? |
| • If I am in the coverage gap and I move and have to switch part d plans, will I be in the coverage gap in the new plan or start all over? |
| • How is a person's previous prescription drug spending (or True Out of Pocket costs - TrOOP) affected if a Medicare Part D beneficiary switches Medicare Part D prescription drug plans? In other words, if you move to another Part D plan, do you start again from the beginning of the Part D plan? |
| • I want to switch plans for next year. Do I have to contact my old plan? |
| • Why did the monthly premium of my Medicare prescription drug plan almost double? |
| • Will I lose my original Medicare Part A and Part B coverage if I enroll in Medicare Advantage Plan? |
| • How do you disenroll from a Cigna Medicare Rx plan or Medicare Part D prescription drug plan? |
Living with your Medicare Plan | [ All FAQs In This Category ] |
| • How do I find out if my Humana Medicare Part D plan is active? |
| • I was entered into the wrong plan! I was about to use my Humana card and was told that it has the wrong code for my County. My number is CMS S5884 016. My wife's Plan number is the same except hers ends with 010. |
| • A recorded msg said plan d payment book would be here mid-jan but nothing has arrived. what is monthly/annual payment? where do i send it? help pls. |
| • Please advise what pharmacies Humana honors. |
| • I am a new blue medicare Rx Value menber under your new plan for prescription drug plan. how much do i have to pay out of my pocket & were do i go fo my prescription to be fill. |
• Can you inform me of any type of mail order program for medications for which a three months supply can be ordered in order to save money? If so please email me along with the instructions and list of medications available to this program. Thank you
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| • I need the Humana form to order prescriptions by mail. |
| • Where do I get a list of the number of pills I can get at one time under the Humana plans |
| • I received my ID membership. My membership was to become effective on June 1, 06 not 01/01/06 My Agent doesn't understand it either. Secondly, He also mentioned that HUMANA does not have Copayment authority here in Rhode Island. My monthly premium should be around $7.00 in change. |
| • I received my card and my last name is mis-spelled. My pharmacy won't fill my prescription because my name is spelled wrong. |
| • I'm a home health nurse evaluator for home health agency and would like to know if medicare part D will begin to cover home Iv infusion therapy or will it vary from plan to plan? Please advise. |
• I need to know exactly what you need from the doctor for me to get my Forteo prescription filled.
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• I accidently shredded my new card with some other stuff. I need a replacement card. I do not know the number cause it was not listed anywhere else that I know of. HELP
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• I enrolled in the new Medicare Drug Plan on 12-19-05. I have not received and insurance card or a letter with a pin number. i have a confrimation number from RX Rewards. How can I get a card or a letter. I have tried to call 1-800-928-6201 and can never get thru can you help?
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| • i enrolled on the internet in the medicare part d, Advantage Freedom Plan. they did not send me a letter acknowledging me as being enrolled. i need their phone # and i can't find the information or the web page. i need an answer back right away thank you |
| • How can I check my enrollment status under the Humana plans? |
| • How can I file a claim under the Humana Plans? |
| • where can I find what my co-pay is on the Humana plans in Arizona. |
• I signed up for a part D drug plan- Blue MedicareRX in December but I have not recieved my card. I am not sure who to contact.
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| • How can I check to see if my Aetna plan is active? |
| • How can the Pharmacy see if my Humana plan is active? |
| • How do I get a Letter of Coverage from Humana |
| • How do I create an online account on the Humana website. |
| • How can I change my Humana payment option? |
| • I enrolled in December 2005 for a February 2006 effective date. Why did I receive a card with a January 2006 effective date? |
| • How do I get a prior authorization form for Humana? |
| • What happens after the Out of Pocket Threshold or True Out of Pocket Cost or TrOOP limit (in 2006 = $3600 and up to $4,350 in 2009) has been met? |
| • I went to the pharmacy and they charged full price for my medicaitons instead of the Humana $30 co-pay, why? |
| • I am having trouble accesssing myHumana. Now I can't find the website! |
| • How do I contact Humana when I have a question about my Medicare Part D plan? |
| • My name is mis-spelled or incorrect on my Humana Medicare Part D ID card - how do I get this corrected? |
| • How do I change the method of payment for my Humana Medicare Part D plan? |
| • I enrollled in the wrong Humana Medicare Part D plan - I wanted the Enhanced plan, but signed up for the Standard Plan. |
| • I enrolled in a Humana Medicare Part D plan, but I was charged the full or wrong price for my Medication! How do I get reimbursed for my out of pocket expenses? |
| • I received a phone message from Humana saying that they will deduct Jan, Feb & Mar payments from my social security check in March. This is not what I wanted, what do I do? |
| • How do I contact Humana about my Medicare Part D plan? |
| • Is Niaspan covered by the Humana (or any other) Prescription Drug plans? |
| • What is the procedure for getting medications by mail on the AdvantraRx plans? |
| • How do I contact Humana? |
| • How do I learn more about WellCare's Coverage Determination or Drug Evaluation Reviews or formulary Exception Requests. |
| • Help. I signed up for AARP's RX plan and then changed my payment plan in April 06 from the auto-deduction method from my Social Security Check - but the payment methof changed to both Social Security Deduction and checking account deduction. Fed up in May, I changed the payment method to coupon payment method - cancelling the deduction from my SS check and from my checking account. As of June, the AARP RX plan is still grabbing money from my SS check, as well as from my checking account. What to do??? |
| • My father has lost his Humana Prescription Drug Plan card. how do I go about getting him a replacement card? Thank you! |
• I enrolled online for medicare Part D and received my letter saying they were deducting $50 out of my Social Security checks. I wanted a plan to help me pay for my glasses.
I need glasses. My brother is on medicare and they paid almost all of his glasses. I don't want part D if they can't help me get my glasses cheaper. I need a good ins. plan that can help me with my glasses. If part D doesn't help then please cancel my part D. |
| • If I combine my Norvasc and Lipitor prescriptions to Caduet will it cost me less ? |
| • How do I contact AdvantraRx? |
• What happens if I drop my present Part D plan because of insuficient use. Then, what happens if I were to reenroll at a later date (possiblly in 3 or 4 years?). Niether my Wife nor myself have even come close to the $250.00 initial deductible (even when considered together) - so the Part D plan seems a waste of money at this point.
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| • Is Ambien covered by any carrier??? |
| • Where can I get the forms needed for Humana's RightSource 90 day supply? |
| • Does my Medicare Part D plan also provide Silve Sneakers coverage? I want to join a work out program but i'm not sure my [Medicare Part D Plan] will help me pay for it. |
| • This year my Medicare Part D plan told me that Clonazepam is not covered under my Part D plan. However, my mother has the exact same Part D plan as I do and the Part D provider covers this medication for her. |
| • One article I recently read suggested that we could obtain a 3 months prescription supply for the cost of two monthly co-payments at preferred pharmacies. Is this correct? When I called [a large local pharmacy], they told me I would have to bring in my Rx Card for them to run through. They would not tell me if they would only charge for two months. |
| • What if my monthly Social Security benefit isn't enough to cover multiple premiums at one time? |
| • Where should I call if I have other questions about options for paying my Medicare drug plan premiums, or about withholding premiums from my Social Security payment? |
| • I have requested automatic premium deduction from my monthly Social Security benefit. How long will it take for the automatic deduction to start? |
| • How do I pay my premiums until the automatic deduction starts? |
| • Can I change my mind about the method I use to pay my premiums? |
| • I believe that I have signed up for automatic withholding, but I have received a notice from my plan that I still owe premiums. What should I do? |
| • Can it take longer than a couple of months for the deduction to start? |
| • Will my Medicare Prescription Drug Plan need to notify me if its list of covered drugs (formulary) changes? |
| • What happens if a drug I take stops being covered for a reason other than safety? |
| • What happens if a drug covered by my Medicare drug plan is found to be unsafe? |
| • What if the drug I need requires "prior authorization?" |
| • What is an Exception? |
| • The pharmacy couldn't fill my prescription. What should I do? |
| • What is an Appeal? |
| • Can my doctor ask for an exception on my behalf? |
| • What if I have a prescription for a drug that isn't on my plan's list of covered drugs (formulary)? |
| • I wish to cancel my Medicare Part D prescription drug plan coverage. What should I do? |
| • Does Medicare Part D pay for the shingles vaccine? |
| • Will I be able to use my drug store drug discount card (not a Medicare-approved drug discount card) with a Medicare drug plan? |
| • What are "Straddle Claims"? |
| • What exactly is TrOOP or True Out of Pocket costs? |
| • What is the BIN, PCN, and GROUP for my WellCare Medicare Part D prescription drug plan? |
| • I want to keep my current plan for next year. What do I do? |
| • Why did the monthly premium of my Medicare prescription drug plan almost double? |
| • I never got a report from my Part D carrier concerning my account or how close I was to the donut hole. Shouldn't the Part D plans keep clients like me informed? |
| • I need to know how to file a formal complaint with Medicare (CMS) regarding a Medicare Part D plan |
| • If I have difficulty using my new Medicare Part D prescription drug plan, is there anything I can do? |
| • I would like to enroll in a Cigna Medicare Part D prescription drug plan or Cigna Medicare Rx plan. Is there a pre-enrollment disclaimer that I can review before enrolling? |
| • Can a plan disenroll a person with Medicare if they didn't pay their monthly premium? |
| • What are Medicare Part D plans required to do before an individual is disenrolled from the plan? |
| • How does the premium grace period work on Medicare Part D plans? |
| • I purchased these test strips and had to pay for them even though they are part of my diabetic supplies. The pharmacist said Medicare would refund this money, but they never have. Should my Medicare Part D plan reimburse these supplies? |
| • How does the Maryland SPDAP $1,200 Coverage Gap Subsidy work? |
| • Why is Fioricet with codeine covered under Medicare Part D but not plain Fioricet? |
| • When does a Medicare Part D beneficiary enter and exit the doughnut hole or coverage gap? The Doughnut Hole calculators seem to provide an estimate. But how does a Medicare Part D beneficiary really know exactly when they enter and leave the coverage gap? |
| • You say that I will enter my Medicare Part D plan's Doughnut Hole or Coverage Gap when my retail drug costs reach a certain dollar level that changes every year. What exactly do you mean by "retail drug costs"? Is that what I spend on all my pharmacy drugs or something else? |
| • I am spending a lot of money on drugs and my Part D plan. What part of my spending is not counted toward my prescription drug plan's Donut Hole? |
| • What happens when we buy our prescriptions or medications in advance? For instance, what occurs if we buy a three-month supply of medication through mail order does this have any effect on when we enter the doughnut hole or coverage gap? |
| • What should I do now that I am in the Donut Hole or Coverage Gap? Is there any way to save money or are there programs available to help people like me pay for my prescription drugs? |
| • How do I know when I will reach my Medicare Part D plan's Donut Hole or Coverage Gap? |
| • For 2011 you indicate that the full retail cost of drugs while in the donut hole will apply to the amount required to get out for name brands even though I'm only paying 50%. I talked directly with Medicare and they said I will still have the same out of pocket requirements, i.e. it'll just essentially take me twice as long. Can you clarify? |
| • How much do I have to pay for generics in the donut hole in 2011, 2012, 2013,2014, 2015, etc. until it reaches 25% |
• I wanted to purchase a few medications without using my Medicare Part D plan (my medications are not too expensive and I just wanted to see the actual retail drug prices) and my local pharmacy said that I had to use my Medicare Part D card when purchasing my prescriptions. The pharmacy said it was illegal not to use my Medicare Part D plan and that I would be breaking a new 2011 law. Is it true that we are required to use our Medicare Part D plan to buy our prescriptions?
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| • Although I understand that brand name drugs will be discounted 50% in the donut hole in 2011, my Medicare Part D plan’s monthly summary still shows that I will be responsible for 100% in what they term stage 2. Is this an error on their part or did I miss something important? |
| • My husband has already reached the "donut hole" this year. Beginning January 1, 2012 will his coverage start over and he will be out of the "donut hole" or will he continue to be in the "donut hole" in 2012 until the $4700 out of pocket is satisfied? |
| • When I am in my Medicare Part D plan's Donut Hole or Coverage Gap, how much do I actually pay? I have already reached my 2012 Medicare Part D prescription drug plan's initial coverage limit of $2930. So what do I pay? |
Explanation of Benefits (EOB) | [ All FAQs In This Category ] |
| • How do I know when I will reach my Medicare Part D plan's Donut Hole or Coverage Gap? |
| • I read that my negotiated retail prescription drug costs go toward meeting my Initial Coverage Limit before reaching my Medicare Part D plan's Donut Hole, but is this the normal retail drug cost or the total cost in my Explanation of Benefits letter? |
| • Although I understand that brand name drugs will be discounted 50% in the donut hole in 2011, my Medicare Part D plan’s monthly summary still shows that I will be responsible for 100% in what they term stage 2. Is this an error on their part or did I miss something important? |
| • When I am in my Medicare Part D plan's Donut Hole or Coverage Gap, how much do I actually pay? I have already reached my 2012 Medicare Part D prescription drug plan's initial coverage limit of $2930. So what do I pay? |
Straddle Claims | [ All FAQs In This Category ] |
| • What are "Straddle Claims"? |
| • Does the Donut Hole Discount apply to a retail drug purchase that straddles my Medicare Part D plan's Initial Coverage phase and the Coverage Gap or Donut Hole phase? In other words, does the Donut Hole discount apply to a Straddle Claim? |
| • I have a Medicare Part D prescription drug plan with a $310 initial deductible. What do I pay when I refill my prescription and a single purchase moves me from my initial deductible into the part of my plan where I get paid coverage? |
| • Can you provide an example of the Medicare "Lesser Of" logic? |
• If I purchase one of my prescription medications and the total cost of this one drug takes my annual cost over my Medicare plan's coverage limit and into the Donut Hole, will I pay the copay for my drug plus 50% of the cost that is over the coverage limit?
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| • If I have not yet met my initial deduction when I have fill a $1500 prescription, will any of the $1500 be applied to the my coverage [initial coverage phase], or will I have to pay the whole $1500 before my coverage goes in to effect? |
| • I have a prescription with a retail cost of $1,894 and I have already purchased medications with a total retail cost of $930. If my Medicare Part D prescription drug plan has an Initial Coverage Limit of $2,600, will I pay the full price? |
How Your Plan Can Change | [ All FAQs In This Category ] |
• Once I join a Medicare Part D plan and I am locked-in for the full year, can my Medicare prescription drug plan drop medications from its drug list during the year?
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The Coverage Gap or Donut Hole or Doughnut Hole | [ All FAQs In This Category ] |
| • What exactly is TrOOP or True Out of Pocket costs? |
| • When does a Medicare Part D beneficiary enter and exit the doughnut hole or coverage gap? The Doughnut Hole calculators seem to provide an estimate. But how does a Medicare Part D beneficiary really know exactly when they enter and leave the coverage gap? |
| • You say that I will enter my Medicare Part D plan's Doughnut Hole or Coverage Gap when my retail drug costs reach a certain dollar level that changes every year. What exactly do you mean by "retail drug costs"? Is that what I spend on all my pharmacy drugs or something else? |
| • I am spending a lot of money on drugs and my Part D plan. What part of my spending is not counted toward my prescription drug plan's Donut Hole? |
| • If I enroll in a Medicare prescription drug plan that has an initial deductible, will it have any impact on when I go into, or out, of the Doughnut Hole or Coverage Gap? |
| • What happens when we buy our prescriptions or medications in advance? For instance, what occurs if we buy a three-month supply of medication through mail order does this have any effect on when we enter the doughnut hole or coverage gap? |
| • Will you enter the Doughnut Hole this year? |
| • What costs do NOT count toward entering the Doughnut Hole? |
| • How exactly does the Coverage Gap fit into my prescription drug plan? |
| • I purchased a Medicare Part D plan with coverage during the Doughnut Hole, so I guess I am protected throughout the year, right? |
| • I think that I have already spent my way through this year's Doughnut Hole. Is that possible? |
| • I never got a report from my Part D plan showing how close I am to the Doughnut Hole. Shouldn’t I be getting a summary of my prescription drug spending? |
| • Can I avoid the Doughnut Hole if I buy a 90-day supply of my medications with the lower co-payment? |
| • If I have to pay 100% of my own drug costs when I go into the Doughnut Hole, why don’t I just stop paying my monthly Part D plan premiums? |
| • What should I do now that I am in the Donut Hole or Coverage Gap? Is there any way to save money or are there programs available to help people like me pay for my prescription drugs? |
| • How do I know when I will reach my Medicare Part D plan's Donut Hole or Coverage Gap? |
| • I read that my negotiated retail prescription drug costs go toward meeting my Initial Coverage Limit before reaching my Medicare Part D plan's Donut Hole, but is this the normal retail drug cost or the total cost in my Explanation of Benefits letter? |
Medicaid & Extra Help & LIS | [ All FAQs In This Category ] |
| • I am not suppose to have a deductable. I cannot pay for my medicine. I get State Aid. Help!!! |
| • My son is on Medicaid. He was assigned a Medicare Part D plan and his plan in Georgia does not cover one of his medications. What do we do? |
• My parents used have medicaid to cover their drugs. They got a letter in 2005 from the insurance company that said they will automatically transfer my parents to a new medicare D plan. My parents waited untill 2006 but have not received any information about their new plan. I called the company today. They said they can not offer the medicare D to them because my parents only have Medicare B plan. Can you kindly tell me how my parents can do now?
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• I am having trouble getting the extra help that I qualify for at Wal-Mart, and I need to pick up 2 prescriptions that are ready that I cannot afford without the extra help.There is a problem on your end per Medicare & Social Security. Please contact me ASAP so I will know what to do.
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| • How can I get financial "extra help" with my medication or Medicare Part D prescription drug costs? |
| • I should be getting "extra help" and am not. What do I do? |
| • Where do I find more information on Tri-Care - for instance, where can I download the Tri-Care Forms? |
| • If I Qualify for Extra Help, will My Full Premium be Covered? |
| • What is Medicaid? |
| • What is a Medicare Savings Program? |
| • If I qualify for extra help, will my drug plan premium always be $0? |
| • What does the term extra help mean when you are talking about Medicare prescription drug coverage? |
| • I work in the Senior Community Service Employment Program (SCSEP, Title V of the Older Americans Act). Will Medicare count this as income when determining if I qualify for extra help paying for Medicare prescription drug coverage? |
| • If I am not certain whether or not I qualify, should I apply for extra help? |
| • What information do I need to apply for the extra help? |
| • What if Medicare doesn't cover my prescription at all? Will Medicaid still pay for it? |
| • How often can I change plans if I have Medicare and full Medicaid coverage? |
| • How often do I need to apply for the extra help? |
| • What should people do if they no longer automatically qualify for extra help in 2007? |
| • How will people know if they no longer automatically qualify for extra help? |
| • How does this affect people who applied and qualified for extra help (i.e., those that did not automatically qualify)? |
| • Will everyone with extra help get a letter from Medicare or Social Security? |
| • What should people do if they think there's been a mistake determining their eligibility for extra help? |
| • What if people don't agree with Social Security's decision on "extra help"? |
| • What efforts are underway affecting people who qualify for extra help paying for their Medicare prescription drug coverage? |
| • How does this affect people who currently automatically qualify for extra help? |
| • How will people know if their copayment amounts will change? |
• Is Lifeline (personal response system) a covered benefit under Medicare if there is a medical indication for it?
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| • I have a relative who is getting SSD along with health coverage. His mother just passed away and he will receive a substantial amount of funds from the sale of her estate. Can this effect his health coverage? |
| • How do I search for a Medicare Part D plan that qualifies for the $0 premium Low-Income Subsidy? |
| • Are there any Medicare Part D prescription drug plans that are free for Medicare beneficiaries over the financial limits for Medicaid and Extra Help? |
| • What are the 2011 Federal Poverty Level (FPL) Guidelines |
The Late-Enrollment Penalty | [ All FAQs In This Category ] |
| • I moved to a different state (in another Part D Region) where my original plan offers no coverage (it was a local plan in my former state). I am now forced to change Part D plans - how do I avoid a premium penalty increase with the new plan? |
| • If I have a disability and receive Medicare benefits before reaching 65, can I also sign up for a Medicare Part D prescription drug plan at the same time? What if I decide NOT to join a Part D plan, do I pay a penalty if I decide to join a Part D plan later? |
| • Does prescription drug coverage under a Medigap (or Medicare Supplement) plan H, I or J qualify as “creditable coverage” for purposes of avoiding the Medicare Part D late enrollment premium penalty? |
| • I didn’t enroll in a Medicare Part D plan when I was first eligible, how will I calculate my Part D premium penalty? |
| • Who actually calculates the amount of my late-enrollment penalty? |
| • I do not use any medicatons at this time, so if I decide not to enroll in a Medicare Part D prescription drug plan next year does that prevent me from enrolling in future years? |
Q1Medicare.com Tool Tips | [ All FAQs In This Category ] |
| • What is the Q1Medicare PDP-Finder tool? |
| • What is the Q1Medicare PDP-Compare tool? |
| • How do I search for a Medicare Part D plan that qualifies for the $0 premium Low-Income Subsidy? |
| • What is the tool that provides an estimate of the annual drug cost? |
| • What is the Q1Medicare PDP-Wizard? |
| • Can we find more information about Medicare Advantage plans on the Q1Medicare.com site? |
| • Is there an online tool that shows me all of the prescription drugs covered by a specific Medicare Part D plan? |
| • Can you provide an example of the 2011 Donut Hole Discount? |
Other Q1Medicare.com Questions | [ All FAQs In This Category ] |
| • Who are you? |
• I noticed on your Medicare emails that you are "specialty insurance brokers". Can you or do you know of any life insurer that would issue a $10,000 to $20,000 or so life insurance policy on my husband? He is 70 years old, has no life insurance and is in treatment for prostate cancer.
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| • How will my other prescription drug assistance program work with my Medicare prescription drug coverage? |
| • How will my VA health benefits work with my Medicare prescription drug coverage? |
| • How will my employer retiree drug coverage work with my Medicare prescription drug coverage? |
| • How will my retail pharmacy discount work with with my Medicare drug coverage? |
| • Creditable vs. Non-creditable Employer Retiree Drug Coverage |
| • I will be switching to a different Medicare drug plan. What do I need to do to stop the automatic premium deduction from my current Medicare drug plan? |
| • What options do I have for paying my Medicare drug plan premiums? |
| • I am eligible for the "extra help" with prescription drug costs or limited-income subsidy, but my plan is billing me for a premium. What should I do? |
| • What happens if I have automatic premium deduction from my Social Security benefit and I switch to a different Medicare drug plan later? Will the automatic premium deduction carry over to my new drug plan? |
| • What if my monthly Social Security benefit isn't enough to cover multiple premiums at one time? |
| • Where should I call if I have other questions about options for paying my Medicare drug plan premiums, or about withholding premiums from my Social Security payment? |
| • What happens if I change plans and request automatic premium deductions from my Social Security benefits for my new plan, but the premium deduction from my previous plan doesn't stop? |
| • I have requested automatic premium deduction from my monthly Social Security benefit. How long will it take for the automatic deduction to start? |
| • How do I pay my premiums until the automatic deduction starts? |
| • How soon will I get a refund of any premiums that are withheld for my current plan after I enroll in a new plan? Who will the refund come from? |
| • Can I change my mind about the method I use to pay my premiums? |
| • I believe that I have signed up for automatic withholding, but I have received a notice from my plan that I still owe premiums. What should I do? |
| • Can it take longer than a couple of months for the deduction to start? |
| • If I qualify for extra help, will my drug plan premium always be $0? |
| • I have prescription drug coverage from my former employer. Will I be able to keep it or will Medicare prescription drug coverage replace it? |
| • Is there someone to help me choose a Medicare prescription drug plan? |
| • What does the term extra help mean when you are talking about Medicare prescription drug coverage? |
| • Is there a limit on the number of drugs a plan will cover in a given year? |
| • Will Medicare drug plans have preferred drug lists? |
| • What do people with Medigap policies need to do to get Medicare prescription drug coverage? |
| • Can I use my regional drug plan all over the country? |
| • Will I be able to use more than one Medicare drug plan? |
| • Will I be able to use my drug store drug discount card with a Medicare drug plan? |
| • How can I protect myself from Medicare fraud? |
| • I work in the Senior Community Service Employment Program (SCSEP, Title V of the Older Americans Act). Will Medicare count this as income when determining if I qualify for extra help paying for Medicare prescription drug coverage? |
| • Do I have to join a Medicare drug plan? |
| • When and how often can I switch my Medicare drug plan? |
| • If I am not certain whether or not I qualify, should I apply for extra help? |
| • Are any drug categories not included in Medicare prescription drug coverage? |
| • Will some drugs still be covered under Part B? |
| • What are the out-of-pocket costs for Medicare prescription drug coverage? |
| • What if I need a drug that isnt on the formulary or is covered at a higher cost? |
| • What information do I need to apply for the extra help? |
| • What if Medicare doesn't cover my prescription at all? Will Medicaid still pay for it? |
| • Should I join a Medicare drug plan even if I don't take many prescription drugs? |
| • How often can I change plans if I have Medicare and full Medicaid coverage? |
| • Will my drugs be covered? |
| • What does a Medicare drug plan cover? |
| • When can I join a Medicare drug plan? |
| • How often do I need to apply for the extra help? |
| • What do I need to know if I have drug coverage from TRICARE, the Department of Veteran's Affairs (VA), or the Federal Employee Health Benefits Program (FEHB)? |
| • Are Medicare drug plans allowed to cover benzodiazepines (like sleeping pills)? |
| • Do State Pharmacy Assistance Programs (SPAPs) have to work with all Medicare drug plans offered in their states? |
| • Will my Medicare Prescription Drug Plan need to notify me if its list of covered drugs (formulary) changes? |
| • Will Medicare drug plans cover drugs that treat mental illness? |
| • What is Medicare Prescription Drug Coverage? |
| • Will the drugs covered by Medicare drug plans meet the needs of both seniors and people with disabilities? |
| • What do I need to know if I have the Original Medicare Plan (Medicare Part A and Part B) and I don't have prescription drug coverage? |
| • What happens if a drug I take stops being covered for a reason other than safety? |
| • What happens if a drug covered by my Medicare drug plan is found to be unsafe? |
| • How will my Medigap Policy work with my Medicare prescription drug coverage? |
| • How will my TRICARE coverage work with my Medicare prescription drug plan? |
| • How will my Federal Employee Health Benefits (FEHB) work with my Medicare prescription drug coverage? |
| • What should I do if I have drug coverage through an employer or union and will also get the extra help with my drug costs? |
• How will my State Pharmacy Assistance Program (SPAP) work with Medicare drug coverage?
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| • How will my CHAMPVA coverage work with my Medicare prescription drug coverage? |
| • How will the Program of All-inclusive Care (PACE) work with my Medicare drug plan? |
| • How does Pennsylvania's PACE/PACENET auto-enrollment work with Medicare drug plans? |
| • How will my American Indian or Alaska Native health program work with my Medicare prescription drug coverage? |
| • What should people do if they no longer automatically qualify for extra help in 2007? |
| • How will people know if they no longer automatically qualify for extra help? |
| • How does this affect people who applied and qualified for extra help (i.e., those that did not automatically qualify)? |
| • Will everyone with extra help get a letter from Medicare or Social Security? |
| • What should people do if they think there's been a mistake determining their eligibility for extra help? |
| • What if people don't agree with Social Security's decision on "extra help"? |
| • What if the drug I need requires "prior authorization?" |
| • What efforts are underway affecting people who qualify for extra help paying for their Medicare prescription drug coverage? |
| • How does this affect people who currently automatically qualify for extra help? |
| • How will people know if their copayment amounts will change? |
| • Did letters go out in Spanish to Spanish-language households? |
| • What is a coverage determination? |
| • What is an Exception? |
| • The pharmacy couldn't fill my prescription. What should I do? |
| • What is an Appeal? |
| • Can my doctor ask for an exception on my behalf? |
| • Do people who sell Medicare drug plans have to be licensed insurance agents? |
| • What if I have a prescription for a drug that isn't on my plan's list of covered drugs (formulary)? |
| • What do I do when a Medicare beneficiary dies? |
| • I am asking you this question, because I do not know where or how to look up my question. I want to donate my body when I die, hoping it will help someone else. Can you please tell me a web site to go to. |
| • Where can I get a Medical Power of Attorney form? |
| • What are the Medicare premiums and coinsurance rates for 2008? |
• Is Lifeline (personal response system) a covered benefit under Medicare if there is a medical indication for it?
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| • I have a relative who is getting SSD along with health coverage. His mother just passed away and he will receive a substantial amount of funds from the sale of her estate. Can this effect his health coverage? |
| • How can I get a 2009 Medicare & You Handbook? |
Medicare Supplements | [ All FAQs In This Category ] |
| • Are Medicare Advantage Plans the same as Medicare Supplements? |
| • If I am not happy in my Medicare Advantage plan, can I go back to my Original Medicare Part A and Part B or my old Medicare Supplement coverage? |
| • I already have a Medicare Supplement Plan, can I also enroll in a Medicare Advantage Plan? |
Carriers and Companies | [ All FAQs In This Category ] |
• I am considering changing my prescription drug coverage to the Humana Walmart-Preferred Rx Plan and I was wondering if I can only go to Walmart for my prescriptions?
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| • What is the formulary cost tier for Niaspan (the medication for treating cholestorol) on the 2011 Humana Walmart-Preferred Rx Part D prescription drug plan? |
$250 Doughnut Hole Rebate | [ All FAQs In This Category ] |
| • I am new to Medicare and just now joining a 2010 Medicare Part D prescription drug plan, am I still eligible for the $250 Doughnut Hole rebate? |
| • I receive my prescription drug benefits from the Veterans Administration (VA) and have not enrolled in a Medicare Part D plan, will I still receive a rebate? |
| • Can I also expect to receive a $250 Rebate next year if I reach the 2011 Medicare Part D Doughnut Hole? |
| • What should I do if I reach the 2010 Doughnut Hole and my $250 rebate check does not arrive? |
| • How will I know that my rebate check is not part of a Scam? |
| • Will almost everyone with a Medicare Part D prescription drug plan reach the 2010 Coverage Gap and get a $250 check? |
| • Can I estimate when I will reach the 2010 Coverage Gap? |
| • What exactly is the Coverage Gap anyway? |
| • Is the $250 rebate paid toward my out of pocket costs that I spend on Brand Name drugs? |
| • If I reach the 2010 Doughnut Hole later in the year, how long do I need to wait before I receive my rebate check? |
| • I have already reached the 2010 Doughnut Hole, when can I expect to receive my rebate check? |
| • Do I need to do anything to get my $250 rebate? |
| • If I receive only partial Extra-Help will I receive the $250 rebate? |
| • Will I still receive the $250 rebate if I am in a Medicare Advantage plan that provides prescription drug coverage (an MA-PD)? |
| • Who Gets the $250 Rebate? |
| • What exactly is the 2010 Medicare Part D $250 Coverage Gap Rebate? |
| • Is the $250 rebate a one-time payment or will I be paid $250 for each month that I am in the donut hole? |
| • Who will send me my check my Medicare Part D plan or Medicare? |
| • I do not belong to a Medicare Part D plan and actually pay for all of my own prescription drugs. Will I also get the $250 donut hole rebate payment? |
| • If I am getting Medicare and Social Security, am I still eligible for the rebate? |
| • I reached the Donut Hole in 2009 when enrolled in my Medicare Part D Prescription Drug Plan. Am I eligible for the $250 rebate recently announced by Medicare? |
| • I received my Part D plan statement and my out of pocket costs are over $700. The total amount of my drug costs are over $2,450 and I will soon reach the $2,830. Do I need to have out of pocket costs or TrOOP reaching $4,550.00 before I'm paid more? |
| • How many people actually received their $250 Medicare Part D Donut Hole Rebate check? |
• How do I know if I still qualify for the Medicare Part D $250 Doughnut rebate?
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• I received a $250 rebate check and unfortunately, I threw away the envelope that contained the check. Is it possible that this check is some sort of scam? Is there any way to be sure that it is a real Medicare Part D $250 Donut Hole rebate check?
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• During the 2010 Medicare plan year, my Medicare Part D plan did not cover one of my more expensive medications and I had to purchase it myself. The total cost of the medication was way over the Donut Hole limit, but it was never reported to Medicare or my Part D plan. Is there any way that I can still apply and receive this $250 rebate?
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Plan Star Ratings | [ All FAQs In This Category ] |
| • What are the Medicare Plan Ratings? |
| • What do the Medicare plan ratings measure? |
| • Is there any danger if I use the 5-star Special Enrollment Period? |
Ready to Enroll?
