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Mar, 14 2024 — Your Medicare Part D drug plan coverage is broken into four parts and you cross between these parts or phases of coverage based on the retail cost of your drugs or your total out-of-pocket spending.&n . . .
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Mar, 13 2024 — Yes. Although, Medicare Part D drug plans must continue to cover a medication dropped from the plan’s formulary until the end of the plan year for anyone using the particular medication, Medicare allows several exceptions when a drug plan can drop a formulary drug mid-year.
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Mar, 06 2024 — No. The Medicare annual wellness visit is not mandatory - but, the visit is provided at no cost every 12 months for people who have Medicare Part B coverage (and who see a provider who accepts Medicar . . .
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Mar, 06 2024 — Yes. A stand-alone Medicare Part D prescription drug plan (or PDP) only provides out-patient prescription drug coverage.
However, a Medicare Advantage plans provide coverage for your
Origina . . .
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Mar, 06 2024 — Yes. Medicare Part D prescription drug coverage is voluntary and you can use a Drug Discount Coupon or Drug Discount Card to purchase your medications instead of your Medicare Part D plan covera . . .
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Mar, 06 2024 — As noted by the Social Security Administration, the Qualified Disabled Working Individuals (QDWI) program is a Medicare Savings Program that is for people who are under the age of 65, disabled, and no . . .
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Mar, 06 2024 — Telehealth refers to medical or health services provided remotely by an eligible provider not present at your physical location using an interactive, two-way telecommunications system. Telehealth have recently expanded to include additional services and locations.
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Mar, 06 2024 — The Qualifying Individual (QI) program is one of four Medicare Savings Programs (QMB, SLMB, QI, and QDWI) established by Medicare. QI helps low-income Medicare beneficiaries pay their Medicare P . . .
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Mar, 06 2024 — A Medicare Savings Program (MSP) is one of four different Medicaid programs (QMB, SLMB, QI, QDWI) available for people with limited financial resources and, depending on a person's income and assets, . . .
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Mar, 06 2024 — SLMB is one type of Medicare Savings Program for the "Specified Low - Income Medicare Beneficiary" and, according to the Centers for Medicare and Medicaid Services (CMS), SLMB is defined as: "A
Medic . . .
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Mar, 06 2024 — An HMO POS is a Health Maintenance Organization with a Point of Service Option.
An HMO POS is a Medicare Advantage Plan that is a Health Maintenance Organization with a more flexible network allowi . . .
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Mar, 06 2024 — The Qualified Medicare Beneficiary (QMB) program is one of four Medicare Savings Programs (QMB, SLMB, QI, and QDWI) established by Medicare to help low-income Medicare beneficiaries pay their Medicare . . .
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Mar, 01 2024 — As long as you still qualify, most likely you can keep your TRICARE, VA, or FEHBP prescription drug coverage.
Contact your benefits administrator or your insurer for information about your TRICARE, . . .
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Feb, 28 2024 — Yes, in some situations you have the right to ask your Medicare prescription drug plan to move a formulary medication to a lower-costing formulary tier. But, you cannot reduce the cost of a Tier 5 Specialty drug, nor can you reduce the cost of a now-covered, non-formulary drug.
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Feb, 28 2024 — Whether you have a stand-alone Medicare Part D plan or Medicare Advantage plan, you will need to contact your Medicare prescription drug plan's Member Services department directly to request a replace . . .
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Feb, 28 2024 — A Special Enrollment Period (SEP) allows a Medicare beneficiary to join, switch, or drop their
Medicare Part D prescription drug plan (PDP) or Medicare Advantage plan (MA or MAPD)
outside of the ann . . .
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Feb, 28 2024 — No. Your Medicare Part D plan's Initial Deductible does not affect
when you go into the Donut Hole or Coverage Gap. However, your Initial Deductible
will impact how quickly you exit the . . .
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Feb, 28 2024 — If you did not enroll into a Medicare Part D prescription drug plan during your
Initial Enrollment Period (IEP) and you did not have other creditable prescription drug coverage (like VA benefits or e . . .
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Feb, 28 2024 — Your retail drug prices (and possible coverage cost) will vary between network and non-network pharmacies, standard and preferred network pharmacies, and even between preferred network pharmacies.
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Feb, 28 2024 — Drug Tiers are an attempt to "logically" group drugs (such as generics, preferred-generics, brand drugs, and specialty drugs) within a list (drug formulary).
All of your Medicare Part D prescriptio . . .