|• ||2013 National Plan Overview By State|
The Overview by State has been update to highlight the 2013 National Stand-Alone Medicare Part D Plans.
|• ||2013 Medicare Part D Program Information|
As new information becomes available on the 2013 Medicare Part D program and plans, the latest information will be added to this section.
|• ||Guide to 2013 LIS Mailings from CMS, Social Security and Plans - Mailings for Summer and Fall 2012|
Describes the purpose of each mailing to Low-Income Subsidy (LIS) recipients. Also show who the letter is sent by (SSA, CMS, etc), paper color, consumer action, and offers some model letters.
|• ||Changes in Qualifying for Extra Help in 2012 - What to do if your status changes for 2012|
Gives instructions to persons who fall into one of three categories:
1. People who no longer automatically qualify for Extra Help in 2012,
2. People who continue to automatically qualify for Extra Help in 2012, but with a change in copayment level,
3. People who applied and qualified for Extra Help
|• ||Medicare Advantage Plan Information|
A new section was added for Medicare Advantage Plan information. A new Medicare Advantage Plan Finder will be coming online next week.
|• ||Understanding Your Explanation of Benefits (EOB)|
These pages detail the sections of the Explanation of Benefits and provides links to further information about straddle claims, coverage determinations, and appeals.
|• ||Part D Extra Help / Low-Income Subsidy|
Updated for the 2012 income and resource levels and new definitions for income and resources.
|• ||Prescription Drug Coverage Determinations and Exceptions, Appeals & Grievances|
This section covers, how to request a Coverage Determination (formulary exception), how to appeal should your plan deny your request, the physicians role in the process, appeals process overview, how to appeal the late enrollment penalty, and more.