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Questions & Answers (FAQ)

Browse the Most Viewed and Newest Medicare Part D FAQs
If you still have questions, please contact us through our Online Help Desk.

Most Viewed FAQs

I wish to cancel my Medicare Part D prescription drug plan coverage. What should I do?
In most cases, you can only disenroll or cancel your Medicare Part D plan or Medicare Advantage plan during the Annual Enrollment Period or Open Enrollment Period which runs from October 15 through ...

What is a Specified Low - Income Medicare Beneficiary (or SLMB)?
If you are eligible for Medicare (whether you are just turning 65 or are Medicare eligible because of a disability) and you have limited financial resources and income, you may be able to receive some...

Where can I get a Medical Power of Attorney form?
You can download a free Medical Power of Attorney form in our blog:Click here to go to our blog: Notes on Medical Power of Attorney. (http://www.q1medicare.com/q1group/Blog.php?blog_id=92)...

What is the BIN, PCN, and GROUP for my WellCare Medicare Part D prescription drug plan?
You can use your prescription drug plan even without having your Member ID card.  There are four numbers that your pharmacist needs to use your WellCare Medicare Part D prescription drug plan -...

Does Medicare Part D pay for the shingles vaccine?
Zostavax was approved in May 2006 by the U.S. Food and Drug Administration (FDA) as a vaccine for use in adults ages 60 and over who have had chickenpox.  Zostavax is covered under most Medicare ...

What kind of discount can we expect in the Doughnut Hole?
Starting back in the 2011 Medicare Part D plan year, a discount or co-insurance (cost-sharing) was introduced to reduce the cost of generic and brand-name prescription drugs purchased by non-LIS ...

Where can I download a copy of the Humana Formulary
You can browse any Medicare Part D (PDP) or Medicare Advantage (MAPD) plan formulary online at FormularyBrowser.com We no longer offer formularies in PDF format for download.....

How do I get a prior authorization form for Humana?
Please have your physician complete and fax the attached document.If your doctor should need to contact Humana regarding a particular medication, they can call 1-800-555-2546 8:00am-6:00pm EST....

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?
  No, you do not have to use Walmart as your only pharmacy.  The Humana Medicare Part D plans include over 50,000+ pharmacies in their network. However, you may pay much more for your ...

What are the 2011 Federal Poverty Level (FPL) Guidelines
The 2011 Federal Poverty Level (FPL) Guidelines determine the income level requirements for people applying for the Low Income Subsidy (LIS) program. If your income is below 135% of the FPL ($14,701.5...

Newest FAQs

What should I do if I am traveling across the United States and I can't find one of my plan's Network pharmacies and need to fill a prescription?
Submit claim for reimbursement when you get home.  Most Medicare Part D prescription drug plans have between 50,000 to 60,000 participating pharmacies across the United States where you can use...

I travel between two different states throughout the year (Connecticut and Florida). Is there a Medicare Advantage plan that can provide coverage in both states without additional cost?
Yes. Some Medicare Advantage plans do provide coverage for people who split their time between two different states. Medicare Advantage plan coverage can change each year, but over the past se...

I never knew that there was a gap in my prescription coverage. What is the Donut Hole?!
The Coverage Gap or Donut Hole is actually similar to a second deductible in an insurance policy where you are, once again responsible for your own coverage (or a portion of your own coverage due to...

I used a Special Enrollment Period and joined a Medicare Part D plan and then found a cheaper Medicare Advantage plan with better coverage. Can I still change my plan before the SEP ends?
Probably not.  But, you may be able to change your plans if you can find another Special Enrollment Period.  Typically, a person has only one chance to make a Medicare plan selection during...

My Medicare Advantage plan is no longer available and we now have a Special Enrollment Period until the end of August. So can we change Medicare plans more than once while the Special Enrollment is still available?
Not usually. Typically, a person only has one chance to make a Medicare plan selection during their Special Enrollment Period. The choice of a Medicare Part D or a Medicare Advantage plan usually wi...

My Medicare Advantage plan no longer exists and so I joined an MA that does not have any premium and even pays me back my monthly Medicare Part B premium, but when should I start getting my money back?
Medicare Advantage plans change each year, but depending on the estimated cost of each Medicare plan member, some Medicare Advantage plans, such as the 2014 WellCare Dividend (HMO) (available to resid...

Who is my plan provider?
When a hospital or healthcare facilty asks, "Who is your plan provider?", they want to know the name of the insurance company who is handling your Medicare Part D prescription drug plan or M...

I am new to Medicare. Where can I get an overview of the Medicare Part D program?
In general, Medicare Part D prescription drug plans provide insurance coverage for your prescription drugs - just like other types of insurance. Your Medicare prescription drug coverage can be prov...

What are the Medicare Part D Special Enrollment Periods (SEP)?
Usually, most seniors or other Medicare beneficiaries can only change their Medicare Part D or Medicare Advantage plan coverage during the annual Open Enrollment Period (AEP or Annual Enrollment Perio...

Is their a Special Enrollment Period for people enrolled in a Medicare Part D or Medicare Advantage plan that has been sanctioned?
Yes.  If you are enrolled in a Medicare Part D or Medicare Advantage plan that were sanctioned by the Centers for Medicare and Medicaid Services (CMS or Medicare), then you may be granted a Speci...

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