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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 (AEP) or annual Open Enrollment Period (OEP) which runs from ...

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 -...

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 ...

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....

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


If I decide not to join any Medicare prescription drug plan and I don’t have any other prescription coverage, how long will I have to pay the late-enrollment premium penalty?
Probably forever.  The late-enrollment premium penalty is permanent for most people over 65 and you will pay the penalty as long as you have a Medicare Part D prescription drug plan. However, ...

What is a Workers Compensation Medicare Set Aside Arrangement (WCMSA)?
A Workers’ Compensation Medicare Set-Aside Arrangement (WCMSA) is a financial agreement that allocates a portion of a workers’ compensation settlement to pay for future medical services ...

Does my Medicare Part D plan or Medicare Advantage plan also provide Silver Sneakers coverage?
Your stand-alone Medicare Part D prescription drug plan (PDP) only provides coverage for your prescription medications and probably does not include a fitness benefit.However, many Medicare Advantage ...

When a Non-Renewing Medicare Part D or Medicare Advantage plan reassigns members to another plan does the SEP through February apply?
No.  The Special Enrollment Period through end of February for Service Area Reduction or Medicare plan cancellation Special Enrollment Period (SAR SEP) would NOT apply....

How do I calculate my Medicare Part D Late Enrollment Penalty?
Medicare will calculate your Part D Late Enrollment Penalty for you and will send you a letter explaining their calculation, but you can estimate your Late Enrollment Penalty (LEP) by totaling the num...

How do I pay my monthly Medicare Part B premium?
The Medicare website provides you with guidance on paying your Medicare Part B (out-patient and doctor visit coverage) and notes that if you get:Social Security,Railroad Retirement Board (RRB) benefit...

If I have Medicare, can I get healthcare coverage from the Affordable Care Act Health Insurance Marketplace?
No.   Medicare is not included within the ACA Health Insurance Marketplace. If you already have Medicare, you already have healthcare coverage.  In fact, it is against the law for someone...

What is the Medicare Part B late-enrollment penalty?
If a person does not enroll in Medicare Part B (out-patient care and doctor visits) when first eligible, and they do not have health coverage from an employer group health plan, they will incur a ...

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...




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