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Questions & Answers (FAQ)

Browse the Medicare Part D "Living with your Medicare Part D Plan" FAQs
If you still have questions, please contact us through our Online Help Desk.

Category: Living with your Medicare Part D Plan

Back To FAQ Home Browse All (87) FAQs in Category

Most Viewed FAQs in Category


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 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 ...

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....

How do I find out if my Humana Medicare Part D plan is active?
Just enrolled in a Humana prescription drug plan?  Here are some steps that may help you use your new Medicare Part D plan - while you are waiting for your Humana Member ID card to arrive in the ...

How do I contact Humana about my Medicare Part D plan?
You can telephone Humana New Member Services at:1-888-839-7316 or Humana Customer Service at:1-800-457-4708.orHumana Enrollment & Information Center at: 1-800-833-6578or Humana Billing Depart...

What exactly is TrOOP or True Out of Pocket costs?
The Centers for Medicare and Medicaid Services (CMS) explain that,"True out-of-pocket (TrOOP) costs are the expenses that count toward a person’s Medicare drug plan out-of-pocket threshold&...

How can I change my Humana payment option?
The Enrollment & Billing telephone number for Humana is 1-800-992-2551.In addition, you may be able to change your payment option once you have create an online access account on www.humana.com.In...

I need the Humana form to order prescriptions by mail.
You may have received mail order information included with your Humana Member Welcome Packet. Humana mail order is focused on three companies:   RightSource (1-800-379-0092 )   ...

How much do I have to pay for generics in the donut hole in 2011, 2012, 2013,2014, 2015, etc. until it reaches 25%
Even if your Medicare Part D plan has no coverage in the gap, starting in 2011, you receive a discount on your medications while in the coverage gap. For generic drugs, you would pay the following p...

Newest FAQs in Category


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 ...

I cannot find a phone number for contact purposes regarding a claim denial.
Your first step would be to call the member services telephone number on the back of your membership card to speak with someone about your claim. If you have already done that and are looking for ...

I am being charged list price for my generics. I don't understand why.
Without more detailed information, I can think of only a few reasons why you would be paying list price for your generics. You could be in the deductible phase of your Medicare Part D cover...

Why is xanex or alprazolam not included in the drug formulary list? Some people had the need for the drug and you have a lot stronger drugs that are included. What is the reasoning on this?
You are correct, neither Xanax nor Alprazolam are covered under the Medicare Part D program. However, on the Medicare website, I found that both the First Health Part D Premier and the Aetna Medicare ...

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?
Is the amount I owe in the Donut Hole the difference between the $4,700 out of pocket limit and the $2,930 initial coverage limit (or $1770) or do I have to pay the entire $4,700? Unfortunaley, we...

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?
On January 1, 2012, your husband's plan will start over.  If his plan has an initial deductible, he will need to pay the initial deductible again, otherwise he will be right in the init...

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?
Complete Question: 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 ...

I wanted to purchase a few medications without using my Medicare Part D plan 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.
Complete Question:  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 ...

How much do I have to pay for generics in the donut hole in 2011, 2012, 2013,2014, 2015, etc. until it reaches 25%
Even if your Medicare Part D plan has no coverage in the gap, starting in 2011, you receive a discount on your medications while in the coverage gap. For generic drugs, you would pay the following p...

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%. Can you clarify?
Complete Question: 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 talk...


Back To FAQ Home Browse All (87) FAQs in Category




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