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Apr, 17 2024 — Your Medicare plan can disenroll you from the Medicare plan, send your unpaid balance to a debt collection agency, require you to pay unpaid premiums if you ever wish to rejoin the plan, and you may also incur a late-enrollment penalty if you rejoin any Medicare drug plan
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Apr, 16 2024 — If you qualify for Medicare Part D Extra Help* - you can change Medicare plans three times a year. If you are eligible for the Medicare Part D Extra Help or the Low-Income Subsidy (LIS) program, . . .
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Apr, 16 2024 — Yes. If you are a Medicare
beneficiary who earns a higher income, you can be assessed both a Medicare Part D and a Medicare Part B Income-Related
Monthly Adjustment Amount (IRMAA) that must be . . .
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Apr, 10 2024 — No for most Extra Help recipients. In most cases, there are no Medicare Part D plans that are totally "free" to low-income Medicare beneficiaries, but there are plans with a $0 (or low) monthly . . .
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Apr, 03 2024 — The federal government (i.e. tax payers) pays 80% of the retail drug cost, the Medicare Part D plan pays 20%, and the Medicare plan Member pays nothing ($0) for Part D formulary drug's purchased in the Catastrophic Coverage phase.
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Apr, 01 2024 — Within 3 months after your new coverage starts. Although Medicare Advantage plan coverage changes each year, some Medicare plans are able to "give back" a portion of your Medicare Part B premium . . .
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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.