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Q1Medicare.com - Medicare Prescription Drug Plans: FAQs

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

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Most Viewed FAQs

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 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 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 SLMB or a Specified Low Income Medicare Beneficiary?
SLMB is one type of Medicare Savings Program for the "Specified Low - Income Medicare Beneficiary" and, according to the Centers for Medicare and Medicaid (CMS), SLMB is defined as:  "A Medicaid...

Where can I get a Medical Power of Attorney form?
Please note that we cannot provide you with legal advice and Power of Attorney forms can vary state-to-state.Some states will have specific rules governing Power of Attorney forms and you may find tha...

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 pharmacy network. However, you may pay much more for your p...

How do I get a prior authorization form for Humana?
Humana has now moved to an online form for prior authorization. Here is a link to the Humana online prior authorization form: https://humana.promptpa.com/ ...

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 ...

Does Medicare Part D pay for the shingles vaccine?
Yes, some Medicare Part D prescription drug plans do cover the Shingles Vaccine.  However, coverage can vary depending on your chosen Medicare prescription drug plan and the pharmacy where you pu...

Where can I download a copy of the Humana Formulary
You can browse any Medicare Part D (PDP) or Medicare Advantage (MAPD) plan drug formulary online at FormularyBrowser.comOr you can click on the "Browse Formulary" link that is shown with the Medicare ...

. Newest FAQs

I am currently a member of a CMS sanctioned Medicare Part D plan, how do these sanctions affect me?
If you are enrolled in a Medicare Part D plan or a Medicare Advantage plan sanctioned by the Centers for Medicare and Medicaid Services (CMS), your Medicare plan coverage is not usually affected by...

How will I choose between a stand-alone Medicare Part D prescription drug plan (PDP) and a Medicare Advantage plan that includes prescription drug coverage (MAPD)?
Medicare prescription drug coverage is available through either stand-alone Medicare Part D prescription drug plans (PDPs) or Medicare Advantage plans that include prescription drug coverage (MAPD...

I stayed with the same Medicare Part D plan as last year and now see that some of my medications are subject to Quantity Limits, Prior Authorization, and Step Therapy. What does this mean?
Medicare Part D plans can change formulary or drug list designs each year and with the new plan year, your Medicare prescription drug plan may have implemented utilization management (or drug usage ma...

I have VA benefits and do not need Medicare Part D, so why am I being charged $48.70 for IRMAA when I am not even enrolled in a Part D plan?
You are not being charged for Medicare Part D IRMAA, but rather only Medicare Part B IRMAA.Income Related Monthly Adjustments Amounts (IRMAA) are charged to Medicare beneficiaries who have earned an...

When will Social Security begin deducting my Medicare plan premiums from my monthly Social Security check?
Within 2 months.  Depending on any administrative issues, you can usually expect your Social Security check premium deductions to begin within 2 months after the start of a new Medicare plan year...

Already enrolled? What to do while waiting for your new Medicare Part D prescription drug plan Member ID card.
If you have recently enrolled in a Medicare plan and still have not received your new Medicare Part D or Medicare Advantage plan Member ID card, please contact your Medicare plan’s Member Se...

I forgot to choose a payment option on my Medicare plan enrollment form. How will I pay my monthly premiums?
If you submit an incomplete enrollment application your newly chosen Medicare plan will usually call you to add any missing information.However, each Medicare Part D or Medicare Advantage plan plan t...

I noticed that there are many different ways to pay our monthly Medicare Part D premiums. Is there one way to pay that is better than the others?
Not really.  Depending on your chosen Medicare Part D or Medicare Advantage plan, your monthly premium payment options may include: Social Security check deduction, Bank Draft (Electr...

I enrolled in a Medicare Advantage plan with a $0 premium, so do I still need to pay my monthly Medicare Part B premiums?
Yes. A requirement for joining any Medicare Advantage plan is that you have both Medicare Part A and Medicare Part B coverage. So if you join a Medicare Advantage plan you must continue to pay you...

When I enroll in a new Medicare Part D prescription drug plan, do I need to dis-enroll from my old Medicare Part D plan or do I need to notify the current prescription drug plan about the change?
No.  You do not need to cancel or dis-enroll from your existing Medicare Part D plan before enrolling in a new Medicare Part D prescription drug plan. When  you change Medicare Part D pre...

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Tips & Disclaimers
  • The Medicare Advantage and Medicare Part D prescription drug plan data on our site comes directly from Medicare and is subject to change.
  • Medicare has neither reviewed nor endorsed the information on our site.
  • We provide our Q1Medicare.com site for educational purposes and strive to present unbiased and accurate information. However, Q1Medicare is not intended as a substitute for your lawyer, doctor, healthcare provider, financial advisor, or pharmacist. For more information on your Medicare coverage, please be sure to seek legal, medical, pharmaceutical, or financial advice from a licensed professional or telephone Medicare at 1-800-633-4227.
  • We are an independent education, research, and technology company. We are not affiliated with any Medicare plan, plan carrier, healthcare provider, or insurance company. We are not compensated for Medicare plan enrollments. We do not sell leads or share your personal information.
  • Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year. Our PDP-Compare.com and MA-Compare.com provide highlights of annual plan benefit changes.
  • The benefit information provided is a brief summary, not a complete description of benefits. For more information contact the plan.
  • Limitations, copayments, and restrictions may apply.
  • We make every effort to show all available Medicare Part D or Medicare Advantage plans in your service area. However, since our data is provided by Medicare, it is possible that this may not be a complete listing of plans available in your service area. For a complete listing please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week or consult www.medicare.gov.
  • When enrolling in a Medicare Advantage plan, you must continue to pay your Medicare Part B premium.
  • Medicare beneficiaries with higher incomes may be required to pay both a Medicare Part B and Medicare Part D Income Related Monthly Adjustment Amount (IRMAA). Read more on IRMAA.
  • Medicare Advantage plans that include prescription drug coverage (MAPDs) are considered Medicare Part D plans and members with higher incomes may be subject to the Medicare Part D Income Related Monthly Adjustment Amount (IRMAA), just as members in stand-alone Part D plans. In certain situations, you can appeal IRMAA.
  • You must be enrolled in both Medicare Part A and Part B to enroll in a Medicare Advantage plan. Members may enroll in a Medicare Advantage plan only during specific times of the year. Contact the Medicare plan for more information.
  • If you are enrolled in a Medicare plan with Part D prescription drug coverage, you may be eligible for financial Extra Help to assist with the payment of your prescription drug premiums and drug purchases. To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult www.medicare.gov; the Social Security Office at 1-800-772-1213 between 7 a.m. and 7 p.m., Monday through Friday. TTY users should call, 1-800-325-0778; or your state Medicaid Office.
  • Medicare evaluates plans based on a 5-Star rating system. Star Ratings are calculated each year and may change from one year to the next.
  • A Medicare Advantage Private Fee-for-Service plan (PFFS) is not a Medicare supplement plan. Providers who do not contract with the plan are not required to see you except in an emergency.
  • Disclaimer for Institutional Special Needs Plan (SNP): This plan is available to anyone with Medicare who meets the Skilled Nursing Facility (SNF) level of care and resides in a nursing home.
  • Disclaimer for Dual Eligible (Medicare/Medicaid) Special Needs Plan (SNP): This plan is available to anyone who has both Medical Assistance from the State and Medicare. Premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. Please contact the plan for further details.
  • Disclaimer for Chronic Condition Special Needs Plan (SNP): This plan is available to anyone with Medicare who has been diagnosed with the plan specific Chronic Condition.
  • Medicare MSA Plans combine a high deductible Medicare Advantage Plan and a trust or custodial savings account (as defined and/or approved by the IRS). The plan deposits money from Medicare into the account. You can use this money to pay for your health care costs, but only Medicare-covered expenses count toward your deductible. The amount deposited is usually less than your deductible amount, so you generally have to pay out-of-pocket before your coverage begins.
  • Medicare MSA Plans do not cover prescription drugs. If you join a Medicare MSA Plan, you can also join any separate (stand-alone) Medicare Part D prescription drug plan
  • There are additional restrictions to join an MSA plan, and enrollment is generally for a full calendar year unless you meet certain exceptions. Those who disenroll during the calendar year will owe a portion of the account deposit back to the plan. Contact the plan provider for additional information.
  • Medicare beneficiaries may enroll through the CMS Medicare Online Enrollment Center located at www.medicare.gov.
  • Medicare beneficiaries can file a complaint with the Centers for Medicare & Medicaid Services by calling 1-800-MEDICARE 24 hours a day/7 days or using the medicare.gov site. Beneficiaries can appoint a representative by submitting CMS Form-1696.