Video: Medicare Part D and Prescription Drugs
Seniors have until Friday to change Medicare drug plan
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State announces changes to prescription drug plans for retirees, pensioners
Some individuals qualify for extra help to pay for prescription drug premiums and costs. Those who want to see if they qualify can call Medicare at 1-800-MEDICARE (1-800-633-4227) any time (TTY users should call 1-877-486-2048); the Social Security Office at 1-800-772-1213 between 7 a.m.-7 p.m., Monday through Friday (TTY users should call 1-800-325-0778); or the state Medicaid office.
How To File A Medicare Appeal
Beneficiaries in Medicare Advantage plans follow similar appeals procedures, except the initial appeal must be made within 60 days of the denial. Information can be found at http://www.medicare.gov/claims-and-appeals/file-an-appeal/medicare-health-plan/medicare-health-plan-appeals.html. If a service or treatment has been denied, an expedited appeal can be requested from the plan if waiting for a regular appeal decision could jeopardize the member’s health. Expedited appeals are not permitted solely for payment denials. For more details about expedited Medicare Advantage appeals, see section 50 of the Medicare Managed Care Manual at http://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/Downloads/mc86c13.pdf .
Are you ready for 2013? 4 questions to ask yourself
Don’t forget, if you have Medicare Part B and are in Original Medicare, you’ll have to meet your deductible before your Medicare coverage pays for services and supplies. Next year, the Medicare Part B deductible will be $147. Make sure to plan your health care budget to account for the increased cost of doctor visits for the time that it will take to cover your deductible.
Researcher: Older Medicare drug plans cost more
Medicare Part D program rules prohibit insurers from offering introductory discounts to gain market share, but Ericson says an insurer still has an incentive to find ways to use a subtle “invest then harvest” marketing strategy: setting initial rates low to attract first-time enrollees, then raising prices substantially once the insurer has a base of enrollees who are “stuck in place.”
Comparing Medicare prescription drug plans
Also, be aware that if you’re a low-income beneficiary and your annual income is under $16,755 or $22,695 for married couples living together, and your assets are below $13,070 or $26,120 for married couples, you may be eligible for the federal Low Income Subsidy known as “Extra Help” that pays Part D premiums, deductibles and copayments. For more information or to apply, call Social Security at 800-772-1213 or visit socialsecurity.gov/prescriptionhelp.
What To Do When Your Medicare Drug Plan Doesn’t Cover Your Prescription
We also offer a FREE prescription drug savings card which you can download and print here. It is accepted at over 62,000 participating pharmacies nationwide and helps you save on both brand name and generic drugs- ALL prescription drugs are eligible for savings. There are no monthly or ongoing fees, no limits on usage and no income or age restrictions! Savings average 32-50%. If you have Medicare and are enrolled in a Medicare Part D plan, use your ScriptSave® card for everyone in your household and for any prescriptions that are EXCLUDED by Medicare Part D law. In conclusion, seniors, it is important that you ask yourself these questions now, before the Open Enrollment Period closes and you will have to wait to make any needed changes.
Analysis Of Medicare Prescription Drug Plans In 2012 And Key Trends Since 2006
This report presents findings from an analysis of the Medicare Part D marketplace in 2012 and changes in drug coverage and costs since 2006. It presents key findings related to Medicare drug plan plan availability, premiums, cost-sharing, the coverage gap and availability for low-income beneficiaries, the coverage gap, benefit design and cost sharing, formularies, and utilization management, based on data from CMS for all plans participating in Part D. The analysis was conducted jointly by researchers at Georgetown University, the Kaiser Family Foundation and the National Opinion Research Center at the University of Chicago.