Tennessee Medicare Assistance
Both programs work hand in hand to assist all Tennesseans with their questions and concerns about Medicare issues. Working through federally funded grants from Centers for Medicare and Medicaid Services and Administration on Aging, SHIP and SMP is administered throughout the nine Area Agencies on Aging and Disability.
Medicare Coverage in Tennessee
Outside of the IEP and GEP, you can’t enroll in Part A and/or Part B unless you’re eligible for a Special Enrollment Period (SEP). If you didn’t sign up for Part B when you were first eligible because you were working or had other health coverage (for example, through an employer group plan), you can enroll in Part B when your coverage or employment ends. To qualify for an SEP, the health coverage must be based on current employment (either your own or your spouse’s). You won’t have to pay a late enrollment penalty if you sign up during an SEP.
2015 Tennessee Medicare Part D Prescription Drug Plan Highlights www.Q1Medicare.com
Coverage Gap the Donut Hole: In the CMS Standard Plan, the beneficiary must pay the next $3720 in drug costs (the Donut Hole). The Healthcare Reform provides that for Plan Year 2015, ALL formulary generics will have at least a 35% discount and ALL brand drugs will have at least a 55% discount in the coverage gap. The Gap Coverage Types discussed in this section are in addition to the Healthcare Reform mandated discounts. In our chart, you will see one of the following:
Tennessee Commission on Aging and Disability
If you have Medicare, you do not need to purchase health insurance through the Marketplace. Your Medicare coverage, whether received through a Medicare Advantage plan or through original Medicare, isn’t changing because of the Affordable Care Act and the Marketplaces. You will still need to review your Medicare coverage during the Annual Enrollment Period, October 15-December 7th for your 2014 coverage. TN SHIP is available to help you compare plans available in your area.