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Facts about Medicare Part D prescription program

November 06, 2005|Compiled By BOB MAGINNIS
(Page 2 of 2)

The pharmacy part of that coverage will end Jan. 1. You will automatically be eligible for financial assistance, but if you do not choose a plan on your own, one will be chosen for you and it may not be the best choice. You need to pick a plan that covers all the drugs that you are using.

What if I receive state assistance (QMB or SLMB programs) to help pay for my Medicare Part B coverage?



You will also receive assistance to pay for Part D, but you must actively choose a plan to get the benefit of that assistance.

What about Medicare approved discount drug cards?



They will be phased out by May 15, 2006, or if you choose an Rx plan earlier than that date, the card will cease to provide assistance.

I get my prescriptions through Medbank. Can I continue to do so?



Medbank funding will continue for those who are not eligible for Medicare.

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Some pharmaceutical companies recently notified Medbank that they will not supply free drugs to anyone who is eligible for Medicare Part D (this means all Medicare beneficiaries).

Other companies want to see proof that you have applied for "extra help" through Social Security and have been denied financial assistance.

What if I don't take any prescription drugs now? Do I still need to sign up?



Yes, because you will face a penalty later if you don't. Choose the cheapest plan now and you can transfer to another later if your needs change. Do the math to see if it is worthwhile for you to do so at this time.

How often can I change plans?



You are locked into a plan for one year. Open enrollment is from Nov. 15 through Dec. 31 of each year.

What if I'm in a plan and my doctor says I need a drug that isn't in the list of approved drugs?



There's a special exception process that requires the physician to request that the drug be added to their formulary until you are able to choose another plan that covers all of your drugs.

Medicare Part D



Public Education Seminars Robinwood Medical Center

Suite 142

(blue or silver entrance)

Monday, Nov. 7 9 a.m.

Friday, Nov. 18 1 p.m.

Tuesday, Nov. 22 - 6:30 p.m.

Tuesday, Dec. 6 9 a.m.

Monday, Dec. 12 9 a.m.

Monday, Dec. 19 1 p.m.

Monday, Jan. 9 1 p.m.

Wednesday, Jan. 18 9 a.m.

Tuesday, Jan. 31 1 p.m.

Friday, Feb. 10 1 p.m.

What you will learn at Medicare Part D seminars



(Note: Please bring a pencil and pad so you can take notes. A question-and-answer period will be held at the end of each seminar.)

1) What is Medicare Part D?

2) Will the prescription drug coverage that I carry now change or expire at the end of 2005?

3) Should I enroll in a prescription Rx plan sponsored through the federal government?

4) Am I eligible for extra financial assistance to help pay for the premium of the drug plan that I choose?

5) How long do I have to make a decision before my coverage runs out or until a penalty is imposed?

6) What kinds of Rx plans are being offered in Maryland?

7) How do the new drug plans work?

8) What do I need to know to make an informed decision?

9) What resources/contacts are available to help me make a wise decision?

What Medicare Part D seminars will NOT do

(or what can YOU or a family member can do to help yourself)

1) Check with your pharmacy to see what prescription drugs plans they have decided to participate in.

2) Call your doctor to ask questions about current drugs.

3) Call a Rx drug plans to see if your drugs are covered under that plan.

4) Pick a plan for you.

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