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Medicare Part D - Overview

Views: 2802
Posted: 10 Nov, 2008
by David Silva (Selfhelp Community Services, Inc.)
Updated: 08 Dec, 2011
by David Silva (Selfhelp Community Services, Inc.)

Training materials written and updated by various staff at the Evelyn Frank Legal Resources program since 2005. This outline, updated for the 2012 Part D enrollment period, which begins October 15, 2011, covers the basic design of the Medicare Part D prescription drug benefit, the Extra Help subsidy for low income beneficiaries, how Part D works with other types of drug coverage including EPIC and Medicaid, and how to get Extra Help by using the Medicare Savings Program.

Selfhelp's Medicare Part D Training Outline - 2012

This Appendix contains charts, forms, and plan lists referenced in the outline described above. 

This PowerPoint presentation was used in Selfhelp's training sessions.

See 2011 Medicare Part D Plan Lists  including lists of stand-alone Prescription Drug Plans, Medicare Advantage plans, and the "benchmark" plans that are free for people with Medicaid and Extra Help.

See 2012 Medicare Part D plan lists.

The above outlines describe the Part D program and how it works in New York -- how it works with New York Medicaid, EPIC, ADAP, and other programs.  For more national materials on Medicare Part D and other Medicare topics, see the Medicare Rights Center website and its Medicare Interactive website.

Transition Policy - In this March 25, 2010 Memo, CMS reminded all Part D plans that they must have a "transition policy," under which they must provide a temporary supply of a non-formulary drug to new enrollees for a specified period of time, allowing them time to either request an exception from the formulary or to work with their physician to switch to a drug on the plan's formulary.   The memo includes a summary of all transition policies for different types of beneficiaries.   Transition policies are also explained on this Medicare Interactive. article.


This article was authored by the Evelyn Frank Legal Resources Program of Selfhelp Community Services, Inc.

Selfhelp

Attached files
file Selfhelp Part D Presentation.pdf (109 kb)
file MemoTransition_03 25 10.pdf (174 kb)
file Selfhelp Part D 2012.pdf (600 kb)
file Selfhelp Part D Appendix.pdf (1.47 mb)

Also read
document Pathways to Extra Help - the Part D low income subsidy and how it can help your clients
document The Medicare planfinder tool: get (almost) all the info you'll ever need to help you pick the best possible prescription drug plan
document 2011 Medicare Part D Plan Lists
document 2012 Medicare Part D Plans in NYS

External links
http://www.medicareinteractive.org/page2.php?topic=counselor&page=Index

Also listed in
folder Medicare Part D -> Extra Help
folder Medicare Part D -> Exceptions and Appeals
folder Medicare Part D -> Selecting a drug plan
folder Medicare Part D -> Getting Started
folder Medicare Part D -> Overview

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What drugs are covered?     Effective October 2010, EPIC Restricts Coverage of Prescription...


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