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A patient who qualifies for Medicare insurance also qualifies for its new prescription drug coverage through a program called the Medicare Prescription Drug Coverage Program or Medicare Part D. Participation in Medicare Part D requires completion of an enrollment process.
What does Medicare Part D offer?
Medicare Part D, a prescription drug insurance program, is the most recent Medicare coverage for prescription medications. A person signs up, and will then choose between a private insurance prescription drug plan (PDP) or a Medicare Advantage Prescription Drug plan (MA-PD). Each plan has different premiums, deductibles and benefits. These plans often include brand-name and generic medications. Both plans will cover a portion of the cost of your prescription medications. The Medicare Web site, Medicare.gov, and call center (800-633-4227) can describe the available options and assist your patient in selecting a plan that is appropriate.
Does my patient qualify for Medicare Part D?
Everyone with Medicare is eligible for Medicare Part D, regardless of income, resources, health status or current prescription expenses. Patients can visit the Medicare Web site, Medicare.gov, to explore this and other programs, and to see which might be best for them. There is an online tool to help patients decide which program is appropriate, or they can call 800-633-4227.
What else should my patient know about Medicare Part D?
Like other insurance programs, there may be a monthly charge to belong to Medicare Part D. There may also be a deductible and/or co-payment every time a prescription is filled. However, these charges vary depending on the plan patients choose and their income. The less they earn, the less they may be charged. In some cases, and for some plans, there may be no deductible and co-payments may be very low.
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