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Medicare > Part D Prescription Drug
Program Medicare Prescription Drug Coverage
is insurance run by an insurance company approved by
Medicare.
Medicare Part D Prescription Drug Coverage: In 2011, those
people who reach the "doughnut hole" will spend much less.
There will be a 50% discount on brand-name drugs (this is
contributed by the manufacturers). Also, there will be a
federally subsidized 7% discount on generic drugs. Over the
next 10 years these discounts will get larger, so that by
2020 you will pay no more than 25% of the cost of any Part D
drug in the doughnut hole. Important information: If you decide not to join
a Medicare drug plan when first eligible, and you don't have
other creditable prescription drug coverage, a permanent 1%
penalty per month for the number of months you were eligible
for coverage and didn't elect it will be added to your
insurance premium.
https://questions.medicare.gov/app/answers/detail/a_id/2255/~/late-enrollment-penalty-(lep)
www.medicare.gov/navigation/medicare-basics/medicare-benefits/part-d.aspx
In order for prescription drugs to be covered under the Part D program,
they must be approved by the FDA. Also, barbituates (such as lorazapm) are not a covered drug under any
Medicare Part D plan.
Questions & Answers About Part D
Premium Adjustments
How are Medicare prescription drug coverage premiums
changing?
Your monthly premium for Medicare prescription drug coverage
(Part D) could be higher based on your income. This includes
Part D coverage you get from a Medicare prescription drug
plan, a Medicare Advantage Plan with prescription drug
coverage (like an HMO or PPO), a Medicare Cost Plan, or
employer health plan that includes Medicare prescription
drug coverage.
If your modified adjusted gross income as reported on your
IRS tax return from 2 years ago (the most recent tax return
information provided to Social Security by the IRS) is more
than $85,000 (individuals and married individuals filing
separately) and $170,000 (married individuals filing
jointly), you will have to pay an extra amount for your
Medicare prescription drug coverage. This extra amount is
called the income‐related monthly adjustment amount. You
will have to pay this extra amount in addition to your
monthly Part D plan premium, each month in order to keep
Medicare prescription drug coverage. If you do not pay the
extra amount, you will lose your drug and health coverage.
Who will have to pay the extra amount?
Most people will continue to pay the Part D premium their
plan charges. If you have to pay the extra amount in
addition to the Part D plan premium, Social Security will
use your reported IRS income to determine how much extra you
have to pay. You will get a letter from Social Security if
you have to pay an extra amount in addition to your monthly
Part D plan premium.
How will the extra amount be collected?
It will be deducted from your monthly Social Security,
Railroad Retirement, or Office of Personnel Management
check, no matter how you usually pay your plan premium. If
that amount is more than the amount of your check, you will
get a bill from Medicare each month.
What should I do if I disagree with the amount or my income
has changed?
Toward the end of the year, Social Security will send you a
letter if your Medicare prescription drug plan premium will
change based on your income. This letter will tell you what
to do if you disagree. For more information, call Social
Security at 1‐800‐772‐1213. TTY users should call
1‐800‐325‐0778.
Questions about your Medicare prescription drug coverage or
how much you have to pay?
Call your benefits coordinator if you have questions for
your employer. If you have questions about your premium or
coverage, call your plan. MedicareBlue Rx individual members
should call 1-888-832-0075 and group members should call
1 877 838 3827, and MedicareBlue PPO individual and group
members should call 1 888 457 3005 (TTY hearing impaired
users for either plan can call 711). Members can also visit
medicare.gov, or call 1-800-MEDICARE (1 800 633 4227).
TTY users should call 1 877 486 2048.
Questions about the extra amount you are being charged based
on your income?
Visit ssa.gov
or call Social Security at 1 800 772 1213. TTY users should
call 1 800 325 0778
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DEBBIE JONES
Tel: (800) 398-0793
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 Debbie Jones sells Medicare products and is willing to answer your questions regarding Medicare and/or any available insurance products. Give her a call today at: (406) 258-0030, (800) 398-0793 or via email
djones@mymontanahealthinsurance.com |
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