MEDICARE PART D PRESCRIPTION PLANS PLEASE DON'T BE CONFUSED BY MEDICARE'S NEW PRESCRIPTION PLANS FOR THOSE ON MEDICARE. THESE PLANS ARE SIMPLER THAN YOU MAY THINK. EVEN IF YOU ARE NOT CURRENTLY ON PRESCRIPTION MEDICATIONS, YOU MAY WANT TO CONSIDER TAKING COVERAGE. WHY?? |
| IF YOU ALREADY HAVE A GOOD UNDERSTANDING OF MEDICARE PART D PLANS, GO TO THE BOTTOM OF THE PAGE, FILL IN YOUR CONTACT INFORMATION, AND YOUR LIST OF DRUGS, AND CLICK THE "SUBMIT" BUTTON. REMEMBER, EVEN IF YOU TAKE NO DRUGS NOW, TAKE THE MOST INEXPENSIVE PLAN AVAILABLE TO AVOID A PENALTY DOWN THE ROAD WHEN YOU DO NEED PRESCRIPTIONS. |
1. PRIVATE INSURANCE COMPANIES SELL TO AND ENROLL MEDICARE BENEFICIARIES ON THESE PLANS. 2. ALL PLAN DESIGNS ARE SIMILAR, AND ARE APPROVED AND OVERSEEN BY AMERICA'S CMS. 3. THERE ARE MANY, MANY COMPANIES SELLING PART D IN FLORIDA. PLAN DESIGNS DIFFER ONLY IN "PREMIUM"; " MEDICATIONS AVAILABLE (CALLED "FORMULARY"); "DEDUCTIBLE OR NO DEDUCTIBLE"; AND COPAYS FOR THE VARIOUS LEVELS OF DRUGS ON THE "FORMULARY", I.E.. COPAYS SHOWN ARE HYPOTHETICAL. TIER 1 = GENERIC DRUGS TIER 2 = BRAND NAME PREFERRED DRUGS TIER 3 = BRAND NAME NON-PREFERRED DRUGS TIER 4 = SPECIAL BRAND NAME DRUGS, (INJECTIBLES & VERY SPECIAL DRUGS) 4. THE COPAY FOR EACH TIER WILL BE DIFFERENT, I.E. TIER 1 = $6 COPAY PER MONTH 30 DAY SUPPLY TIER 2 = $42 COPAY PER MONTH 30 DAY SUPPLY TIER 3 = $70 COPAY PER MONTH 30 DAY SUPPLY TIER 4 = 25% OR 33% OF COST OF DRUG 5. The Premiums for a Medicare Part D Plan vary widely, depending on which company is selling the plan, whether or not they are charging the $250 Deductible, and the Formulary List, which may or may not include YOUR drugs. Most Carriers DO NOT CHARGE A DEDUCTIBLE. 6. There IS a PENALTY for not selecting a Plan WHEN ELIGIBLE. The longer you go without a Plan, the greater the Penalty grows. Even if you take NO prescription drugs at all NOW, you should consider buying the most inexpensive plan available, just to protect yourself from a Penalty in the future. You may sign up in Open Enrollment each year 11/15 thru 12/30 for a January 1 effective date. 7. Basically, these Plans SHARE cost of the first $2,510 of drugs per year. Even with Copays, your cost is approximately 25% of the first $2,510 of cost. When your 25%, and the Insurers 75% reaches the $2,510 total drug cost, you move into what is called the "Donut Hole". 8. The Donut Hole is the part of your Plan where the Insurer does NOT contribute. If you have used your $2,830, you will continue on for the rest of the year paying 100% of the total cost of your drugs Until your total out of pocket reaches $4,450 in drug costs yourself. 9. After this next $4,450 of drug costs, you will reach the point where your Plan will pay approximately 95% of the cost, and you will pay about 5% ($2.25 OR $6.30 Copays) of your drug costs for the rest of the CALENDAR year. SOME BASIC INFORMATION TO REMEMBER: A. SOME OF THE AVAILABLE PLANS OFFER "SOME" COVERAGE THROUGH THE "DONUT HOLE". MOST FOR ONLY GENERIC DRUGS, B. YOUR PREMIUM CAN BE DEDUCTED FROM YOUR SOCIAL SECURITY CHECK EXACTLY THE WAY YOUR PART B MEDICARE COVERAGE IS NOW DEDUCTED. C. IF YOU TAKE NO DRUGS NOW, BUY THE LEAST EXPENSIVE PLAN AVAILABLE TO YOU TO AVOID A PENALTY PREMIUM WHEN YOU DO NEED A PLAN, AND YOU MAY CHANGE PLANS DURING OPEN ENROLLMENT EVERY YEAR. D. IT IS VERY IMPORTANT THAT YOU SUBMIT A LIST OF THE DRUGS YOU ARE TAKING BEFORE SELECTING A PLAN. WE WILL FIND THE PLAN THAT BEST MEETS YOUR NEEDS AMONG THOSE WE HAVE AVAILABLE. E. IF YOU HAVE A MEDICARE ADVANTAGE (HMO) PLAN, YOU PROBABLY ARE COVERED FOR PRESCRIPTIONS THROUGH YOUR PLAN. IF YOU HAVE A MEDICARE ADVANTAGE PPO, YOU PROBABLY ALSO HAVE YOUR PRESCRIPTIONS INCLUDED. YOU CAN BUY A MEDICARE ADVANTAGE PLAN WITHOUT DRUGS IF YOU PREFER A SEPARATE DRUG PLAN. SEE FORM BELOW |
| PLEASE FILL OUT THE FORM BELOW AND CLICK SUBMIT AT THE PAGE BOTTOM OR CALL 1-800-239-7553 WE WILL BE HONORED TO ASSIST YOU |
| IF YOU ALREADY HAVE A GOOD UNDERSTANDING OF PART D MEDICARE, GO TO THE BOTTOM OF THE PAGE, FILL IN THE INFORMATION, AND CLICK ON "SUBMIT". WE WILL REPLY |
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