Go to the UF/IFAS Homepage
Family, Youth and Community Sciences
HOME CAREGIVING FOCUS TEAMS MEDICARE PART D FACULTY FAQ VOLUNTEERS GLOSSARY CONTACT

 
Related Sites
MEDICARE.GOV
MY MEDICARE MATTERS
ACCESS TO BENEFITS
BENEFITS CHECKUP RX

 
 

Potential Partners
AARP
Shine/Sunshine
Sunshine Facts
Area Agencies on Aging
Florida Department of Elder Affairs

 

Medicare Part D
Frequently Asked Questions

Reasons to Join

What is Medicare Part D?

Who is eligible for Medicare Part D

Why should someone sign up for Medicare Prescription Drug Coverage (Medicare Part D)?

Does a client have to join a Medicare drug Plan?

Plan Costs

How is the basic benefit design and stages of coverage going to change between 2006 & 2007?

How does a client pay for coverage?

How does the plan protect people on Medicare against high out-of pocket drug costs?

If a client has arrived at a gap, what should they do?

What is true out-of-pocket expense?

Drugs Covered/Formulary

What is a formulary?

What is an exception?

How does the appeal process work after an exception is declined?

What is the difference between grievances and appeals?

What happens if a client joins or is a assigned to a plan and their medications is not covered?

Is there a limit on the number of prescription drugs that can be covered in a given year?

Will Medicare Drug plans have preferred drug lists?

What are the roles of the Pharmacy & Therapeutic Committee?

What are the patient's options if a drug is non-formulary?

Will a Medicare Prescription Drug Plan need to notify a client if its list of covered drugs (formulary) changes?

What does a Medicare drug plan cover?

What Medicare Part D cover a client's diabetic supplies?

Will Medicare Part D cover brand & generic medications?

Enrollment Period/Criteria

When can a client change/enroll/disenroll Medicare prescription plans?

Is there someone besides IFAS to help a client choose a Medicare prescription drug plan?

Can a client use their one drug plan all over the country?

What happens if a client lives in Iowa for the summer & Florida for the winter?

My client moved, what should they do?

Medicare With Other Plans

What is a Medigap plan?

Do I need Medicare part D if I have a Medigap plan?

What is a State Pharmaceutical Assistant Program?

If a client has VA coverage, do they have to sign up for Medicare Part D?

What if a beneficiary already has prescription drug coverage?

Will Florida Medicaid cover the drugs that Medicare Part D does not cover?

Will Florida Medicaid pay the remaining costs on a drug after Medicare Part D has covered part of the cost?

Will a client be able to use more than one Medicare drug plan?

Will clients be able to use a drug store drug discount card (not a Medicare-approved drug discount card) with a Medicare drug plan?

 

Eligibility for Extra Help

What does the term “extra help” mean when you are talking about Medicare prescriptions?

Will people lose their housing assistance if they apply and qualify for extra help paying for the new Medicare prescription drug plan costs?

Will people lose their food stamp benefits if they apply and qualify for extra help paying for the new Medicare prescription drug coverage?

If a client is not certain whether they qualify, should they apply for extra help?

Who automatically qualifies for extra help?
 

Long-term Care Facilities

How will individuals in LTC facilities with both Medicare and Medicaid (dual eligible) be affected?

How will LTC residents select a plan?

Will clients in LTC facilities be subject to co-pays?

Mail Order

Mail Order

Married Couples

Married Couples

Terms

The information in this document and the assistance provided by the presenter of this information is intended as an educational guide for Medicare participants. The Medicare recipient is solely responsible for making the final decision regarding his or her choice of Medicare Part D plans. Specific questions regarding Medicare Part D should be directed to Medicare at 1-800-MEDICARE.



go to University of Florida HomepageThis in-service training is funded by Florida Cooperative Extension Service. EEO