Medicare Part D Prescription Insurance

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Medicare Part D Drug benefit is also known as Medicare Rx. “On January 1, 2006 Medicare initiated the Medicare Part D Prescription Drug Benefit, authorized by Congress under the Medicare Prescription Drug, Improvement, and Modernization Act of 2003, known as “MMA”” ( Medicare Part D enables Medicare beneficiaries to purchase outpatient medications at retail, home infusion, mail order and long-term care pharmacies.

Medicare Part D coverage is available two different ways. Prescription Drug Plans (PDPs) are one option. “Drug coverage is added to original Medicare and some Medicare PFFS plans in a PDP” (Medicare & You 2014). There were 32 independent PDPs in Nebraska as of 2013 and 155,235 Nebraska beneficiaries enrolled in PDPs as of 2012 (

The second option is Medicare Advantage Prescription Drug Plans (MA-PDs). MA-PDs offer hospital, medical and prescription drug coverage under one policy, perhaps an HMO or PPO. “To join a Medicare Advantage plan, you must have Part A and Part B” (Medicare & You 2014).

What is covered with Medicare Part D? “Medicare Part D must cover all commercially available vaccines (like the shingles vaccine) to prevent illness, except for vaccines covered under Part B” (Medicare & You 2014). This is important in preventing illnesses in the elderly. Insulin and insulin syringes; and smoking cessation drugs are also covered under Part D. Some drugs that are excluded include: Over-the-counter drugs, weight loss drugs, cough and cold drugs; and drugs purchased in another country. Part D drugs must be approved by the Food and Drug Administration for sale in the US and available only by prescription.

There are no pre-existing condition criteria for Part D coverage...

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...nd a toll free phone number 1-800-MEDICARE (1-800-633-4227). The website and toll free phone number are listed numerous times throughout the handbook.

Works Cited

Banks, Katie. "Medicoverage - Affordable Health Insurance Quotes." Medicare Part D Insurance. Regal Benefits Insurance Services, 1 Jan. 2014. Web. 22 Apr. 2014. .

Kaiser, Henry. "Find Medicare Part D Insurance in NE." Nebraska Medicare Part D Plans. eHealthinsurance Services, 1 Jan. 2014. Web. 20 Apr. 2014. .

Meliso, Pamela. "CMA || Center for Medicare Advocacy, Inc.." Introduction to Medicare Part D. CMA, 30 June 2013. Web. 12 Apr. 2014. .

Tavenner, Marilyn. "Get Information About Prescription Drug Coverage." Medicare & You 2014. Baltimore: US Department of Health and Human Services, 2013. . Print.
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