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any one that needs its, medicare pays based on medical necessity
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What is Medicare Part D?
Medicare Part D is a federal program to subsidize the costs of prescription drugs for Medicare beneficiaries in the United States. It was enacted as part of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA) and went into effect on January 1, 2006.
Does your 65 year old spouse qualify for medicare part A if she does not have enough credits to qualify for social security but you have paid into medicare continuously since inception?
Yes - she qualifies as the spouse of an eligible wage earner.
Which part of medicare cover prescription drugs?
If you have straight Medicare A and/or B, the prescriptions would be covered by a Part D policy which you can add to your coverage for an additional premium each month.
What if you cannot pay for Medicare B or RX plan?
Congress has passed bills which provide for Medicare Savings Programs in which the part B premium is waived ( will be paid by the state in which member lives) . It is based on a member's income. For Part D if the member qualifies, Low income subsidy (LIS) is available. The part D premium will be paid by the state and the copays for drugs will also be reduced, with no "donut hole" during the year. Anyone who has problems affording either the part B premium or Part D costs should contact Medicare or Social Security and apply.
What are the benefits of Medicare Part D insurance?
Medicare part D adds extra benefits on to your medicare package, it is prescription drug coverage that should be already included in your Medicare package, this means that her insurance would also cover the cost of any drugs she was required to get as part of her medical treatment.
What is a private drug plan in original medicare?
Typically, Original Medicare (Part A and Part B) do not cover prescription drugs. Those costs would only covered in a situation in which you are a hospital patient. Hospital coverage falls under Medicare Part A. Original Medicare beneficiaries must pay for private prescription drug coverage by enrolling in either a stand-alone prescription drug plan (or PDP), which covers only the prescription drugs OR by enrolling in a Medicare Advantage (Medicare Part C) private plan, which covers not only prescription drugs but other medical expenses. With both the PDP and Medicare Advantage, you pay a co-pay for prescriptions, a monthly premium, and an annual deductible. Some individuals - including those with limited income - may qualify for financial help in paying for prescription drug expenses.
What does medicare part d does?
Medicare Prescription Drug Coverage (Part D): Medicare offers prescription drug coverage (Part D) for everyone with Medicare. To get Medicare drug coverage, you must join a plan run by an insurance company or other private company approved by Medicare. Each plan can vary in cost and drugs covered. If you want Medicare drug coverage, you need to choose a plan that works with your health coverage. For more information: http://www.medicare.gov/Publications/Pubs/pdf/10050.pdf page 63
Where does Medicare get its funding?
Medicare is funded primarily through payroll taxes, with contributions from both employees and employers. Part A of Medicare, which covers hospital insurance, is financed through the Hospital Insurance Trust Fund. Part B, which covers medical insurance, and Part D, which covers prescription drugs, are primarily funded through general revenues and beneficiary premiums.
Can you pay for Medicare Insurance through an FSA?
Yes, you can pay your Medicare Part B or Part D premiums using funds from your Flexible Spending Account (FSA). If you have an FSA, you must also have an employer-based plan. So Medicare Part B and Part D might be unnecessary, since your employer plan probably already covers hospital services and prescription drugs. Nevertheless, you can pay for your Medicare coverage with FSA funds.
Medicare part d covers what?
Medicare Prescription Drug Coverage (Part D): Medicare offers prescription drug coverage (Part D) for everyone with Medicare. To get Medicare drug coverage, you must join a plan run by an insurance company or other private company approved by Medicare. Each plan can vary in cost and drugs covered. If you want Medicare drug coverage, you need to choose a plan that works with your health coverage. For more information: http://www.medicare.gov/Publications/Pubs/pdf/10050.pdf page 63
Does Medicare cover Baclofen injections?
Medicare itself has very limited drug coverage. If you have Part D Prescription Drug coverage from an insurance company, check the company's "Formulary" to see if the Baclofen is a covered drug. This is what the Medicare and You 2009 book says about Prescription Drugs: Includes a limited number of prescription drugs such as those you get in a hospital outpatient department under certain circumstances, injected drugs you get in a doctor's office,certain oral cancer drugs, and drugs used with some types of durable medical equipment (like a nebulizer or infusion pump). You pay 20% of the Medicare-approved amount, and the Part B deductible applies. Note: Other than the examples above, under Part B, you pay 100% for most prescription drugs, unless you have Part D or other drug coverage. To see the entire book: http://www.medicare.gov/Publications/Pubs/pdf/10050.pdf
Who is eligible for Medicare part d?
Anyone who has Medicare Part B.
