Contact your local Medicaid office to learn how to decline Part D without losing your Medicaid coverage. If you later want Part D, you will have a two-month SEP after you lose creditable coverage.įinally, those with Medicaid and certain kinds of employer, union, or retiree drug coverage may in some cases not be enrolled in Extra Help or can ask not to be. If you cannot have Part D and your retiree benefits, or if keeping both is not cost-effective, think carefully about whether you should get a Part D plan, especially if your retiree plan also covers your spouse or dependents. Be sure to ask your former employer or union if you can get a Part D plan without losing the retiree benefits you want to keep, and check if disenrolling from retiree drug coverage makes you ineligible for other retiree health benefits. If you are eligible for Extra Help and already have other creditable drug coverage, you should evaluate your costs and coverage when deciding whether to enroll in Part D and Extra Help or to keep your current drug coverage. Making an Extra Help decision when you have other forms of prescription drug coverage If you do not choose a plan, you will in most cases be automatically enrolled in one. Remember that Extra Help is not a replacement for Part D or a plan on its own: You must still have a Part D plan to receive Medicare prescription drug coverage and Extra Help assistance. To receive such assistance, your prescriptions should be on your plan’s formulary and you should use pharmacies in your plan’s network. Both programs provide assistance with the cost of your drugs. Eliminates any Part D late enrollment penalty you may have incurred if you delayed Part D enrollmentĭepending on your income and assets, you may qualify for either full or partial Extra Help.You should use Fall Open Enrollment during this time to make prescription drug coverage changes.) Gives you a Special Enrollment Period (SEP) once per calendar quarter during the first nine months of the year to enroll in a Part D plan or to switch between plans (You cannot use the Extra Help SEP during the fourth calendar quarter of the year (October through December).Lowers the cost of your prescription drugs.Pays for your Part D premium up to a state-specific benchmark amount.The Extra Help program (also called the Part D Low-Income Subsidy) offers the following benefits: You should receive a purple-colored notice from the Centers for Medicare & Medicaid Services (CMS) informing you that you do not need to apply for Extra Help.
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