Learn about Medicare Part D plans

Medicare 2020 Drug Plan

Change Your Medicare 2020 Drug Plan Today

medicare 2020 drug plan

You can get the drug plan you want in 2020! Here’s the big Medicare Part D and Medicare.gov update: During the last 2019 Annual Enrollment you may have used the new Medicare.gov Plan Finder which was rolled out in October 2019. Unfortunately, there were a lot of errors with this new Plan Finder. Our agents at Senior Healthcare Direct were one of the first to realize that a lot of data from Medicare.gov plan finder was not adding up. For example, the Medicare.gov Plan Finder did not match up with the carriers.

Helping You Get The Right Drug Plan

To help our clients, we cross referenced Medicare.gov and the carrier information. As a result, we helped our clients get the right drug plan. However, other Medicare agencies or individuals who did not know ended up enrolling in the wrong plan. Consequently, there have been a lot of complaints to Medicare. Because there were enough complaints, Medicare opened up a new Special Enrollment Period. So if you used plan finder in 2019 and chose the wrong 2020 drug plan because the information provided was inaccurate, you can change your drug plan. Therefore, you do not have to wait until October 2020. You can get a new drug plan today! Watch the video below for more details.

You Can Change Your Medicare 2020 Drug Plan

MedicareBob, owner of Senior Healthcare Direct, breaks the news about Medicare Plan Finder inaccurate information and how you can change your drug plan today. Watch the video to get more details and learn what to say when you call Medicare to change your drug plan.

MedicareBob’s Big 2020 Announcement

How to Change Your Drug Plan

You can make changes to your Medicare Advantage or Medicare Part D plan. If you made the wrong plan choice because of inaccurate information on the Plan Finder, call 1-800-MEDICARE and explain your situation. For other special circumstances, such as you move or lose other insurance coverage, visit Medicare.gov

Medicare 2020 – Best Medicare Supplement 2020 – Best Part D Drug Plan 2020

FAQ Friday: Part D Attestation of Creditable Coverage

FAQ Friday: Extra Help with Part D

FAQ Friday: Why does my Social Security show the Incorrect Part D Premium Deduction?

2019 Part D Drug Plan Updates

FAQ Friday: 2019 drug plans; when do they come out and when can I change?

Medigap Monday: Does Medicare Supplement Plan G Cover Medications

FAQ Friday: Does Medicare Supplement Plan G Cover Prescription Drugs

2020 Medicare Part D

2018 Medicare Part D Finder Form

2020 Medicare Part D

2017 Medicare Part D Finder Form

Help with your Medicare Part D Plan

Thank you

2016 Part D Changes

CMS finalizes 2016 payment and policy updates for Medicare Health and Drug Plans

CMS NEWSFOR IMMEDIATE RELEASE

April 6, 2015

Contact: CMS Media Relations

(202) 690-6145 | go.cms.gov/media

CMS finalizes 2016 payment and policy updates for Medicare Health and Drug Plans

Rate Announcement Details Plan Payments and Other Program Updates for 2016

 

The Centers for Medicare & Medicaid Services (CMS) today released final Medicare Advantage (MA) and Part D Prescription Drug program changes for 2016 that provide fair and accurate payments to plans, and encourage the delivery of high-quality care for all populations.

 

“These policies strengthen Medicare Advantage for current and future consumers by encouraging higher quality care,” said Andy Slavitt, acting CMS Administrator. “As the Medicare Advantage marketplace continues to grow, consumers are getting access to better care through more choice and competition. Seniors and people with disabilities, including the dual-eligible population, will continue to have an extensive choice of plans, affordable premiums, and better and more transparent information about provider networks and pharmacies.”

 

The Medicare Advantage and the Part D Prescription Drug programs’ enrollments and quality continue to grow and improve since the Affordable Care Act became law. Medicare Advantage has reached record high enrollment each year since 2010, a trend continuing in 2015 with a cumulative increase of more than 40 percent since 2010. At the same time, premiums have fallen by nearly 6 percent from 2010 to 2015. And, more than 90 percent of Medicare beneficiaries have access to a $0 premium Medicare Advantage plan.

 

The finalized policies fully consider the many comments received during the public comment period. Particular care is being taken to ensure that plan sponsors have the right incentives to care for dual eligible populations over the long term. The Rate Announcement finalizes changes in payments that will affect plans differently depending on the characteristics of those plans. On average, the expected revenue change is 1.25 percent without accounting for the expected growth in coding acuity that has typically added another 2 percent.  The final revenue increase is larger than the February advance notice largely because the Medicare actuaries recently updated Medicare per capita spending estimates for 2014 and 2015. Medicare per capita spending in 2014, 2015 and 2016 is still expected to be below historical standards.

 

Today’s announcement drives important improvements to the star rating system, additional accuracy and transparency of provider networks, and continues to promote improvements in quality of care for beneficiaries. The policies in the Rate Announcement and final Call Letter reflect Secretary Burwell’s commitment to a Medicare program – including Medicare Advantage – that delivers better care, spends health care dollars more wisely and results in healthier people. In the Final Call Letter, CMS continues to update the Star Ratings measures to drive improved quality for Medicare Advantage and Part D enrollees. To enhance program integrity and payment accuracy, Medicare Advantage plans will continue to be provided stringent oversight for improper payments, just like other providers in the Medicare program.

 

Lastly, the final policies will provide enrollees with greater information to make informed and timely decisions about their care and their coverage. The Final Call Letter takes steps to require Medicare Advantage plans to maintain accurate provider directories in a timely manner and make those directories widely available. These steps will help enrollees better understand the providers and choices available to them. In addition, CMS will ensure that Part D sponsors provide clear and accurate access to information on preferred cost sharing pharmacies in their networks so that all beneficiaries have access to affordable coverage.

 

To view a fact sheet on the 2016 Rate Announcement and final Call Letter, please visit: http://www.cms.gov/Newsroom/MediaReleaseDatabase/Fact-sheets/2015-Fact-sheets-items/2015-04-06.html

# # #

Get CMS news at cms.gov/newsroom, sign up for CMS news via email and follow CMS on Twitter @CMSgov

Shared by: Robert Bache

Twitter @MedicareBob

 

 

 

 

 

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Medicare Prescription Drug Costs, 4 Ways to Lower Your Costs:

4 Ways to Help Lower Your
Medicare Prescription Drug Costs

Are you a person with Medicare who’s having trouble paying for prescription
drugs? Joining a Medicare Prescription Drug Plan may help, even if you have to
pay a late enrollment penalty.
There are other ways you may be able to save. Consider switching to drugs that
cost less. Ask your doctor if there are generic, over-the-counter, or
less-expensive brand-name drugs that could work just as well as the ones
you’re taking now. Switching to lower-cost drugs can save you hundreds or
possibly thousands of dollars a year.
You can also help lower your Medicare prescription drug costs by:
1. Exploring national and community-based programs that might offer
assistance (like the National Patient Advocate Foundation or the National
Organization for Rare Disorders) that may have programs that can help with
your drug costs. Get information on federal, state, and private assistance
programs in your area on the Benefits Check Up website, benefitscheckup.org.
The help you get from some of these programs may count toward your true
out-of-pocket (TrOOP) costs. TrOOP costs are the expenses that count toward
your Medicare drug plan out-of-pocket expenses—up to $4,750 for 2013.
These costs determine when your catastrophic coverage will begin.
2. Looking at State Pharmaceutical Assistance Programs (SPAP) to see if
you qualify. SPAPs in 22 states and 1 territory offer some type of coverage
to help people with Medicare with paying drug plan premiums and/or cost
sharing. Find out if your state has a State Pharmaceutical Assistance Program
at Medicare.gov/pharmaceutical-assistance-program/state-programs.aspx
or calling 1-800-MEDICARE. SPAP contributions may count toward your
TrOOP costs.

3. Looking into Manufacturer’s Pharmaceutical Assistance Programs
(sometimes called Patient Assistance Programs (PAPs)) offered
by the manufacturers of the drugs you take. Many of the major drug
manufacturers offer assistance programs for people enrolled in a
Medicare drug plan. Find out whether the manufacturers of the drugs
you take offer a Pharmaceutical Assistance Program by visiting
Medicare.gov/pap/index.asp or calling 1-800-MEDICARE
(1‑800‑633‑4227). TTY users should call 1-877-486-2048. Assistance
from PAPs isn’t part of Medicare Part D, so any help you get from this
type of program won’t count toward your TrOOP costs.
4. Applying for Extra Help paying for your Medicare prescription drugs.
If you have Medicare and have limited income and resources, you may
qualify for Extra Help paying for your prescription drugs. To apply for
Extra Help, contact Social Security at ssa.gov or by calling
1-800-772-1213. TTY users should call 1-800-325-0778.
If you need help finding resources, like the ones described above, call your
State Health Insurance Assistance Program (SHIP) for free personalized
counseling to people with Medicare. Get their phone number by visiting
Medicare.gov/contacts, or calling 1-800-MEDICARE.

SEE IF YOU CAN SAVE NOW: CLICK HERE

 

Shared by:

Robert W. Bache aka “MedicareBob™”

President / Producer

Senior Healthcare Direct

Direct Toll Free: 1-800-525-0299

Company Toll Free: 1-855-368-4717

www.SrHealthcareDirect.com

Incorrect Medicare Part D information may be on your letter from Social Security:

Senior Healthcare Direct
December 18, 2013
Incorrect Medicare Part D information may be on your letter from Social Security:

I hope you are doing well. This is Robert Bache, aka “MedicareBob™”. I want to share some information with you about a letter that you might receive from the Social Security Administration about an increase in your Social Security Income for 2014.

Great news: Most people are receiving an increase in their Social Security Income.

Bad news: Social Security did not communicate very well with Medicare regarding your Medicare Part D information. On this letter, the Part D information does not reflect if you made a change for 2014, the letter reflects your 2013 Part D Plan information.

In summary, If you made a Medicare Part D change for 2014, the letter from Social Security does not reflect your correct monthly premium information.

It is not too late to shop for the best 2014 Medicare Supplement Price. The December 7th deadline only applies to the Medicare Part D Coverage.

As you know, all Medicare Supplement Plans offer the same insurance coverage, so there is no reason to over pay. Senior Healthcare Direct represents all of the top Medicare Supplement Companies.

If you have any questions about Medicare please contact me, my direct phone number is 1-800-525-0299 or you can email me,  Bob@MedicareBob™.com.

As always, we appreciate being your Medicare Insurance Agency.

Sincerely,


Robert W. Bache aka “MedicareBob™”
President / Producer
Senior Healthcare Direct
Direct Toll Free: 1-800-525-0299
Company Toll Free: 1-855-368-4717
www.SrHealthcareDirect.com
www.MedicareBob™.com

How much is Medicare Part D

Free Generic with Medicare Part D

Medicare Part D, what do I have to pay

When to enroll into Medicare Part D

Medicare Part D Avoid the Donut Hole

How Medicare Part D works

Choosing the Best Medicare Part D Plan

Medicare Part D Extra Help

How Obamacare affects Medicare Part D Beneficiaries

Medicare Part D. How do you get the best plan?

First Health Medicare Part D Value Plus Plan is no longer the best Medicare Part D Plan for 2014.

First Health Medicare Part D Value Plus Plan is no longer the best Medicare Part D Plan for 2014.

If you actively shop your Medicare Part D Plan each year and you take mostly generic medications, there is a good chance that for 2013 you chose the First Health Part D Medicare Value Plus Plan.

This means that there is an even better chance that you recently received a notice that the First Health Part D Plan’s premium is increasing by quite a bit.

Have no fear, 2014 boast a couple of Medicare Part D Plans that will suite you even better! For 2014, say good bye to First Health Part D, and say hello to one of the following 2014 Medicare Part D Plans:

  • 2014 Humana Walmart Rx PDP Plan: Most of us have known about this Plan for a few years and even though it has always had a lower monthly premium, it has also always had a big deductible. This deductible often times did not make a lot of sense for a person whom takes mostly or all generic medications because this person would never meet said deductible.

 

The Humana Walmart Rx Plan is better for 2014, because the deductible is now a “Tiered Deductible”. This means that it does not apply for Tier 1 and/or Tier 2 medications. So starting January 1st 2014 at Walmart/Sam’s Club you will receive Tier 1 medications for $1.00 and Tier 2 medications for $4.00.

If you dislike getting your medications from Walmart/Sam’s Club, or you like using Mail Order, then you can still save money. If you use Humana’s Mail Order service through “Right Source”, starting January 1st 2014, you will receive your Tier 1 and Tier 2 medications for FREE! 

Did I mention that the 2014 national average monthly premium for the Humana Walmart Rx PDP Plan is only $12.60!!!

  • 2014 WellCare Classic PDP Plan: This Plan is more similar to the 2013 First Health Part D Plan because of the $0.00 deductible and $0 copay for Tier 1 medications. The premium is friendly as well, the 2014 average monthly premium is $23.00.

It is always a bummer to receive a notice that anything you are paying for is increasing in price, but call me or one of my fellow Medicare Insurance Specialists and I know we can help you shop and compare all of the available 2014 Medicare Part D Plans.

Direct Toll Free Number: 1-855-368-4717.

Who am I? I am Robert Bache, Google “MedicareBob™”, and you will see that I have been in the news and awarded for helping Medicare Beneficiaries just like you. I own Senior Healthcare Direct, www.SrHealthcareDirect.com , and I encourage you to experience the difference of working with one of our Medicare Specialists. My Agents and I are the best at what we do.

Robert Bache aka “MedicareBob™”
President / Producer
Senior Healthcare Direct
Direct Toll Free: 1-800-525-0299
Company Toll Free: 1-855-368-4717

www.SrHealthcareDirect.com

www.MedicareBob™.com

Learn more about Robert aka “MedicareBob™”

http://SrHealthcareDirect.com/medicarebob/
http://MedicareBob™.com

Please “Like” Senior Healthcare Direct on Facebook:
https://www.facebook.com/MedicareBob™?ref=hl

 

2014 Humana Walmart Medicare Part D Plan

2014 Humana Walmart Rx PDP Medicare Part D Plan

Overview: 

The 2014 Humana Walmart Rx- Low monthly plan premium, offered nationwide, copays as low as $1 even before you meet the $310 deductible.

Additional highlights for the Humana Walmart Rx PDP Plan:

        • The national average monthly premium for is 2014 is $12.60.
        • Tier 1 Retail Copays as low as $1.00 and Mail Copays as low as $0.00.
        • Offered  in all 50 states.
        • ***Tiered $310 annual deductible, does not always apply, see below:

***This is really really cool, the 2014 Humana Walmart Rx Plan is now offering a “Tiered Deductible”.  When you use Walmart’s Pharmacy, the $310.00 deductible does not apply for Tier 1 and Tier 2 medications. At Walmart, the Tier 1 medications are only $1.00 and the Tier 2 are only $4.00.

Even better, if you use Humana’s Mail Order Provider, “Right Source”, the Tier 1 and Tier 2 medications are FREE!!! Again, the deductible does not apply.

PLEASE CALL ME IF YOU WOULD LIKE TO SHOP ALL OF YOUR 2014 MEDICARE PART D OPTIONS.

Robert Bache aka “MedicareBob™”
President / Producer
Senior Healthcare Direct
Direct Toll Free: 1-800-525-0299
Company Toll Free: 1-855-368-4717

www.SrHealthcareDirect.com
Learn more about Robert aka “MedicareBob™”

http://SrHealthcareDirect.com/medicarebob/
http://MedicareBob™.com

Please “Like” Senior Healthcare Direct on Facebook:
https://www.facebook.com/MedicareBob™?ref=hl

2014 AARP Medicare Part D Plans Insurance by United Healthcare:

2014 AARP Medicare Part D Plans Insurance by United Healthcare Summarized by MedicareBob™:

AARP is offering 3 different Medicare Part D Plans in 2014:
1. AARP MedicareRx Preferred (PDP)

The AARP® MedicareRx Preferred drug list includes nearly all generic drugs covered by Medicare Part D and most commonly used brand-name drugs. $0 annual deductible, lower copayments with the Preferred Retail Pharmacy Network and access to more than 65,000 network pharmacies make this our most popular prescription drug plan.

The average monthly premium for the AARP MedicareRx Preferred in 2014 is $43.47.

2. AARP MedicareRx Enhanced (PDP)

The AARP® MedicareRx Enhanced plan includes nearly 94% of drugs covered by Medicare Part D plus coverage for Tier 1 and Tier 2 drugs and select brand name drugs in Tiers 3 – 5 in the coverage gap. It offers a $0 annual deductible, lower copayments with the Preferred Retail Pharmacy Network and access to more than 65,000 network pharmacies. Note: This plan is not available in: Arkansas, Kansas, American Samoa, Guam, the Northern Mariana Islands, Puerto Rico and the U.S. Virgin Islands.

The average monthly premium for the AARP MedicareRx Enhanced in 2014 is $101.57.

3. AARP MedicareRx Saver Plus (PDP)

The AARP® MedicareRx Saver Plus plan includes most generic drugs covered by Medicare Part D and many commonly used brand name drugs. It offers a $310 annual deductible, lower monthly premiums , lower copayments with the Preferred Pharmacy Network and access to more than 65,000 network pharmacies. Note: This plan is not available in: America Samoa, Guam, the Northern Mariana Islands, Puerto Rico or the U.S. Virgin Islands.

The average monthly premium for the AARP MedicareRx Saver Plus in 2014 is $23.10.

Call Senior Healthcare Direct today to review all of the 2014 Medicare Part D Plans: 1-855-368-4717 OR Go to: https://www.seniorhealthcaredirect.com/quoting-engine-2/

Explanation of AARP MedicareRx Tiers
AARP MedicareRx Plans, insured through UnitedHealthcare, are Medicare Part D Plans with five different coverage levels or tiers of copayments/coinsurance for prescription drugs. The amount paid for each prescription depends on the tier assigned to the prescription drug.

Tier 1: Preferred Generic – Lowest Copayment – Lower-cost, commonly used generic drugs.

Tier 2: Non-Preferred Generic – Low Copayment – Most generic drugs.

Tier 3: Preferred Brand – Medium Copayment – Many common brand-name drugs, called preferred brands, and some higher-cost generic drugs.

Tier 4: Non-Preferred Brand – Highest Copayment – Non-preferred generic and non-preferred brand name drugs.

Tier 5: Specialty Tier: Coinsurance – Unique and/or very high-cost drugs.

Brand name – A prescription drug that is manufactured and sold by the pharmaceutical company that originally researched and developed the drug. Brand-name drugs have the same active-ingredient formula as the generic version of the drug. However, generic drugs are manufactured and sold by other drug manufacturers and generally not available until after the patent on the brand-name drug has expired.

Generic – Generic drugs are medications that usually cost less and are sold under a generic name for the brand-name drug (usually its chemical name). Because generic drugs are less expensive than their brand-name equivalent, the copayment usually is less as well. Generic drugs are approved by the U.S. Food and Drug Administration (FDA).

Specialty Drugs – Generic and Brand drugs designed to treat special types of medical conditions.

Coverage Gap – A name for the step in a Medicare Prescription Drug Plan in which the member would usually pay more of their expenses for eligible drugs including the discounted cost of their medications. In 2014, the coverage gap begins after the member and the plan together have spent $2,850 in total yearly drug costs. From this point, the member will pay no more than 72% of the total cost for generic drugs or 47.5% of the total cost) for brand-name drugs until they reach $4,550 in yearly True Out-of-Pocket (TrOOP) drug costs. Once the member reaches $4,550 in TrOOP costs, they will enter the catastrophic coverage phase, during which the plan pays nearly all of the member’s drug expenses until the end of the year, with no upper limit.

If the member has both Medicare and Medicaid coverage, they will not experience a gap in coverage even if their benefit plan does have a Coverage Gap.
Call Senior Healthcare Direct today to review all of the 2014 Medicare Part D Plans: 1-855-368-4717 OR Go to: http://SrHealthcareDirect.com/quoting-engine-2/

Robert W. Bache aka “MedicareBob™”
President / Producer
Senior Healthcare Direct
Direct Toll Free: 1-800-525-0299
Company Toll Free: 1-855-368-4717
www.SrHealthcareDirect.com
www.MedicareBob™.com
Learn more about Robert aka “MedicareBob™”

http://SrHealthcareDirect.com/medicarebob/

Please “Like” Senior Healthcare Direct on Facebook:
https://www.facebook.com/MedicareBob™?ref=hl

Coventry’s Medicare Part D Plan

Coventry’s Medicare Part D Plan

Coventry has a Medicare Part D Plan that I just seem to keep recommending, “First Health Part D“. I enrolled 150 Medicare Beneficiaries last month into a Medicare Supplement Plan, and for 70% of those Medicare Beneficiaries, the “First Health Part D Plan” reported back as the most cost-effective drug plan for them.

MedicareBob™’s Summary of Coventry’s, First Health Part D Plan:

•Monthly Premium: Ranges from $22.50 to $36.00 nationwide
•No deductible
•No copay (you pay nothing) for most generic medications as long as you go to a preferred pharmacy partner. (Walgreen, Target, Wal-Mart, etc…)
If you have any Medicare related questions or concerns, please contact me:

Robert Bache aka MedicareBob™
Owner / Producer
SrHealthcareDirect.com
Bob@MedicareBob™.com
Toll Free Cell: 1-800-525-0299

Medicare Part D

Medicare Part D

Robert Bache aka MedicareBob™ answers questions about Medicare Part D.

CLICK ON THE QUESTION OR STATEMENT BELOW AND THE VIDEO WILL OPEN ON YOUR COMPUTER SCREEN.

 

Medicare Part D, How Medicare Part D works

Medicare Part D, When to Enroll into Medicare Part D

Obama Changes Medicare Part D

Medicare Part D, Extra Help

Medicare Part D, what do I pay?

Free Generic Drugs with Medicare Part D

Medicare Part D, How to get the best Part D Plan

How much is Medicare Part D?

Medicare Part D, What is the Donut Hole?

Medicare Part D, tips to avoid the Donut Hole

 

 

 

 

 

Medicare Part D “Extra Help” with paying for your Medications

2013 Requirements to receive Medicare Part D  “Extra Help” with paying for your Medications:  

Must be enrolled in:

  • Medicare Part A
  • Medicare Part B
  • Medicare Part D

Annual Income Requirements:

  • Individual: $17,235
  • Married Couple: $23,265

Your Assets (Medicare refers to this as your “resources”)

Individual: $13,000

Married Couple: $26,580

Resources that are counted towards your amount:

  • Money in Checking and Savings Account
  • Stocks
  • Bonds

Resources that are NOT counted towards your amount:

  • Home
  • One car
  • Burial Plot or up to $1,500 for your burial expenses
  • Furniture and other personal belongings.

To see if you qualify for any Medicare Part D “Extra Help” with paying for your medications, click below.

Click here: APPLY NOW

If you have any additional Medicare questions, please e-mail me: Bob@MedicareBob™.com

Robert W. Bache AKA MedicareBob™

1-855-368-4717 or 727-643-0219

www.SrHealthcareDirect.com

www.MedicareBob™.com

Please like me on Facebook: https://www.facebook.com/MedicareBob™?ref=hl

Obamacare Changes Medicare Part D

Obamacare Changes Medicare Part D:

Medicare Beneficiaries that have high drug costs now, are very familiar with what is referred to as the, “The Donut Hole”.

Coverage Gap or “Donut Hole”: Once a Medicare Beneficiary and the Part D Plan have spent $2,970 on prescription medications, the Beneficiary’s cost increase.  Obamacare is requiring Medciare Part D Plans to pay more during the “Donut Hole”.

Obamacare has already started to increase what each Medicare Part D Plan is required to pay when the Medicare Beneficiary reaches the “Donut Hole”.

Below is a chart of what has happened and what is expected to happen through 2020. As you will see, in 2020, the Medicare Part D Plan will pay 75% of each brand name medication, and the Beneficiary will be required to pay only 25%.

The table below shows the percentage of what a Medicare Beneficiary is and will pay through Medicare Part D due to Obamacare.

YEAR

Brand

Generic

2012

50%

86%

2013

47.5%

79%

2014

47.5%

72%

2015

45%

65%

2016

45%

58%

2017

40%

51%

2018

35%

44%

2019

30%

37%

2020

25%

25%

 

Example:  For a brand name medication that costs the $200.00.

PAST 2012: Once the Medicare Beneficiary entered the “Donut Hole”, the person had to pay $100.00 for a 30 day supply.

PRESENT 2013: This year when the Medicare Beneficiary enters the “Donut Hole”, they pay$95.00 for a 30 day supply.

FUTURE 2020: When a Medicare Beneficiary enters the “Donut Hole”, the cost will only be $50.00 for a 30 day supply.

 

Posted by Robert Bache aka MedicareBob™ 05/14/2013.