Medicare Part D – Prescription Drug Coverage
This ACP website will assist you in helping your patients by providing you and your staff with basic, practical information on the Part D benefit and linking you to patient-oriented materials that you can use in your offices.
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Latest Site Additions See Latest CMS Releases and Announcements on the Part D Benefit below |
Medicare Prescription Drug Coverage and You (Updated 2008)
This ACP developed patient brochure that can be downloaded for use in your office explains the Part D benefit and provides resources for further information and help.
This brief article lists the 10 things every practitioner should know about the new Medicare Part D Drug benefit.
This article from the May 2006 Observer explores how physicians are adjusting to the Medicare Part D benefit.
What do you say when asked about the new Medicare Prescription Drug coverage?
CMS doesn't expect physicians to spend time explaining the new drug benefit to their patients or helping them choose a drug plan. They have prepared other resources to provide this help.This brief poster from CMS suggests what doctors should say when asked about the new benefit.
Other Selected Patient Fact Sheets and Brochures:
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Quick Facts About Medicare Prescription Drug Coverage and Protecting Your Personal Information
— This handy CMS fact sheet provides patients with helpful information on how to avoid fraud and identity theft when talking to people marketing the drug plans.
Latest CMS Releases and Announcements on the Part D Benefit
Exceptions and Appeals Process under Medicare Part D Drug Benefit
All Part D plans are required to have an exceptions and appeals process that provides enrollees with the opportunity to challenge the exclusion of a particular drug from a plan's formulary or the placement of a drug on a higher cost-sharing tier. This ACP article reviews the basic requirements for exceptions and appeal procedures instituted by the different drug plans.
Standardized Medicare Part D Coverage Determination Request Form
The form can be used to request approval for a drug not in a plan’s formulary, for an exception to a formulary tier, and for providing data to meet prior authorization requirements.
Demystifying Medicare Part D's Exception and Appeal Process
This article from the April 2006 ACP Observer answers frequently asked questions on the Part D exceptions and appeals process.
Required Transition Processes for Medicare Part D Plans
Other Useful Educational Links
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Consumer Reports Best Buy Drugs—The information on this website can help patients learn about affordable drug treatment options to discuss with their physicians. More specifically, the site provides an expert medical review of those drugs commonly used to treat a variety of specific conditions or illness combined with the price of the drugs. The reports, which can be downloaded, also provide recommendations regarding the most cost effective treatments under different situations. The information on the Consumer Reports Best Buy Drugs link has been compiled as a free public educational service by the nonprofit Consumers Union.
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My Medicare Matters is a site sponsored by the National Council of Aging and the Access Benefit Coalition that provides useful information regarding the Part D Drug benefit delivered in three separate portals; one for beneficiaries, one for family and friends, and one for health care professionals.
Can't find what you need or do you want to report a problem you are having with a drug plan? Contact the PMC.
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Page updated: 6-19-06
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