Preparing For the Medicare Prescription Drug Coverage

Compile the information below to help yourself or a loved one prepare to evaluate a Medicare prescription drug plan.

Between late October and early November, plans send letters to current enrollees describing any changes to their drug coverage. The Medicare Rx Education Network recommends carefully reviewing the letter and re-evaluating the coverage by using this checklist to make sure the plan continues to meet your prescription drug needs. If enrolling in the Part D benefit for the first time, use the same checklist to evaluate a plan.

QUESTIONS TO ASK YOURSELF

Are you enrolling for the first time? Do you currently have prescription drug coverage through an employer, union, the Department of Veterans Affairs, TRICARE (military retiree benefits), or FEHBP (Federal Employees Health Benefits Program)?

£ Yes £ No

Do you qualify or think you may qualify for extra help (Low-Income Subsidy) from Medicare ?

£ Yes £ No

COST

£ What is the plan’s monthly premium ?

£ Does the plan have a deductible ?

COVERAGE

£ Does the plan have a coverage gap ?

£ Does the plan cover my medicines ? If yes,

£ Are they brand name or generic ?

£ If brand name, are they “preferred” drugs or “non-preferred” drugs ?

£ Do they require prior authorization ?

£ Are there limitations on the quantity allowed per prescription?

Collect your current prescriptions and, looking at their labels, fill in the names, dosage, and quantity of your current medications.

What is the brand and/or generic name of this medicine? What form does this medicine take (e.g., liquid, tablet, capsule)? What is the strength and how often do you take it? How many doses are in each prescription?


CONVENIENCE

£ Does the plan have a mail-order option ?

£ Is my preferred pharmacy in the plan’s network?

If you have a pharmacy or pharmacies where you prefer to get your prescriptions filled, list them below including, if possible, their address(es):

Pharmacy Name Pharmacy Address

If you need additional help, you can:

  • Read your Medicare & You 2007 handbook, visit www.medicare.gov on the Web, or call 1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048.
  • Call your State Health Insurance Assistance Program (SHIP). Check the Medicare & You 2007 handbook for the telephone number in your state.

Open Enrollment: November 15, 2006 - December 31, 2006

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