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Medicare Part D - What You Need to Know
The six-week enrollment period for the Medicare prescription drug plan (Part D) is coming up soon -
enrollment begins November 15 through December 31, 2007 for the 2008 plans. Medicare's drug plans are subsidized by the
US federal government and offered through private insurers.
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Medicare Part D - What's It All About?
Medicare Part D is a government subsidized prescription drug coverage program. Medicare Part D
prescription drug plans are provided by private insurance companies. The costs of you plan will vary depending on what
medications you use, what plan you choose, and whether or not you receive help paying your Part D costs.
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Medicare Part D - What is a Formulary?
The formulary is the list of medications that your Medicare Part D plan covers.
Each Medicare Part D formulary must be approved by the Center for Medicare Services (CMS) as a condition for approval of
participation in the program. Regulations specify that formularies must include a minimum of two drugs in each
therapeutic category and pharmacologic class of products covered by Part D.
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Medicare Part D - Understanding the Dreaded Donut Hole and How to Avoid
It
The donut hole is a coverage gap in Medicare drug plans. What it means to you is that
after you and your plan have spent a certain amount of money for covered medications (no more than $2,400), you have to
pay out-of-pocket all costs for medications until you hit the cap of $3, 850. This does not include the monthly premium
which you must continue to pay.
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Medicare Part D - Paula Duffy, Test Case
Millions of Americans have taken advantage of the Medicare Part D
prescription coverage program, thinking that if they pay their monthly premiums, their prescriptions will be covered. We
have come up with a fictional scenario to demonstrate how Medicare Part D might work for different people. Ms. Duffy is
73 years old with high blood pressure, high cholesterol, asthma, depression, anxiety and osteoporosis. Her doctors have
prescribed the following medications
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