AHIP Medicare - Module 1 - Overview of Medicare Program Basics: Choices, Eligibility, and Benefits - PART D
Original Medicare beneficiaries can get drug coverage through a stand-alone Part D plan (PDP). Most must actively enroll, except those with dual Medicare-Medicaid eligibility. When choosing a plan, beneficiaries should review premiums, cost-sharing, formulary, and pharmacy networks.
Part ‘D stand-alone prescription drug plan (PDP)
A beneficiary in Original Medicare may receive Part D prescription drug coverage through a stand-alone prescription drug plan (PDP).
Key Terms
Part ‘D stand-alone prescription drug plan (PDP)
A beneficiary in Original Medicare may receive Part D prescription drug coverage through a stand-alone prescription drug plan (PDP).
Medicare beneficiaries must actively select a Part D plan. What is the exception?
Generally, except for those dually eligible for Medicare and Medicaid, Medicare beneficiaries must actively select a Part D plan
In selecting a Part D plan, what should beneficiaries expect?
In selecting a Part D plan, beneficiaries should consider expected premiums and cost-sharing, formulary, and network pharmacies
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| Term | Definition |
|---|---|
Part ‘D stand-alone prescription drug plan (PDP) | A beneficiary in Original Medicare may receive Part D prescription drug coverage through a stand-alone prescription drug plan (PDP). |
Medicare beneficiaries must actively select a Part D plan. What is the exception? | Generally, except for those dually eligible for Medicare and Medicaid, Medicare beneficiaries must actively select a Part D plan |
In selecting a Part D plan, what should beneficiaries expect? | In selecting a Part D plan, beneficiaries should consider expected premiums and cost-sharing, formulary, and network pharmacies |