You must be logged in to bookmark pages. If you have Extra Help and do not choose a Part D plan, Medicare will automatically enroll you in a benchmark Part D plan. Benchmark Part D plans have a premium below the specified amount for your state, which means that Extra Help will pay the full cost of your Part D premium. Medicare will send you a notice telling you which plan it enrolled you in and what your costs are. If this plan does not fit your needs, you can choose another plan by calling 1-800-MEDICARE. Note: In some cases, if you have Medicaid or an MSP and certain kinds of employer, union, or retiree drug coverage, you may not be enrolled in Part D or can ask not to be. You may want to delay Part D enrollment if it would cause you to lose other creditable drug coverage. Contact your local Medicaid office to learn how to decline Part D without losing Medicaid. If you later want Part D, you can enroll at any time without penalty if you are still enrolled in Medicaid or the MSP. If you have Extra Help, you either applied or you automatically qualified because you have/had Medicaid, Supplemental Security Income (SSI), or a Medicare Savings Program (MSP). In either case, your Part D coverage should begin within two months of your enrollment in Extra Help. During that period, Medicare may enroll you in the Limited Income Newly Eligible Transition (LI NET) program to give you temporary coverage. LI NET must cover all your prescriptions, at any pharmacy, as long as they are not excluded from Part D coverage. When you are at the pharmacy, show the automatic enrollment notice from Medicare (typically a yellow notice) to prove that LI NET should cover you.
If you are charged the wrong copayment or coinsurance at the pharmacy, you may need to show proof, or Best Available Evidence (BAE), that you have prescription drug coverage and Extra Help. Show your pharmacist one of the following as evidence of coverage:
Note that you may be able to use other forms of BAE if you are enrolled in Institutional Medicaid or a home and community-based services Medicaid waiver program. If you need assistance with LI NET drug coverage, call LI NET’s Help Desk at 1-800-783-1307. This section contains information on Medicare's Limited Income Newly Eligible Transition (NET) Program. Medicare's Limited Income NET Program, effective January 1, 2010, provides temporary Part D prescription drug coverage for low income Medicare beneficiaries not already in a Medicare drug plan including:
The links below provide information to assist pharmacy providers, beneficiaries, and those who assist beneficiaries, in using the Medicare's Limited Income NET Program. |