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Medicare Part D 2008
- 1. Understanding Medicare Prescription Drug Coverage Module 9
- 3. Drug Coverage Basics Module 9: Lesson 1
- 19. Your Costs in 2008 Beneficiary pays 5% After spend $4,050 Beneficiary pays 100% Drug Costs $2,510-5,726.25 Beneficiary pays 25% Drug Costs $275-$2,510 No more than $275 Deductible Generally less than $37 monthly Premium
- 20. Standard Benefit 2008 $275 $2510 $5726.25 Beneficiary Liability Deductible Coverage Gap Total Spending ≈ 95% 80% Reinsurance 15% Plan Pays Catastrophic Coverage 5% Coinsurance Medicare Pays Reinsurance 75% Plan Pays ($1676.25) 25% Coinsurance ($558.75) Direct Subsidy/ Beneficiary Premium $833.75 $4050 TrOOP $275
- 21. Standard Benefit 2009 $295 $2700 $6153.75 Beneficiary Liability Deductible Coverage Gap Total Spending ≈ 95% 80% Reinsurance 15% Plan Pays Catastrophic Coverage 5% Coinsurance Medicare Pays Reinsurance 75% Plan Pays ($1803.75) 25% Coinsurance ($601.25) Direct Subsidy/ Beneficiary Premium $896.25 $4350 TrOOP $295 Full Dual co-payments =$1.10 / $3.20 Other LIS = $2.40 / $6.00
- 27. Eligibility and Enrollment Module 9: Lesson 2
- 39. Comparing and Choosing Plans Module 9: Lesson 4
- 56. Coverage Determinations and Appeals Module 9: Lesson 5
Editor's Notes
- This module, Understanding Medicare Prescription Drug Coverage , contains basic information about Part D of the Medicare program. It is divided into five lessons. [NOTE TO INSTRUCTORS: This module is suitable for presenting to partners, trainers, and other information intermediaries, as well as to groups of people with Medicare who already have a basic understanding of Medicare Part D. The various lessons can be included and/or modified based on the audience and time limits for the presentation.] This training module was developed and approved by the Centers for Medicare & Medicaid Services (CMS), the Federal agency that administers Medicare and Medicaid. This set of National Medicare Training Program materials is not a legal document. The official Medicare program provisions are contained in the relevant laws, regulations, and rulings. The information in this module was correct as of May 2008. To check for an updated version of this training module, visit www.cms.hhs.gov/NationalMedicareTrainingProgram/TL/list.asp on the web.