Medicare Drug Coverage Parts A, B, D
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Medicare now has four parts to it. Understand what it covers and what you can do to protect yourself from what it does not cover in full.
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Medicare Drug Coverage Parts A, B, D
- 1. Medicare Drug Coverage Under Part A, Part B, and Part D Module 8
- 13. Immunosuppressive Drug Coverage Part D may cover Transplant conditions not met Covered by Part B Entitled to Part A at time of transplant AND Medicare paid for the transplant OR Medicare was secondary payer but made no payment
- 21. Coverage Determination and Appeals Process
- 22. Coverage Determination and Appeals Process (continued)
- 24. Part D Coordination of Benefits Non-EGHP situations Part D plan will not pay Plan is aware that enrollee has workersâ compensation, Black Lung Program, or no-fault/liability coverage and has previously established that a certain drug is being used exclusively to treat a related injury Part D plans will always make conditional primary payment to ease burden on policyholder Medicare is secondary payer or Plan does not know whether covered drug is related to an injury
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Editor's Notes
- This presentation was created to help health care providers and partners understand how Medicare Prescription Drug Plans (Part D) interface with Parts A and B of Original Medicare. This training module was developed and approved by the Centers for Medicare & Medicaid Services (CMS), the Federal agency that administers Medicare and Medicaid. The information in this module was correct as of April 2008. To check for an updated version of this training module, visit www.cms.hhs.gov/NationalMedicareTrainingProgram/TL/list.asp on the web. 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.