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100

Each Medicare Prescription Drug Plan has its own list of covered drugs.

What is a Formulary

100

Prescription drug coverage for people with Medicare.

What is Part D

100
This official website is available to assist with Part D drug plans.
What is Medicare.gov
100

This official website is available to HICAP counselors to file client's information into.

What is Peerplace

100

A store where prescription drugs are dispensed and sold.

What is a Pharmacy

200
Many Medicare drug plans place drugs into a different _____ on their formularies. Drugs in each _____ have a different cost.
What is a Tier
200
An increase in premium if you don't sign up for Part D when you're first eligible.
What is Part D Late Enrollment Penalty
200
This is the amount you must pay each year for your prescriptions before your Medicare Prescription Drug Plan begins to pay its share of your covered drugs. (if your plan has one)
What is a Deductible
200

This is the amount you pay for each of your prescriptions after you have met the deductible. (if applicable) 

What is a copay

200

The monthly payment to an insurance company for prescription drug coverage.

What is a Premium

300

A search in the Medicare Plan Finder to locate Part D plan information.

What is the plan details.

300
This begins after you and your drug plan have spent a certain amount for covered drugs.
What is a Donut Hole aka Coverage Gap
300

Prescription drug coverage from an employer or union that is at least as good as or exceeds the value of Medicare Part D drug benefit.

What is Creditable Prescription Drug Coverage

300

You can make changes to your Medicare Advantage, Medicare Prescription Drug, and Medicare Supplement when certain events happen in your life, like if you move or lose other insurance coverage.

What is a Special Enrollment Period

300
When you're first eligible for Medicare, you can sign up for Part D during this 7-month window, after you've signed up for either Part A and/or Part B.
What is (IEP) Initial Enrollment Period
400
A Medicare program to help people with limited income and resources pay Medicare prescription drug program costs, like premiums, deductibles and coinsurance.
What is Extra Help aka LIS
400
You must try one or more similar, lower cost drugs before the plan will cover the prescribed drug.
What is Step Therapy
400
You and/or your prescriber must contact the drug plan before you can fill certain prescriptions. Your prescriber may need to show that the drug is medically necessary for the plan to cover it.
What is Prior Authorization
400
Each month you fill a prescription, your Medicare Prescription Drug Plan mails you a notice with a summary of your prescription claims and costs.
What is an (EOB) Explanation of Benefits
400

If your income is above a certain limit, you will pay this in addition to your Medicare Part B and Part D premiums.

What is (IRMAA) Income Related Monthly Adjustment Amount

500

Prescription drug costs (like copayment or coinsurance) may be less at a ________ pharmacy because it has agreed with the plan to charge less.

What is a Preferred Pharmacy 

500

Participating doctors that accept the Medicare-approved amount as payment for their services. 

What is Medicare Assignment Rates

500

This Document lists any changes in plan coverage, service area, or costs that will go into effect the following January.

What is (ANOC) Annual Notice of Change

500

If you can't afford Medicare premiums or other medical costs, you may be able to get help from what programs?

What is Medicaid, Extra Help Limited Income Subsidy (LIS) & Medicare Saving Program (MSP)

500

Some pharmaceutical companies offer programs to help pay for medications for people enrolled in Medicare drug coverage. These programs are called?

What is Pharmaceutical Assistance Programs

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