Reward and Incentive Program
2025 Medicare Prescription Payment Plan (M3P / MP3)
Medicare General
100

This can be given to any potential member whether they enroll in the RI Program or not.

What is a "nominal gift"?

100

This is the annual cap for OOP for members who enroll in M3P / MP3.

What is $2,000?

100

This statute/reg restricts Sempre from providing a discount to members.

What is the AKS?

200

This is the annual limit for Part D rewards in a VBID.

What is $600?


200

This or these are the biggest competitors to Sempre in the M3P / MP3 space.

What are PBMs?

200

This Medicare Part is for Prescription Plans

What is Part D?
300

This is the goal of a RI Program.

What is the encouragement of enrolles to be actively engaged in their health care and ultimately, improve and sustain their overall health and well-being?

300
This is the OOP requirement amount for members who enroll in the M3P / MP3 at the pharmacy.

What is $0?

300

This is the name for Medicare Part C

What is Medicare Advantage?

400

This type of retailer is restricted from RI Program gift cards.

No retailers are per se restricted from RI Programs (trick question: nominal gifts must be scoped to specific retailers like Shell or Startbucks)?

400

This is the name the M3P / MP3 was sometimes previously referred to as.

What is "the OOP Smoothing Program."?

400

This is the common abbreviation name for the plan that combines Part C + Part D.

What is MAPD?

500

RI programs are restricted from this Medicare Plan.

What is Part D?

500

These two mechanisms are being considered for members to be able to receive their discount at the pharmacy.

What is secondary payor (BIN / PCN) technology and prefunded payment cards?

500
These are the top 5 MA plans in the country.

What is UHC, Humana, CVS / Aetna, Anthem, and Centene?

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