PART D
ELIGIBILITY
ENROLLMENT
FINANCIAL HELP
AETNA MEDICARE
100
These type of medications are usually available without a prescription and are not covered under Medicare
What are over- the -counter medications
100
This is the age that may qualify a person to be eligible for Medicare
What is age 65
100
This enrollment period runs from October 15- December 7 2015
What is Annual Enrollment
100
The Extra Help program reduces the Part D premium, eliminates the Part D coverage gap (donut hole), and eliminates or reduces these
What are Part D copays
100
This 2011 Aetna Medicare PDP has a $310 deductible
What is the Rx Essentials plan
200
This has to be paid before the plan pays anything toward the cost of a drug
What is a deductible
200
A person who is age 65 or older and entitled to this may be eligible for Medicare
What are Social Security benefits
200
When you become eligible for Medicare then you will receive a Medicare card, which has these colors
What are red, white and blue
200
This is another name for the assistance that someone who qualifies for Extra Help receive
What is low income subsidy
200
Aetna offers these 2 types of Medicare Advantage Plans in 2011... but they may not be offered in all states
What are HMO and PPO
300
Every Medicare drug plan has this, which is a list of covered drugs
What is a formulary
300
If a person has this disease then he/she may be of any age to qualify for Medicare
What is End Stage Renal Disease (or kidney failure)
300
If you enroll in a Part D plan late, then you may be subject to this, which is a fee added to your monthly premium, for as long as you have Part D coverage
What is a late enrollment penalty
300
A state may help pay for the costs of one's Part D premium and copays if it has this
What is a State Pharmaceutical Assistance Program (SPAP)
300
These are the 3 types of Part D plans that Aetna offers in 2011... they are offered in all states
What are the Rx Essentials, Rx Plus, and Rx Premier plans
400
All Medicare plans group drugs that are listed on the formulary in what are known as these
What are tiers
400
People with this disease are NOT required to have been receiving Social Security benefits for 24 months before becoming eligible for Medicare
What is Amyotrophic Lateral Sclerosis (Lou Gehrig's disease)
400
This is the Part B premium that most people who receive Medicare pay in 2015
What is $104.90
400
This agency is responsible for qualifying a person for Medicare and for qualifying a person for Extra Help
What is Social Security Administration
400
Aetna Medicare's formulary for individuals enrolled in a Part D plan have 5 tiers; the 5th tier is for these type of drugs
What are specialty drugs
500
Traditionally this Medicare drug phase meant that a person had to pay 100% of the total cost of a drug, but due to Health Care Reform a person may pay only 45% of a brand drug
What is the coverage gap aka "donut hole"
500
If you are not eligible for these parts of Medicare then you will not be eligible for Part D
What is Part A or Part B
500
One of several ways you may enroll in a Medicare Advantage or Medicare drug plan
What is call Medicare, go to www.Medicare.gov, call the plan, go to the plan's website, or mail in an enrollment form to the plan, call SLL
500
This LICS (low income subsidy) level of a person who receives Extra Help where he/she doesn't pay anything for his/her medications.
What is the cost share for someone living in a nursing home?
500
If a member is enrolled in this Aetna Medicare PDP then he/she may have lower copays if he/she uses a Costco pharmacy to fill his/her prescription
What is the Rx Plus