HealthChoice Medicare Supplement Plans With Part D
Extra Help Paying for Prescription Costs
Medicare Low Income Subsidy Information
If you have limited income and resources as determined by Social Security,
you may be able to get help paying your monthly premiums, pharmacy deductibles,
and pharmacy copays.
If you think you may qualify or you want more information, please contact
Social Security by calling toll-free 1-800-772-1213. TTY/TDD users call
toll-free 1-800-325-0778. You may also visit the Social Security website at
www.socialsecurity.gov.
After you apply with Social Security, you will get a letter in the mail
letting you know if you qualify or not, and what you need to do next. You may
receive full or partial help depending on your income, family size, and
resources.
Best Available Evidence Policy
In the absence of a letter from Social Security, HealthChoice will also
accept other forms of verification to establish whether a member is qualified
for extra help paying for prescription drug costs. To learn more about the Best
Available Evidence Policy,
click here.
For the prescription drug portion of your coverage, you pay $0 or a
reduced monthly premium if you qualify for extra help. Extra help also assists you in
paying for your prescription drugs. If you qualify for extra help in 2009, the
information below shows the amount you will have to pay for your prescription
drug benefits.
Beneficiaries who qualify for full help will receive:
- A premium reduction of $29.40
- No pharmacy deductible
- Continuous coverage (no coverage gap)
- Maximum copays of $2.40 for generics and Preferred drugs and $6.00 for other drugs
Beneficiaries receiving partial help will receive:
- A premium reduction between $7.40 and $29.40
- A pharmacy deductible of $60
- Continuous coverage (no coverage gap)
- Coinsurance of 15% (up to the out-of-pocket maximum)
If you qualify for extra help, you will first be enrolled in the plan you
select. Within a few days, HealthChoice will receive notice from Medicare that
you qualify for extra help. You will then receive a letter from HealthChoice
notifying you of the amount of your extra help.
Note: The extra help applies to either
the High or Low Option Plans with Part D. If you qualify for extra help,
HealthChoice will automatically move you to the Low Option Plan so that you will
receive the lowest premium. If you wish to opt out of the Low Option Plan and
elect the High Option Plan, please contact HealthChoice Member Services at the
number listed in the front of this handbook.
Last Modified on: 1/23/2009 10:23:08 AM
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