Description: FREE SHIPPING UK WIDE Medicare Part D Prescription Drug Benefit by Jennifer O'Sullivan The Medicare Prescription Drug, Improvement, and Modernization Act of 2003 established a new voluntary prescription drug benefit under a new Medicare Part D, effective January 1, 2006. Prescription drug coverage is provided through private prescription drug plans (PDPs) or Medicare Advantage prescription drug (MA-PD) plans. FORMAT Paperback LANGUAGE English CONDITION Brand New Publisher Description The Medicare Prescription Drug, Improvement, and Modernization Act of 2003 established a new voluntary prescription drug benefit under a new Medicare Part D, effective January 1, 2006. Prescription drug coverage is provided through private prescription drug plans (PDPs) or Medicare Advantage prescription drug (MA-PD) plans. Beneficiaries must enrol in one of these private plans in order to obtain their drug benefits. The program relies on these private plans to provide coverage and to bear some of the financial risk for drug costs; federal subsidies covering the bulk of the risk are provided to encourage participation. At a minimum, plans offer "standard coverage" or alternative coverage with actuarially equivalent benefits. They may also offer enhanced benefits. All plans are required to meet certain minimum requirements, including those related to beneficiary protections. However, there are significant differences among plans in terms of benefit design, drugs included on plan formularies (i.e., list of covered drugs), cost-sharing applicable for particular drugs, and monthly premiums.In general, beneficiaries can enrol in a plan, or change plan enrolment, when they first become eligible for Medicare or during the annual open enrolment period. The open enrolment period for 2008 is from November 15, 2007, to December 31, 2007. Plans can change from year to year. Beneficiary needs may also change. Therefore, beneficiaries should review their plan choice annually to make sure that their chosen plan continues to meet their needs. Table of Contents Preface; Overview; Enrollment in Part D; Plan Information; Enrollment Periods; Initial Enrollment Period; Annual Open Enrollment Period; Creditable Coverage; Special Enrollment Periods; Late Enrollment Penalty; Part D Benefits; Qualified Coverage; Defined Standard Coverage; Actuarially Equivalent Plans; Enhanced Coverage; Access to Negotiated Prices; Special Provisions for Low-Income Populations; Eligibility for Low-Income Subsidy (LIS) Assistance; Definition of Eligible Groups; Definition of Income and Assets; LIS Benefits; Premium Subsidies; Cost-Sharing Subsidies; Enrollment; Dual Eligibles; Enrollees in Medicare Savings Programs; Other Low-Income Persons; 2008 Enrollment; Interaction with State Pharmacy Assistance Programs; Part D Plans; PDP Regions; Approval of PDP Plans; Contracts; Plan Monitoring; Drug Payments; Plan Characteristics/Beneficiary Protections; Marketing/Beneficiary Communications; Covered Drugs; Covered Drugs; Excluded Drugs; Part B Versus Part D; Vaccine Administration; Formularies; Pharmacy and Therapeutic (P&T) Committee; Minimum Requirements; Six Classes of Clinical Concern; CMS Review; Specialty Tier; Formulary Changes During Plan Year; Transition Policies; Formulary Change Notice in Advance of Upcoming Year; Pharmacy Access; Retail Pharmacy Access; Long-Term Care (LTC) Pharmacy Access; Any Willing Pharmacy; Public Disclosure of Prices; Privacy, Confidentiality, and Accuracy of Enrollee Records; Grievances, Coverage Determinations, and Appeals; Grievances; Coverage Determinations; Appeals; Cost Control and Quality improvement; Drug Utilization Management; Quality Assurance; Medication Therapy Management; E-Prescribing; Payments to Plans; Direct Subsidies; Plan Bid; National Average Monthly Bid Amount; Payment to Plans; Reinsurance Subsidies; Risk Corridor Payments; Low-Income Subsidy (LIS) Payments; Reconciliation; Beneficiary Premiums; Premium Calculation; Base Beneficiary Premium; Adjustments; Program Financing; General Revenues and Beneficiary Premiums; General Revenues; Beneficiary Premiums; State Contributions; Formula for State Contribution Amount; Impact on States; Part D Account Data; Employer Subsidies; Qualifications; Qualified Plans; Qualifying Covered Retiree; Subsidy Benefits; Alternatives; Subsidy Data; Employer Actions; Retirees Covered; Issues; Low-Income Individuals; High-Income Enrollees; Beneficiary Experience; Drug Prices; Noninterference Clause; Data; Pharmacies; Key Part D Facts; Enrollment; Enrollment by State; Plan Enrollment; Plan Features; 2008 Plan Overview; Cost Estimates; Index. Details ISBN1604566221 Author Jennifer OSullivan Short Title MEDICARE PART D PRESCRIPTION D Language English ISBN-10 1604566221 ISBN-13 9781604566222 Media Book Format Paperback Year 2008 Pages 84 Imprint Nova Science Publishers Inc Subtitle A Primer Place of Publication New York Country of Publication United States Edited by Jennifer OSullivan DOI 10.1604/9781604566222 UK Release Date 2008-11-01 AU Release Date 2008-11-01 NZ Release Date 2008-11-01 US Release Date 2008-11-01 Publisher Nova Science Publishers Inc Publication Date 2008-11-01 DEWEY 368.42600973 Audience Professional & Vocational Illustrations Illustrations We've got this At The Nile, if you're looking for it, we've got it. With fast shipping, low prices, friendly service and well over a million items - you're bound to find what you want, at a price you'll love! 30 DAY RETURN POLICY No questions asked, 30 day returns! FREE DELIVERY No matter where you are in the UK, delivery is free. 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ISBN-13: 9781604566222
Book Title: Medicare Part D Prescription Drug Benefit
Item Height: 140 mm
Item Width: 215 mm
Author: Jennifer O'sullivan
Publication Name: Medicare Part D Prescription Drug Benefit: a Primer
Format: Paperback
Language: English
Publisher: NOVA Science Publishers INC International Concepts
Subject: Medicine
Publication Year: 2008
Type: Textbook
Item Weight: 152 g
Number of Pages: 84 Pages
