If you qualify for the hospice benefit, Medicare covers the following: Skilled nursing services, which are services performed by or under the supervision of a licensed or certified nurse to treat your injury or illness. Services you may receive include injections (and teaching you to self-inject), tube feedings, catheter changes,
Part D Prescription Drug Plan
Services excluded from home health coverage
Medicare’s home health benefit does not cover all home care services. Services excluded from Medicare coverage include: 24-hour per day care at home Prescription drugs If you need prescription drug coverage, enroll in a Part D plan or a Medicare Advantage Plan that provides drug coverage. Meals delivered to your
Options for those who enrolled in a Medicare Advantage Plan by mistake or because of misleading information
If you enrolled in a Medicare Advantage Plan or Part D plan by mistake or after receiving misleading information, you may be able to disenroll and change plans. Typically, you have the right to change plans if you: Joined unintentionally: You may have enrolled believing you were joining a Medigap
Transition drug refills
A transition refill, also known as a transition fill, is typically a one-time, 30-day supply of a drug that you were taking: Before switching to a different Part D plan (either stand-alone or through a Medicare Advantage Plan) Or, before your current plan changed its coverage at the start of
Requesting a tiering exception
If your Part D plan is covering your drug but your copayment is expensive, it could be that the medication is on a high tier. Part D plans use tiers to categorize prescription drugs. Higher tiers are more expensive and have higher cost-sharing amounts. Each plan sets its own tiers,
Phases of Part D coverage
The cost of your Medicare Part D-covered drugs may change throughout the year. If you notice that prices have changed, it may be because you are in a different phase of Part D coverage. There are four different phases—or periods—of Part D coverage: Deductible period: Until you meet your Part
Changing Part D plans
In most cases, you can only make changes to your Medicare Part D coverage during Fall Open Enrollment (October 15 through December 7). Your new coverage begins January 1 of the following year. You can change plans as many times as you need during Fall Open Enrollment, and your last
Coverage of immunosuppressant drugs and vitamins for people with ESRD
After you get a kidney transplant, you will need to take immunosuppressant drugs for the rest of your life to prevent your body from rejecting the donor organ. Medicare covers these drugs differently depending on your circumstances. Time-limited Part B coverage If you receive a kidney transplant in a Medicare-approved
Accessing Part D coverage
Make sure to follow your Part D plan’s coverage rules when getting prescription drugs covered. This is the best way to avoid additional expenses and other issues. Before you go to the pharmacy, find out if your drug is on your plan’s formulary. If possible, ask your doctor to check
The Medicare Prescription Drug Coverage and Your Rights notice
When your Part D plan will not pay for your drug, you should receive a notice at the pharmacy titled Medicare Prescription Drug Coverage and Your Rights. This notice provides instructions on filing an exception request with your plan. Note that even though your plan will not pay for the