Ncsl In Dc Publications And Resources Capitol To Capitol June 14 2021Find out if your drug plan offers mail order: If your drug plan offers mail order you can often significantly cut your costs by using it. Generally, mail order requires a 90- day prescription, but often your cost is the same as what you would pay for a 60-day supply from a retail pharmacy..The move is undoubtedly an attempt to head off political fall-out from what is turning into a major issue with senior voters in 2014 - President Obama's broken promise, "If you like your health plan, you can keep your health plan." According to a recent TSCL poll, 58% of seniors say that they are worried that their health plan could be cancelled this year. Seniors aren't the only ones who are worried - so are Members of Congress - from both sides of the aisle..Because Medicare Advantage plans receive a capped monthly reimbursement for each beneficiary, TSCL is concerned that there is a potential financial incentive for Medicare Advantage plans to inappropriately deny some services or prescriptions in an attempt to increase their profits. Denial of medically necessary care and prescriptions can worsen your health, as well as leading to high out-of-pocket costs, financial burdens, and debt. … Continued
Tag Family PlanningMedicare Part D discounts in the "doughnut hole." Once both drug plan enrollees and their plan have spent the initial coverage amount, they reach the Part D coverage gap or "doughnut hole." Prior to the Affordable Care Act, seniors paid 100% of drug costs in the doughnut hole, unless they were covered by a plan that provided some gap coverage. Under provisions of the Affordable Care Act, once seniors hit the coverage gap, they get a 50% discount on covered brand name drugs and pay 86% of the plan's costs for covered generic drugs until they spend a total of ,700 for the year. Some plans offer additional coverage for generics during the gap..Finally, one new cosponsor signed on to Rep. Allyson Schwartz's Medicare Physician Payment Innovation Act this week. Rep. Bob Filner announced his support, bringing the total up to twenty-eight..On Tuesday, with a vote of 244-154, lawmakers in the Housed approved legislation to repeal the Affordable Care Act's controversial Medicare cost-cutting board. … Continued
