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Medicare Part D

On January 1, 2006 a new voluntary Medicare prescription drug program, referred to as Medicare Part D, went into effect for all Medicare eligible consumers.

Consumers who were eligible for both Medicare and Medicaid (dual eligibles) lost their Medicaid prescription coverage on December 31, 2005. The only way (i.e. not voluntarily) dual eligibles could continue to receive prescription drugs was through Medicare part D .

Some Medicare Part D eligible consumers were also eligible for a federal Low Income Subsidy (LIS) which eliminates premiums and deductibles. Dual eligibles were automatically enrolled in both the LIS and Medicare Part D programs.

In 2005 the Coalition created a Provider Guide to the Medicare D Part Prescription Drug benefit which was intended to educate community mental health providers about the many issues Medicare consumers may face when they enroll in a Medicare Prescription Drug Plan. This Guide was updated for the 2006/07 plan years.

Resource Highlights

The frequently updated resource list below contains links to additional information. For a comlete list of resources, visit the Medicare Part D Resources page.

Medicare & You Handbook 2008

Eligibility, Enrollment and Disenrollment Guidance for 2008

The new guides also announce continuous Special Enrollment Periods for ALL Low Income Subsidy Beneficiaries.

Medicare Prescription Plan finder

Register for a free copy of "Medicare Part D Appeals"

An Advocate's manual to navigating the Medicare private drug plan appeals process". This manual offers an comprehensive overview of the entire process in an easy-to-understand manner.

An essential resource for the Mental Health Community

This site has separate sections targeted specifically at Psychiatrics and Other Physicians, Providers at Community Behavioral Health and Integrated Health Centers and Consumers and Their Families.

Tools for Advocates

There are tools for Transition Supples, Enrollment, Low Income Subsidy, Exception and Appeals as well as other general information.

Medicare Part D 2008 Update or "The Plans, They are A-Changing"