Office for People With Developmental Disabilities

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Medicare Part D (Prescription Drug Plan)

05/23/12

The Medicare Part D Prescription Drug Plan covers most prescription drugs that a Medicare beneficiary would be prescribed.  Certain drugs and vaccines are covered under Medicare Part B. OPWDD who have Medicare and are Medicaid eligible should enroll in “benchmark” plans.  These plans have been determined to meet a certain standard of coverage and there are no premiums or deductibles for individuals enrolled in both Medicare and Medicaid.

Medicare.gov 

https://www.medicare.gov/part-d/index.html

Complaints

If there are problems with obtaining prescription drugs for individuals or with a Medicare Prescription Drug Plan that are not being addressed by the plan, the problem may be referred to the Centers for Medicare and Medicaid Services (CMS).  There is a tip sheet and a complaint form that should be faxed to CMS Region II.  The fax number is a secure line so individual-specific information may be sent.

Medicare Part D Benchmark Plans for 2019

2019 Benefit Levels

Medicare Part D Appointment Forms

OPWDD Medicare Part D Appointment Forms. These forms can be used by a beneficiary, guardian, parent, or others to appoint someone else to enroll a beneficiary who is receiving services from OPWDD or an OPWDD provider. Use of these particular forms is not required for an appointment to be made. Provided that a person is authorized to appoint someone else, an appointment is valid if some other type of form is used, or even if a handwritten note, rather than a form, is used.

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Medicare Part D Authority Forms

OPWDD Medicare Part D Statement of Authority Forms. A statement of authority can be used by an agency executive director (including a DDSO director), his or her staff, a family member, a friend, an advocate or a correspondent to show that the law allows this person to make Part D decisions for a consumer. The person signing the statement of authority is the person who is making Part D decisions for the consumer. This person has to be someone whom the regulations authorize to make Part D decisions.

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