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Am I Penalized If I Do Not Enroll In A Medicare Part D Plan?

Am I Eligible for a Medicare Part D Plan?

Anyone who is eligible for Medicare is eligible for Medicare Part D – also known as the prescription drug coverage benefit. Although the enrollment is not automatic, signing up is straight-forward and can be very helpful for those who have monthly prescription drug costs.

What if I Already Have Prescription Drug Coverage?

If you have ‘creditable’ coverage through a private group health insurance plan, you are allowed to apply for an exemption. You will need to provide a letter from your Benefits Administrator confirming that you have adequate coverage through either your union, employer or spouse’s employer.

What Penalties Can Be Levied Against Me If I Do Not Enroll?

The current legislation requires a penalty of 1% of the premium per month until enrollment in Medicare Part D Plan actually takes place. Congress have considered letting the penalty lapse, however, it is a cash cow for insurance companies, so they are adamantly against it.

What is “Extra Help” and Will It Help Me If I Cannot Afford to Pay Premiums for Medicare Part D Plan?

The “LIS” (Low Income Supplement) is a way to help individuals or families who require help in making either their Medigap premium payments of their payments for Medicare Part D Plan. Families with assets of $25,010 and income of $21,855 or less they can qualify for help. Individuals with an income of $16,245 and assets of $12,510 or less they can qualify. Note that your house and car are not included in the calculation of assets. If your situation qualifies, you can complete an SSA-1020 form and submit it to the Social Security Administration who will evaluate and determine eligibility.



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