Which Plan Is Primary Under Medicare Part D?

Medicare Part D is a part of the Medicare program which subsidizes the cost of prescription drugs. When reaching age 65 a person is entitled to enroll in this program. This is a Prescription Drug Plan (PDP) which covers your prescribed medications. Private companies which have been approved by Medicare provide this specific coverage.

Which Provider Pays First?

If you are covered by a group health plan it becomes the primary provider who first pays your bills. Medicare becomes the secondary payee. However, there are variations depending on a number of variables. It is important for all recipients to study their coverage and to fully understand what coverage they do have as well as what coverage they do not have.

Who Pays Medicare Part D Where There Is Dual Coverage?

Some people are enrolled in both Medicare and Medicaid. People in this situation receive their prescription drug coverage through Medicare. If an enrollee has insurance coverage through an employer as well as Medicare and Medicaid then the enrollee must be very careful about coverage. If a person does not participate in a Medicare prescription drug plan then it is possible to lose all of the Medicaid benefits. Some people on both of these programs may receive a letter from the employer saying they are subject to lose the health care benefits they provide should they enroll in Medicare Part D. If this happens it is wise to discuss the issue with authorities and it might be wise to disenroll from the Medicare prescription program.

What Happens When An Enrollee First Joins A Plan?

When an enrollee first joins a program they may be on medications that are not a part of the new plan. However, Medicare Part D provides a temporary transitional supply of drugs to the new enrollee. It is important for the new enrollee to investigate this situation upon joining the Medicare Part D coverage.

Related posts

1. If I Am Covered By My Employer Can I Signup For Medicare Part D?
2. Is There An Advantage To Delay Enrollment in Medicare Part D Plan?
3. What Happens If My Medicare Advantage Plan Leaves Medicare?
4. Which Plan Is Primary Under Medicare Part D?
5. Will I Be Able To Use More Than One Medicare Drug Plan?

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