All Medicare beneficiaries are eligible for a Medicare prescription benefit, referred to as Medicare Part D. Beneficiaries are required to enroll in a Prescription Drug Plan (PDP) or Medicare Advantage (PPO) plan. Everyone with Medicare, regardless of income, health status, or prescription drugs used, can get prescription drug coverage.
Long Term Care and Assisted Living residents who are dually eligible for both Medicare and Medicaid benefits, are facing new challenges such as formulary management. Partners is a leader in assisting the facilities we serve with streamlined processes for Med D utilization.
Please refer to the following resources:
 Medicare Drug Coverage: What You Need to Know if You Live in a Nursing Home (pdf)
What can you do if your drug isn’t covered by your Medicare drug plan? (pdf)
How to Request a Formulary Exception and File an Appeal (pdf)
Help With Your Medicare Drug Plan Costs (pdf)
Medicare Part D Standard/Basic Plan Cost Sharing (2007) (pdf)
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Links to centers for Medicaid and Medicare Services:
Med D Benefits and requirements change regularly, below are links to the Centers for Medicaid and Medicare Services website:
Medicare Prescription Drug Plan Finder
Prescription Drug Coverage – Overview
Frequently Asked Questions
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