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51. Do I need prior authorization?

    Created On: 01/30/2020 in Medicare Your Plan Coverage

52. How do I enroll in a Medicare plan?

    Created On: 01/30/2020 in Medicare Understand Medicare When can I sign up for Medicare?
    The Annual Enrollment Period is October 15 to December 7 each year. Outside those dates, you must qualify for a Special Enrollment Period to enroll in a plan. Our plans are only available in certain places. Make sure you live in our service are...

53. How can I sign up for Medicare Part A and Part B?

    Created On: 01/30/2020 in Medicare Understand Medicare When can I sign up for Medicare?
    Apply online through the Social Security's website . Call Social Security at (800) 772-1213, TTY (800) 352-0778 or 711. Fill out the Application for Enrollment in Part B . Remember, you must already have Part A to apply for Part B. If you're a...

54. Am I eligible for a Special Enrollment Period?

    Created On: 01/30/2020 in Medicare Understand Medicare When can I sign up for Medicare?
    Outside the Annual Enrollment Period , you can only enroll in a plan after a special event with a Special Enrollment Period (SEP). These are the different kinds of SEPs: Moved to a new service area or to an area with new plan options: You can s...

55. Initial Enrollment Period

    Created On: 01/30/2020 in Medicare Understand Medicare When can I sign up for Medicare?
    Your Initial Enrollment Period (IEP) is a 7-month period, which includes the 3 months before your 65th birthday, the month of your birthday, and the 3 months after your birth month, when you can enroll in Original Medicare, a Medicare Advantage plan...

56. Annual Enrollment Period

    Created On: 01/30/2020 in Medicare Understand Medicare When can I sign up for Medicare?
    The Annual Enrollment Period (AEP) is each year from October 15 to December 7, when you can enroll in Original Medicare, a Medicare Advantage Plan, a stand-alone Part D plan or switch plans. At this time, you can enroll in or leave a Medicare Adv...

57. What is the coverage gap?

    Created On: 01/30/2020 in Medicare Understand Medicare How does Medicare Part D coverage work?
    An exciting change has been made to your coverage – here’s what you need to know. Starting January 1, 2025, there is no longer a “Coverage Gap,” also called the “Donut Hole” Phase, in your prescription drug plan. This means that once you reach t...

58. What is the Part D late enrollment penalty?

    Created On: 01/30/2020 in Medicare Understand Medicare How does Medicare Part D coverage work?
    The Part D late enrollment penalty is a an amount added to your Part D monthly premium because you didn't sign up for drug coverage when it was available to you. If you go without a Part D plan or a Medicare Advantage plan with drug coverage for 6...

59. How does Medicare Part D coverage work?

    Created On: 01/30/2020 in Medicare Understand Medicare How does Medicare Part D coverage work?
    Each Medicare Advantage plan with prescription drug coverage or Part D plan has its own list of covered drugs, called a formulary. Our pharmacy department partners with physicians from other health systems who are specialized in their field to dec...

60. What is an HMO?

    Created On: 01/30/2020 in Medicare Understand Medicare How do I choose a plan type?
    A HMO (Health Maintenance Organization) plan gives you personal care from a set network of doctors and hospitals. You'll get peace of mind with: The comfort of having an in-network primary care provider (PCP) to oversee all your care and refer you...

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