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A Place for Mom's Family » Legal and Financial Matters » Legal & Financial Matters in Eldercare » Medicare and Medicaid » Rule would eliminate premiums for some Part D enrollees

Rule would eliminate premiums for some Part D enrollees

Last post 07-03-2008 12:26 PM by mcrews. 2 replies.
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  • 01-14-2008 5:32 PM

    • JohnT
    • Top 10 Contributor
    • Joined on 12-11-2007
    • Seattle, WA
    • Posts 83

    Rule would eliminate premiums for some Part D enrollees

    Reply Contact

    ...Just saw this:

    A new regulation proposed by the Centers for Medicare & Medicaid Services would allow some low-income Medicare beneficiaries, including dual-eligible individuals, to stay in their Medicare prescription drug plan without having to pay a premium.

    Currently, the low-income subsidy (LIS) helps many people enrolled in Medicare Part D pay their premiums. As it stands, the premium for any individual Part D plan can be fully covered by the subsidy in one year and not the following year. CMS also can move beneficiaries to a different plan if they would have to begin paying a premium. Many nursing home residents are dual-eligible beneficiaries - those who receive Medicare and Medicaid.The new rule would allow drug plan sponsors to reduce the cost of their premiums for certain individuals who qualify for the LIS. It would effectively increase the number of sponsors providing "zero-premium" plans in certain regions and allow LIS-eligible enrollees in those regions to remain with their current plan without having to pay a premium.This new rule was first proposed in the Federal Register can be found in its entirety at http://www.cms.hhs.gov/PrescriptionDrugCovContra/downloads/CMS4133P.pdf. A final version of the rule is expected to be announced March 28.

     

    John E. Temple, Jr.
    Co-founder of A Place for Mom

  • 05-08-2008 8:37 PM In reply to

    • Pam
    • Top 150 Contributor
    • Joined on 03-16-2008
    • Posts 2

    Re: Rule would eliminate premiums for some Part D enrollees

    Reply Contact

    Oh great, more info to complicate things even more.....

    1st-LIS? what exactly does that mean?

    2nd-  And how is one dual-eligible for Medicare and Medicaid?  and how would a supplemental insurance like TFL effect them?

     

  • 07-03-2008 12:26 PM In reply to

    • mcrews
    • Top 50 Contributor
    • Joined on 07-01-2008
    • California
    • Posts 5

    Re: Rule would eliminate premiums for some Part D enrollees

    Reply Contact

    1.LIS is low income subsidy.

    Under Part B it is called QMB & SLMB. Social security would cover the 97.50 monthly premium and some of the co-payment.

    Income is below $850 a month. i think. check medicare.gov for the details.

    Part D has whatis called "EXTRA HELP". agian go to medicare.gov.  EXTRA HELP has 4 levels of income.

     

     

    Mark John Crews
    STRATEGIC C.A.R.E Planning (c)
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