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Medicare Part D - Overview

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Posted: 10 Nov, 2008
by David Silva (New York Legal Assistance Group)
Updated: 05 Oct, 2023
by Valerie Bogart (New York Legal Assistance Group)

The Evelyn Frank Legal Resources Program has these resources for counseling Medicare beneficiaries and assisting them in accessing prescription drugs through the Medicare Part D program. 

See lists of 2024 and 2023 Part D plans which show the most recent plan closings and changes in NYS.

NYLAG Recorded Webinar and PowerPoint presentation on Medicare Part D for the 2021 Year 

Gives updated information on plan and benefit changes in NYS (see article on 2023 NYS plans). A more in-depth discussion is in the Training Outline below. Note that the outline below has not been updated since the 2019 plan year. Some changes should be noted, which are in this PowerPoint presentation. However the outline is still current on the basic landscape and features of Part D. 

PowerPoint shows which plans are closing in NYS in 2021 and what consumer rights are when plans close. Also see lists of 2024 amd 2023 plans which show the most recent plan closings and changes.

Note that a few slides were added to the above PowerPoint that were not in the webinar.  

View Recorded Webinar Medicare Enrollment Issues for 2021 by Center for Medicare Advocacy about 2021 Part D and Medicare Advantage Changes. Last part of webinar is a demo to show changes in the CMS PlanFinder.

NYLAG Evelyn Frank Legal Resources Program Medicare Part D Training Outline - 2019 - 

This outline, updated for the 2019 Part D enrollment period, covers the basic design of the Medicare Part D prescription drug benefit, the Extra Help subsidy for low income beneficiaries, how Part D works with other types of drug coverage including EPIC and Medicaid, and how to get Extra Help by using the Medicare Savings Program.  The Outline includes information on how the "donut hole" or coverage gap is being gradually closed so that out-of-pocket expenses during this period will be reduced, for individuals whose drug costs are so high that they fall into the donut hole. 

BIG CHANGE for Medicaid recipients and others with Extra Help subsidy - Since 2019, they may no longer may change plans every month.  They may change plans once per quarter in the 1st three calendar quarters.  See more about this and other "Special Enrollment Periods" or SEPS in the Outline at pp. 42 - 46. 

Note 2024 updated figures not in the Outline:  

ALSO SEE

The above outlines describe the Part D program and how it works in New York -- how it works with New York Medicaid, EPIC, ADAP, Medigap, and other programs.  For more national materials on Medicare Part D and other Medicare topics, see the Medicare Rights Center website and its Medicare Interactive website.


This article was authored by the Evelyn Frank Legal Resources Program of New York Legal Assistance Group.

NYLAG

Attached files
item Part D Outline 2019 FINAL 10-5-18.pdf (1.5 mb) Download
item MemoTransition_03 25 10.pdf (174 kb) Download
item NYLAG CLE PPT Part D 2021 AEP -REVISED.pdf (594 kb) Download

Also read
item Medigap (Medicare Supplemental) Policies and Rates in New York State - with Rate Tables for the Current Year
item EPIC - New York's prescription drug program for seniors age 65+
item Extra Help - The Part D Low Income Subsidy and How to Get It - 2024 Changes
item The Medicare planfinder tool: get (almost) all the info you'll ever need to help you pick the best possible prescription drug plan
item 2024 Medicare Part D Plans in New York State - with 2023 plans

Also listed in
folder Medicare Part D -> Extra Help
folder Medicare Part D -> Exceptions and Appeals
folder Medicare Part D -> Selecting a drug plan
folder Medicare Part D -> Getting Started
folder Medicare Part D -> Overview

External links
http://health.wnylc.com/health/client/images/icons/article_out.svg http://www.medicareinteractive.org/page2.php?topic=counselor&page=Index

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