Section 8.2 What if you have your membership card with you? 103 don’t SECTION 9 Part D drug coverage in special situations 103 Section 9.1 What if in a hospital or a skilled nursing facility for a stay that is you’re covered by the plan? 103 Section 9.2 What if a resident in a long-term care (LTC) facility? 103 you’re Section 9.3 What if also getting drug coverage from an employer or retiree you’re group plan? 104 Section 9.4 What if in Medicare-certified hospice? 105 you’re SECTION 10 Programs on drug safety and managing medications 105 Section 10.1 Programs to help members use drugs safely 105 Section 10.2 Medication Therapy Management (MTM) program to help members manage their medications 106 Did you know there are programs to help people pay for their drugs? There are programs to help people with limited resources pay for their drugs. These include and State Pharmaceutical Assistance Programs. The OR “Extra Help” “Extra helps people with limited resources pay for their drugs. For more Help” program information, see Chapter 2, Section 7. Are you currently getting help to pay for your drugs? If you are in a program that helps pay for your drugs, some information in this about the costs for Part D prescription drugs may not apply Evidence of Coverage have included a separate insert, called the of Coverage Rider to you. We “Evidence for People Who Get Extra Help Paying for Prescription (also known as the Drugs” Income or the which tells you about your drug “Low Subsidy Rider” “LIS Rider”), coverage. If you have this insert, please call Member Services and ask for the don’t (Phone numbers for Member Services are printed on the back cover of “LIS Rider.” this booklet.)
Section 8.2 What if you don’t have your membership card with you? 103 SECTION 9 Part D drug coverage in special situations 103 Section 9.1 What if you’re in a hospital or a skilled nursing facility for a stay that is covered by the plan? 103 Section 9.2 What if you’re a resident in a long-term care (LTC) facility? 103 Section 9.3 What if you’re also getting drug coverage from an employer or retiree group plan? 104 Section 9.4 What if you’re in Medicare-certified hospice? 105 SECTION 10 Programs on drug safety and managing medications 105 Section 10.1 Programs to help members use drugs safely 105 Section 10.2 Medication Therapy Management (MTM) program to help members manage their medications 106 Did you know there are programs to help people pay for their drugs? There are programs to help people with limited resources pay for their drugs. These include “Extra Help” and State Pharmaceutical Assistance Programs. OR The “Extra Help” program helps people with limited resources pay for their drugs. For more information, see Chapter 2, Section 7. Are you currently getting help to pay for your drugs? If you are in a program that helps pay for your drugs, some information in this Evidence of Coverage about the costs for Part D prescription drugs may not apply to you. We have included a separate insert, called the “Evidence of Coverage Rider for People Who Get Extra Help Paying for Prescription Drugs” (also known as the “Low Income Subsidy Rider” or the “LIS Rider”), which tells you about your drug coverage. If you don’t have this insert, please call Member Services and ask for the “LIS Rider.” (Phone numbers for Member Services are printed on the back cover of this booklet.)
H4093_ISNP_HMO_NONPOS_Model_wRx_v2-PA_EOC.docx