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Medicare / Medicaid


Ten Things Your Colleagues Will Expect You to Know about the New Medicare Part D Drug Benefit

Session #: 81550-xh
Presenter(s): Elizabeth Carder-Thompson, Robert Hill
Session Length: 1hr. 40min.
Event: 2005 HFMA Audio Webcast
Date: 10-25-05

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You will learn:
1) What's a "doughnut hole" in coverage?
2) How can plans limit the drugs they will cover?
3) What's the physician's obligation if a plan doesn't cover a drug that the physician has prescribed?
4) How does the new benefit affect those eligible for both Medicare and Medicaid, a/k/a dual-eligibles?
5) How will the drug benefit work for residents of long-term care facilities?
6) Can a long-term care facility choose a Part D plan and/or pharmacy for its residents?
7) How does Part D interact with Part A and Part B drugs?
8) If my Medicare-eligible client/mother/relative now has her drugs covered by her former employer, under a retiree benefit, what happens on 1/1/06?
9) How should hospitals, physicians, and other health care providers respond when patients ask in which Part D plan they should enroll?
10) How and when do patients sign up for the drug benefit?



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