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Questions & Answers (FAQ)

The categories of Frequently Asked Questions (FAQs) can be found to the right. Simply click on one of the questions below or a category to the right.
Search & Browse > FAQ Home > Medicare Part D > Medicare Part D - 3 After-Enrollment or Living with your Part D Plan > Medicaid or Extra Help

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I should be getting "extra help" and am not. What do I do?
Last Update : 22 February, 2006 

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It is our understanding that it sometimes takes up to a month for the subsidy to be sent to the insurance carrier from Medicare/Medicaid.

Once this information is sent to the insurance carrier (and only when it is sent from Medicare/Medicaid) will the premium be reduced.

If you have a letter stating the exact co-pays, you can send this letter to the insurance carrier and they may at least change your co-pay in their pharmacy system.

For example, If you have Humana coverage, you can call 1-800-448-6262, state "Member" when asked, and then choose option 3.  This will send you to a pharmacy representative.  Each representative has their own fax number, so just ask the person for their fax number.  Once the fax is received, he/she can enter the information in the pharmacy system.  As said above, this will only change your co-pay.  Your premium can only be change when the information is sent directly from Medicare/Medicaid.




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Latest Added FAQs

• Where do I find more information on Tri-Care - for instance, where can I download the Tri-Care Forms?
   The Tri-Care Website is found here:  http://www.tricare.osd.mil/ and Tri-Care forms can be dow...

• I should be getting "extra help" and am not. What do I do?
   It is our understanding that it sometimes takes up to a month for the subsidy to be sent to the insu...

• I am having trouble getting the extra help that I qualify for at Wal-Mart, and I need to pick up 2 prescriptions that are ready that I cannot afford without the extra help.There is a problem on your end per Medicare & Social Security. Please contact me ASAP so I will know what to do.

   Unfortunately, we do not have access to your Medicare Data or Part D Membership Information.We are N...

• My parents used have medicaid to cover their drugs. They got a letter in 2005 from the insurance company that said they will automatically transfer my parents to a new medicare D plan. My parents waited untill 2006 but have not received any information about their new plan. I called the company today. They said they can not offer the medicare D to them because my parents only have Medicare B plan. Can you kindly tell me how my parents can do now?

   The best thing I can suggest is to contact the Social Security Administration (1-800-772-1213) to c...

• My son is on Medicaid. He was assigned a Medicare Part D plan and his plan in Georgia does not cover one of his medications. What do we do?

    Your son has the right to change his plan to any one of his choice (Medicaid recipients may change...


Most Popular Questions

• Where do I find more information on Tri-Care - for instance, where can I download the Tri-Care Forms?
   The Tri-Care Website is found here:  http://www.tricare.osd.mil/ and Tri-Care forms can be downloaded at: http://www.tricare.osd.mil/enrollment/...

• I am having trouble getting the extra help that I qualify for at Wal-Mart, and I need to pick up 2 prescriptions that are ready that I cannot afford without the extra help.There is a problem on your end per Medicare & Social Security. Please contact me ASAP so I will know what to do.

   Unfortunately, we do not have access to your Medicare Data or Part D Membership Information.We are National Insurance Markets, Inc - an independent In...

• My parents used have medicaid to cover their drugs. They got a letter in 2005 from the insurance company that said they will automatically transfer my parents to a new medicare D plan. My parents waited untill 2006 but have not received any information about their new plan. I called the company today. They said they can not offer the medicare D to them because my parents only have Medicare B plan. Can you kindly tell me how my parents can do now?

   The best thing I can suggest is to contact the Social Security Administration (1-800-772-1213) to confirm that your parents are still eligible for t...

• My son is on Medicaid. He was assigned a Medicare Part D plan and his plan in Georgia does not cover one of his medications. What do we do?

    Your son has the right to change his plan to any one of his choice (Medicaid recipients may change their Medicare Part D plans on a regular monthly ...

• I should be getting "extra help" and am not. What do I do?
   It is our understanding that it sometimes takes up to a month for the subsidy to be sent to the insurance carrier from Medicare/Medicaid.Once this inf...




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