As a Family Caregiver, it is important to understand all aspects of your loved one’s care, from the type of food she should be eating to the right social activities to keep her mind healthy. The task of understanding health insurance and Medicare can seem daunting, especially when regulations tend to change so frequently.
Below is a general overview of what caregivers need to know about Medicare Part D, the new program that offers help for seniors paying medications.
Who is eligible for Medicare Part D?
Your loved one will have access to a wide network of pharmacies, including private and national chain stores. Any individual who is eligible for Medicare Part A or Part B will also be eligible for Part D. In fact, individuals who are enrolled in Medicaid and Medicare are automatically enrolled in the prescription program as well.
What does Medicare Part D pay for?
One important aspect of Medicare Part D to understand is that though the plan does not guarantee 100 percent coverage of prescription costs, it will significantly lower out-of-pocket expenses. If you find that your plan is not sufficient in assisting with the costs or a specific drug is not covered, you can choose a different plan during open enrollment, available every year.
If your loved one’s current plan changes coverage of a drug they are taking, the coverage provider is required to notify them of the change. They will either provide a written notice 60 days before the change comes into effect or give written notice and a 60 day supply of the drug at the original price when the drug is picked up from the pharmacy.
What is the Medical Therapy Management Program?
One aspect of Medicare Part D that will be helpful to both you and your loved one is the Medical Therapy Management Program, which offers free assistance to individuals who take several medications for different health conditions. The program offers reviews and counseling from doctors and pharmacists to ensure all the medications are working together and will not have adverse effects.
This program is designed to make sure your loved one is receiving the best possible benefits from their prescriptions, offer advice and guidance on costs, side effects, allergies and other possible concerns. Your loved one will receive a written report about the discussions that will include an action plan with recommendations and reminders about medication management.
Medications can be a daunting part of healthcare, which is why Freudenthal Home Health offers medication management as one of our many services to assist you in your role as a caregiver. While it’s important to ensure the health of your loved one, it’s even more important to verify the care and medication delivered matches with their plan. For more information, contact us today.