Part D Penalty for Medicare Advantage

Discussion in 'Senior Insurance Forum' started by lifeismylife76, Aug 9, 2017.

  1. roygbiv
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    roygbiv Member

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  2. LostDollar
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    LostDollar Well-Known Member

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    Last edited: Aug 10, 2017
  3. roygbiv
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    roygbiv Member

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  4. NIAMAN
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    NIAMAN Well-Known Member

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  5. grod
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    grod Well-Known Member

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    The MAPD Plan pays as primary. Tricare will pay any copays. UHC, at least in some markets, has the Essential plan, which is designed for those on Tricare for Life. It carves out the Part D plan, because generally, Tricare For Life RX benefits are better as it doers not have the Donut hole issue as does a Part D plan. Enrollees don't give up Tricare, they add the MAPD plan. Those who enroll, do it for the extras...Gym membership, hearing aid, etc. and not for the Rx benefits.
     
  6. LostDollar
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    LostDollar Well-Known Member

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    This now takes us full circle back to OP's specific problem.

    OP's client needs a drug which apparently can't currently be obtained through a military pharmacy but apparently can be obtained through a civilian pharmacy with an MA-PD plan.

    This turned up in some reading I did:

    It looks like adding a Medicare drug plan to obtain the scarce drug may have unanticipated cost consequences for all other Medicare provided drugs the client takes.

    Maybe a call to that number will provide specific problem directed answers.
     
    Last edited: Aug 11, 2017
  7. somarco
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    somarco Well-Known Member

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  8. MBSC
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    MBSC Well-Known Member

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    Has she applied to have the non-formulary drug covered as an exception?

     
  9. yogooglethis
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    yogooglethis Well-Known Member

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    Ding Ding Ding We have a winner! They are few a far between but it can work well for some.Looks like some agents may have walked away from good cases.
     
  10. lifeismylife76
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    lifeismylife76 Member

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