Preferred Pharmacies – Medicare Redlands – Redlands Pharmacies

We thought this information about Preferred Pharmacies

 might be helpful to you.

 

AARP – Walgreen/ Vons/ Albertsons/ Savon / Pharmacysaver.com

Blueshield – CVS/ Vons/ Albertsons/ Savon/ Costco

IVHP – Riteaid/Savon/ CVS/ Vons/ Walgreens

SCAN – Savon/ Riteaid/ Vons/ Walmart/ Walgreens/ Sams Club/ Costco

Aetna – Albertsons/ Savon/ Costco/ Kmart/ Vons/ Sams Club/ Walgreens/ Walmart

Save on Prescription Drugs – Low Income – Medicare Redlands

Low Income SubsidyIf you meet certain income and resource limits, you may qualify for Extra Help from Medicare to pay the costs of Medicare prescription drug coverage.

In 2016, costs are no more than $2.95 for each generic/$7.40 for each brand-name covered drug.

Other people pay only a portion of their Medicare drug plan premiums and deductibles based on their income level.

In 2016, you may qualify if you have up to $17,820 in yearly income ($24,030 for a married couple) and up to $13,640 in resources ($27,250 for a married couple).

If you don’t qualify for Extra Help, your state may have programs that can help pay your prescription drug costs. Contact your Medicaid office or your State Health Insurance Assistance Program (SHIP) for more information. Remember, you can reapply for Extra Help at any time if your income and resources change.

Countable resources include: Money in a checking or savings account, Stocks, Bonds, countable resources don’t include: Your home, one car, burial plot, up to $1,500 for burial expenses if you have put that money aside, furniture, other household and personal items, apply for Extra Help.

Some people automatically qualify for Extra Help and you automatically qualify for Extra Help if you have Medicare and meet any of these conditions:

Have full Medicaid coverage

Get help from your state Medicaid program paying your Part B premiums (in a Medicare Savings Programs)

Get Supplemental Security Income (SSI) benefits

Even if you automatically qualify this year, you may not qualify for Extra Help next year if changes in your income or resources cause you no longer to qualify for one of the programs listed above. You’ll get a notice (on grey paper) by the end of September if you no longer automatically qualify. Even if you get this notice, you may still qualify, but you need to apply to find out.

If your copayment amounts change for 2017, you’ll get a notice (on orange paper) in the mail in early October with the new amounts. If you don’t get a notice from Medicare, you’ll get the same level of Extra Help that you got for last year.

If you’re not sure if you’re paying the right amount, call your drug plan. Your plan may ask you to give information to help them check the level of Extra Help you should get. Get your plan’s contact information from a Personalized Search (under General Search), or search by plan name.

Can I get money back if I’ve been paying too much?

If you aren’t already enrolled in a Medicare drug plan and paid for prescriptions since you qualified for Extra Help, you may be able to get back part of what you paid. Keep your receipts, and call your plan. Or, you can contact Medicare’s Limited Income Newly Eligible Transition (NET) Program at 1-800-783-1307 for more information. TTY users should call 711.

Always feel free to call our offices at 909-792-3300

Costs in the Coverage Gap

Most Medicare Prescription Drug Plans have a coverage gap (also called the “donut hole”). This means there’s a temporary limit on what the drug plan will cover for drugs.

Not everyone will enter the coverage gap. The coverage gap begins after you and your drug plan have spent a certain amount for covered drugs. In 2015, once you and your plan have spent $2,960 on covered drugs (the combined amount plus your deductible), you’re in the coverage gap. In 2016, once you and your plan have spent $3,310 on covered drugs, you’re in the coverage gap. This amount may change each year. Also, people with Medicare who get Extra Help paying Part D costs won’t enter the coverage gap.

Once you reach the coverage gap in 2015, you’ll pay 45% of the plan’s cost for covered brand-name prescription drugs. You get these savings if you buy your prescriptions at a pharmacy or order them through the mail. The discount will come off of the price that your plans has set with the pharmacy for that specific drug.

Although you’ll only pay 45% of the price for the brand-name drug in 2015, 95% of the price—what you pay plus the 50% manufacturer discount payment—will count as out-of-pocket costs which will help you get out of the coverage gap. What the drug plan pays toward the drug cost (5% of the price) and what the drug plan pays toward the dispensing fee (55% of the fee) aren’t counted toward your out-of-pocket spending.

Example: Mrs. Anderson reaches the coverage gap in her Medicare drug plan. She goes to her pharmacy to fill a prescription for a covered brand-name drug. The price for the drug is $60, and there’s a $2 dispensing fee that gets added to the cost. Mrs. Anderson will pay 45% of the plan’s cost for the drug ($60 x .45 = $27) plus 45% of the cost of the dispensing fee ($2 x .45 = $0.90), or a total of $27.90, for her prescription. $57.90 will be counted as out-of-pocket spending and will help Mrs. Anderson get out of the coverage gap because both the amount that Mrs. Anderson pays ($27.90) plus the manufacturer discount payment ($30.00) count as out-of-pocket spending. The remaining $4.10, which is 5% of the drug cost and 55% of the dispensing fee paid by the drug plan, isn’t counted toward Mrs. Anderson’s out-of-pocket spending.

In 2015, Medicare will pay 35% of the price for generic drugs during the coverage gap. You’ll pay the remaining 65% of the price. What you pay for generic drugs during the coverage gap will decrease each year until it reaches 25% in 2020. The coverage for generic drugs works differently from the discount for brand-name drugs. For generic drugs, only the amount you pay will count toward getting you out of the coverage gap.

Example: Mr. Evans reaches the coverage gap in his Medicare drug plan. He goes to his pharmacy to fill a prescription for a covered generic drug. The price for the drug is $20, and there’s a $2 dispensing fee that gets added to the cost. Mr. Evans will pay 65% of the plan’s cost for the drug and dispensing fee ($22 x .65 = $14.30). The $14.30 amount he pays will be counted as out-of-pocket spending to help him get out of the coverage gap.
If you have a Medicare drug plan that already includes coverage in the gap, you may get a discount after your plan’s coverage has been applied to the price of the drug. The discount for brand-name drugs will apply to the remaining amount that you owe.
Items that count towards the coverage gap: Your yearly deductible, coinsurance, and copayments, the discount you get on brand-name drugs in the coverage gap and what you pay in the coverage gap
Items that don’t count towards the coverage gap: The drug plan premium, pharmacy dispensing fee and what you pay for drugs that aren’t covered.

 

Medicare Offers Help with Prescription Drug Costs

cheap-prescription-drugs

Hi,

Well prescriptions can be very costly, but you might qualify for this program called Extra Help. This article gives you the information you need to see if you qualify.

If you have additional questions please don’t hesitate to contact my office at (909)792-3300. I will be happy to help anytime.

Have a blessed day!

George Litchfield
Medicare Plan Specialist
Lic#OB56846
GeorgeLitchfield.com

Call me today at 888-891-5557

Extra Help is a Medicare program that assists qualified beneficiaries with paying for their prescription drugs. You could get help paying your Part D premiums, deductibles and copays.

For most people who qualify, 2013 copays will be no more than:

  • $2.65 for each covered generic drug
  • $6.60 for each covered brand name drug

Other qualified individuals may pay only a portion of their 2013 Part D premiums and deductibles based on their income level.

Do You Qualify?

You need to meet certain income and resource limits to qualify for the Extra Help program. In 2013, you may qualify if you have up to $17,235 in yearly income ($23,265 for a married couple) and up to $13,300 in resources ($26,580 for a married couple).

Resources that count toward your total include:

  • Money in checking, savings, IRA and investment accounts
  • Stocks
  • Bonds

Your primary residence, car, burial plot and up to $1,500 (per person) for burial expenses, life insurance policies, furniture and other household and personal items do not count.

You may automatically qualify for Extra Help if you have Medicare and meet any of these conditions:

  • You have full Medicaid coverage.
  • You get help from your state Medicaid program paying your Part B premiums (in a Medicare Savings Program).
  • You get Supplemental Security Income (SSI) benefits.

Contact your Part D plan sponsor if you think you may qualify automatically. They can help you understand what information you need to provide in order to get started.

Even if you automatically qualify for Extra Help one year, you may not another year if your income or resources change. If you no longer automatically qualify in a given year, you’ll get a notification (on grey paper) by the end of September. You may still qualify for the program, but you’ll need to apply to find out.

–This information is provided by Medicare Made Clear

GeorgeLitchfield.com – If you or someone in your family is 65 or older and is in need of a Medicare Supplemental Plan or already has a plan, but wants to make sure that it is the right plan please give us a call (909)792-3300 or (888)891-5557 or go to our website GeorgeLitchfield.com  and we will give you a quote and help you keep money in your pocket

 

Generic Drugs: Can You Trust Them? Medicare Supplements, Redlands, Yucaipa

genericdrugA generic drug is a copy of a brand name drug. It’s identical to the brand name drug in dosage, strength, safety, performance and use. Both prescription and non-prescription drugs may have generic versions.

Separate But Equal
The US Food and Drug Administration (FDA) regulates the pharmaceutical industry, including the approval and manufacture of generic drugs. To gain FDA approval, a generic drug must:

Contain the same active ingredients as the brand name drug (inactive ingredients may vary)

Be identical in strength, dosage form and route of administration

Have the same indications for use

Have the same effect on the body (bioequivalent)

Meet the same manufacturing batch requirements for identity, strength, purity and quality

Be manufactured under the same strict manufacturing practice standards

In short, FDA-approved generic drugs meet the same standards as the brand name drugs they emulate. All generic drugs go through a rigorous review process before achieving approval. In addition, the FDA inspects manufacturing plants and monitors quality, even after a generic drug is approved.

Looks Aren’t Everything
Generic drugs look different from their brand name counterparts. In fact, United States trademark laws state that they must look different. A generic can be any color, size or shape, as long as it doesn’t look exactly like the brand name drug.

But it’s what’s on the inside that counts. Generics have the same type and amount of active ingredients as the brand name drug, and they are usually less expensive. Many are even manufactured by the same company that makes the brand name drug.

Generics in Use
Some Medicare prescription drug plans may require that you try a generic before they will pay for a brand name drug. Or you may be able to request a generic version of a drug you take. But not every brand name drug is offered as a generic.

Your doctor or pharmacist can help you understand what drugs are available and whether a generic may be right for you based on your needs. In addition, your Medicare prescription drug plan customer service representative can explain which generics your plan covers.

 

–This information is provided by Medicare Made Clear

GeorgelitchfieldTurning65-NewtoMedicare.com – If you or someone in your family is 65 or older and is in need of a Medicare Supplemental Plan or already has a plan, but wants to make sure that it is the right plan please give us a call (888)891-5557 or go to Turning65-NewtoMedicare.com  and we will give you a quote and help you keep money in your pocket.