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Medicare Modernization Act

Link to Medicare Modernization Act Web Page

A. Overview

B. The Low-Income Subsidy (LIS) and copayments

  1. Others with Limited Income
  2. LIS Effective Dates
  3. LIS reference sheet

C. Choosing a Prescription Drug Plan (PDP) or a Medicare Advantage Plan (MA-PD)

  1. Enrolling in a Plan
  2. Auto Enrollment
  3. Facilitated Enrollment—Point of Sale (POS)
  4. Special Enrollment Period
  5. Annual Enrollment Period
  6. Seamless Enrollment
  7. Retroactive Enrollment

D. Medicare Prescription Drug Plan Coverage and Exclusions

  1. Medicaid Covered Drugs
  2. Appeals and Exceptions
  3. Exception Timeframes

E. QMBs and MA Plans

  1. MMA flowchart

F. Medicare and other Third-Party Insurance

G. MMA Problem Solving

  1. Urgent Problems
  2. MMA Problem Solving Referral Form

 

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Oregon Department of Human Services
500 Summer St. NE E02, Salem, OR 97301-1073
Phone: (503) 945-5811
Toll-free: (800) 282-8096 (V/TTY)