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Home > Resources > Medicare and Medicaid Help > Medicare Part D

What does Medicare Part D Mean for Me?
"Thank you from the bottom of my heart for the help and concern. I was in the worst shape of my life and could see no way out. When I called PAF for help my case manager called me right back and stayed with me until we got things right. I was more than satisfied with the way things were handled. I can't begin to say thanks enough for what you've done."
--George Rakes
King, NC
Lung Cancer
PAF negotiated charity write offs for outstanding medical bills and their Co-Pay Relief program assisted patient with medication co-payment assistance.
What does Medicare Part D Mean for Me?
Starting January 1, 2006, the Centers for Medicare & Medicaid Services (CMS) will extend coverage for prescription drugs to Medicare beneficiaries.

Medicare Part D is the new prescription drug benefit resulting from the Medicare Modernization Act of 2003, providing all beneficiaries with the option to add prescription drug coverage. A premium will be charged for Part D in the same way there is a premium for Part B benefits.

You will have to pay a premium each month for the Part D benefit. The premium for Part D is approximately $35-37 a month. Each enrollee wishing to participate will have to elect Part D coverage and choose a corresponding Prescription Drug Plan (PDP) or a Medicare Advantage Plan (MA-PD). Those beneficiaries with limited income and resources may be able to get additional help for monthly premiums, deductibles and co-payments.

Click here to view your Medicare prescription drug coverage options

Click here to Find a Medicare Prescription Drug Plan

How Do I Get This Additional Help?
Additional financial assistance will be available for people with low incomes and limited assets. Medicare beneficiaries who have incomes below a certain limit will not have to pay premiums or deductibles for prescription drugs.

1. If you have both Medicare and Medicaid with prescription drug coverage, Medicare and Supplemental Security Income, or if your state pays for your Medicare premiums, you automatically will get this extra help. At this time you do not have to do anything.

2. If your annual income is below $14,355 for an individual ($19,245 for a married couple living together), you may not have to pay monthly premiums or deductibles, and you could pay as little as $2 for your co-payments. You will need to fill out an application for assistance.

3. For all others that do not meet the requirements above, you still can apply for asssitance for your monthly premiums, annual deductables and prescription co-payments. After you apply, Social Security will review your application and send you a letter to let you know if you qualify for assistance through Medicare Part D.

**Information above taken straight from "Help Available to Pay Costs of Medicare's New Prescription Drug Program" written by the Social Security Administration.
How Do I Apply?
Mail - Many Medicare beneficiaries who may be eligible for the additional help will be mailed an Application for Help with Medicare Prescription Drug Plan Costs (Form SSA-1020) from now until August 2005. If you receive an application, please complete it and return it as soon as possible. If you do not receive an application, you can get one by calling Social Security at 1-800-772-1213 (TTY 1-800-325-0778).

Phone - Patient Advocate Foundation has clinical case managers able to answer your questions and assist in the application process of the Medicare Part D benefit. Please call PAF at 1-800-532-5274.

Online - If you would like to apply online, an online application will be available July 1st at www.socialsecurity.gov.
How Will I Know If I Qualified?
After you apply, Social Security will review your application and send you a letter to let you know if you qualify for the additional help. If you qualify, you need to enroll in a Medicare-approved prescription drug plan to get help with your prescription costs. You can select a plan between November 15, 2005, and May 15, 2006.

**Information above taken straight from "Help Available to Pay Costs of Medicare's New Prescription Drug Program" written by the Social Security Administration.
Have Questions?
If you have questions regarding Medicare benefits, Patient Advocate Foundation provides access to a clinical case manager who is available to answer your individual questions Monday through Friday. If you need assistance please click here to submit your questions and we will research your issue and provide a response in 24-48 hours. If you would like to speak with a case manager or if you would like to apply for medicare Part D benefits, please call 1-800-532-5274 and a case manager will return your call.