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08/16/2023 · Primary School

Mrs. Hernandez is one of your clients. She has read that there is a new program that may help her manage prescription drug costs. What do you tell her about the Medicare Prescription Payment Plan?a. Part D enrollees can opt into the Medicare Prescription Payment Plan at the beginning of the plan year or any point during the year.b. Part D enrollees who choose to participate in the Medicare Prescription Payment Plan pay 25 percent of their drug costs at the point of service and the remainder during the rest of the plan year.c. Part D enrollees must opt into the Medicare Prescription Payment Plan at the beginning of the year.d. Opting into the Medicare Prescription Payment Plan will impact what counts toward their true out-of-pocket (TrOOP) costs.

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Tutor-Verified Answer

Quick Answer

c. Part D enrollees must opt into the Medicare Prescription Payment Plan at the beginning of the year.

Step-by-step Solution

The Medicare Prescription Payment Plan requires Part D enrollees to opt in at the beginning of the plan year. This ensures they are enrolled for the entire duration of the plan year.

 

Supplemental Knowledge

Understanding how the Medicare Prescription Payment Plan operates will enable Medicare Part D enrollees to manage their prescription drug costs more easily, making educated decisions about healthcare expenses.
Medicare Part D offers prescription drug coverage to anyone eligible for Medicare and offers prescriptions on an ongoing basis. While enrollment in this optional plan is entirely discretionary, its payment plan allows enrollees to spread out costs over an entire year instead of spending large sums upfront.

 

Knowledge in Action

Cost control in healthcare can be an ongoing struggle for individuals on fixed incomes or treating chronic conditions that require medications - providing financial relief and predictability in managing these expenses is important to everyone's wellbeing. Programs like the Medicare Prescription Payment Plan offer this kind of relief.
Imagine, for instance, an elderly individual taking multiple medications each month who does not opt into a payment plan and faces high out-of-pocket expenses at the start of each year when their deductibles reset. By opting into such an agreement instead, they could more evenly spread these costs throughout the year and more easily budget without facing financial strain.

 

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