Medicare Part D drug tiers are the drug manufacturers' way of controlling costs. It is extremely important to make sure that your drugs are in the formulary, and these tier structures change annually. All Medicare Part D stand-alone drug plans and the Part D drug plans embedded in the Medicare Advantage plans must be analyzed yearly to ensure that you have the proper plan to cover your prescription drugs. Many drug plans utilize the tier structure to determine whether to allow the drug to be used towards the annual deductibles of that drug plan; this should be paid special attention to when selecting a drug plan.
Star ratings are based on items like customer service, paying claims on time and overall customer care. Star ratings range for 1 to 5 with 5 being the highest. The higher the rating, the greater the reimbursement from the government to fund the benefits offered to clients. Therefore, it behooves all Medicare Insurance companies to achieve a 5-star Medicare rating. One extra bonus with 5-star plans. If there is a 5-star plan within your area, an SEP or special election period exists where you can enroll into the plan throughout the year.
Medicare does not cover the shingles shot. The shingles shot is covered under Part D (a prescription plan). Once you enroll in a prescription drug plan, the shingles shot should be covered at 100%.
You bet! The key words are preventative and that it's medically necessary. It’s usually covered once every 24 months, or more often if medically needed. As long as your provider accepts Medicare assignment, you won’t pay anything out of pocket.
