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Table of Contents
Getting Started - The Basics
About Enrolling
Costs and Coverage
Problems Getting Your Drugs Under Your Plan
Other Common Problems / Changing Plans
Information for Medicare Providers
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Can I Change Plans?
If you enrolled in a
Part D plan that you are not happy with or that is not meeting your
prescription needs, you can change to a different Part D plan. However, there
are rules as to when you can change Part D plans, depending on your circumstances.
- Most people can only change to a new Part D plan once a year, and must enroll in the new plan between
November 15th and December 31st. The new Plan will then be effective January 1.
| NOTE: Be sure to review your Part D Plan every
fall. Plans change the drugs they will cover and often change their premiums and co-pays every January 1. |
There are various Special Enrollment Periods for special circumstances. For example, if you move into or out of a
nursing home, you have 2 months after the move to join a new Part D Plan. Likewise, if you involuntarily lose
other creditable prescription drug coverage, you have 2 months to join a Part D Plan. For more information on
Special Enrollment Periods, contact 1-800-MEDICARE, your local
Area Agency on Aging
or Legal Services for the Elderly’s Medicare Part D Unit 1-877-774-7772.
| NOTE: If you have Medicare and either MaineCare,
a Medicare Savings Program (the “Buy In”), or LIS through Social Security, you may switch your Part D Plan at any
time, and your new coverage will take effect the following month. But you need to enroll in a “benchmark” plan,
or you will have to pay part (or a larger part) of the premium yourself. In 2009, basic (not enhanced) Part D Plans
with premiums of $28.12 or less are “benchmark” plans. |
Contact the Maine State Health Insurance Assistance Program (SHIP) at 1-877-353-3771,
or TTY: 1-800-750-5353, for more information.
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