Benefits Checkup

Education and Counseling Resources

Plan Types: Learn about types of Part D plans, their differences, and how you can explain the range of Part D plan options to your clients.

• Requirements of All Part D Plans
• Standard Part D Plans
• Alternative Part D Plans
• Medicare Advantage and Part D

Drug Coverage Rules and Beneficiary Costs: Find out which kinds of drugs must be covered by Part D plans, which drugs rarely are covered, plan rules, and more. This section also reviews the costs for Part D, issues on Part D drug coverage, such as coverage of drugs for off-label usage, and tips to help your clients in the coverage gap, or donut hole.

• About the Drugs Plans: What They Must, May, and Cannot Cover
• Off-Label Drugs and Part D Coverage
• Part D Beneficiary Costs
• Coverage Gap Tips
• Prescription Assistance Options
• Late-Enrollment Penalty Premium
• Comparison of Part D Standard Benefit 2011 vs. 2012

Eligibility and Enrollment: Here you'll also find practical resources to help you counsel clients during the Annual Enrollment Period (AEP), as well as the manyÊPart D Special Enrollment Period (SEP) opportunities.

• Annual Enrollment Period
• Part D Special Enrollment Periods (SEPs)
• Considering the 4 C 's during Open Enrollment Counseling

Medicare Part D References: Find general references to legal authority on Medicare Part D

• Part D General References