| Important Notes |
Beneficiaries must be eligible for Part A or enrolled in Part
B; premiums to state will continue; Cost Sharing not covered by
LIS - including premium, deductible, copayments, coinsurance, and
coverage gap - will not pay copayments for FBDE; will cover Part D
excluded drug classes benzodiazepines, barbiturates, OTCs,
vitamins/minerals, weight loss/gain - current requirements/limits
apply; VScript expanded coverage level (150-225% FPL), only
maintenance drugs under the excluded drug category will be
covered; Non-formulary drugs will not be covered.
On 11/02/2005, CMS approved state's plan to
"auto-enroll" individuals who were covered under an SPAP
into a PDP plan - State will enroll participants in plans offering
basic RX drug coverage at a premium at or below the benchmark
using the same random methodology that CMS used to auto-enroll
FBDE.
Call 1-800-250-8427 for additional information. Premiums
are $15, 20, or $42; and the auto-enroll approval was a one-time
only. |