, your food stamp benefits may decline, but that decline will be offset by Extra Help. If you get food stamps, you may want to join a Medicare drug plan. The value of the Extra Help paying your drug costs will make up for any decrease in your housing assistance. However, your housing assistance may be reduced as your prescription drug spending decreases. , you won't lose your housing assistance. If you get housing assistance from the Department of Housing and Urban Development (HUD), you may want to join a Medicare drug plan. This allows you to choose a plan that contracts with your nursing home's pharmacy. If you're entering, living in, or leaving a nursing home, you'll have the opportunity to choose or switch your Medicare drug plan. Long-term care pharmacies contract with Medicare drug plans to provide drug coverage to their residents. Contact your SPAP to get more information. Some states have a separate state program that helps with prescriptions. Some states give extra coverage when you join a Medicare drug plan. Works with Medicare prescription drug coverage. State Pharmaceutical Assistance Program (SPAP) If you don't join a plan, Medicare will enroll you in one to make sure you don't miss a day of coverage. If you get benefits or help from your state Medicaid program paying your Medicare premiums, you need to join a Medicare drug plan for Medicare to cover your drugs. If you decide you want another plan, you can switch to another plan at any time. If you don't join a drug plan, Medicare will enroll you in one to make sure you don't miss a day of coverage. If you have full coverage from Medicaid and live in an assisted living or adult living facility, or a residential home, you'll pay a small If you have full coverage from Medicaid and live in a nursing home, you pay nothing for covered prescription drugs. In most cases, you'll pay a small amount for your covered drugs. You'll need to join a Medicare drug plan for Medicare to pay for your drugs. Call your Medigap insurance company for more information. If you join a Medicare drug plan, your Medigap insurance company must remove the prescription drug coverage under your Medigap policy and adjust your premiums. Medigap policies can no longer be sold with prescription drug coverage, but if you have drug coverage under a current Medigap policy, you can keep it. You may pay more if you join a drug plan later. It may be to your advantage to join a Medicare drug plan because mostĭrug coverage isn't creditable. Medicare Supplement Insurance (Medigap) policy with prescription drug coverage If you have questions about Medicare and COBRA, call the Benefits Coordination & Recovery Center at 1-85 (TTY: 1-85). Talk with your State Health Insurance Assistance Program (SHIP) to see if COBRA is a good choice for you. , you'll have a special enrollment period to join a Medicare drug plan without a penalty when COBRA ends. There may be reasons why you should take Medicare drug coverage instead of, or in addition to, COBRA. If this happens, you may not be able to get your employer or union coverage back. If you have employer or union coverage and get Medicare drug coverage, you may lose your employer or union health and drug coverage (for you and your dependents) even if you qualify for Extra Help. Plan ahead for your next steps.Call your benefits administrator before you make any changes, or sign up for Medicare drug coverage. Leaving service can mean significant changes in health care options. TRICARE and Transition: What Happens When I Retire? Have a question we didn't cover? Reach out to our Member Support Center at or (800) 234-6622. We also look at how recent pharmacy network cuts show the health care benefit is at risk now and in the future, raising the question: “What version of TRICARE do you want in place when you need it?”īelow, find details on all manner of TRICARE topics. We break down how online pharmacy retail “disruptors” compare to the TRICARE pharmacy and whether they can offer you savings. In this year’s edition, we update the cost outlook for 2024, such as rising prices for pharmacy copays. MOAA’s TRICARE Guide is here to help you stay on top of your game. TRICARE changes year by year, and you and your family might find your own game plan is in transition. If you’ve ever thought TRICARE can resemble a game of Scrabble as you try to figure out how it can best line up for you, you’re not alone. Sponsored by MOAA Insurance Plans, Administered by Association
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