Kinney Drugs wants to make sure you get your prescription regardless of your insurance situation.
With our new ReadyScripts program, we automatically process your prescription refills to ensure you get the medication you need, when you need it.
Free Prescription Delivery
To maintain the highest level of patient care, Kinney Drugs offers free prescription delivery for all prescriptions Monday through Friday.
This year, the open enrollment period for Medicare Part D Plans will begin on October 15th, 2012 and end on December 7, 2012.
If you do not enroll in a Part D Plan during the Annual Enrollment Period you could be without a Medicare prescription drug plan for the following year or may be stuck with your current plan that has changes that are not in your best interest.
If you are within 3 months of your 65th birthday (3 months prior or 3 months following), you may enroll on-line directly into a local Part D Prescription Drug Plan or Medicare Advantage Plan.
Kinney Drugs accepts most Medicare Part D plans. Our pharmacists can help to find the plan that's right for you.
www.medicare.gov is the official website for all Medicare coverage information.
Applying for Medicare Part D? It's not to late if:
- You turn 65 after December 31, 2012.
- You qualify for Medicare's Low Income Subsidy Assistance.
- You move out of your plan's service area.
- You and your spouse are both enrolled in Medicare and Medicaid.
- You live in, or move into or out of an institution (like a nursing home).
- You have creditable prescription drug coverage and that coverage ends.
Do I have a choice of plan?
Most importantly, you have a choice. All Medicare plans are run by private companies, which release the details of their plans after October 1 of each year. Although all plans must meet the government's requirements, there will be differences between plans, including what drugs are covered and what pharmacies you can use. For example, some plans offer mail-order service. At the end of the year, you can re-evaluate your plan and select a different one if you aren't happy with your current plan.
Plans come in two basic types. The simplest is a prescription drug plan (sometimes called a PDP), which covers only drugs and can be used with your traditional Medicare and/or a Medicare supplement plan. The second type combines a prescription drug plan with a Medicare Advantage plan. This includes medical coverage for doctor visits and hospital expenses. This kind of plan is called a Medicare Advantage plus Prescription Drug, or MA-PD.
Am I eligible?
Part D plans are open to everyone who's eligible for Medicare in the U.S. and U.S. territories. Usually, that means people who are 65 years old or older, though some younger people with certain disabilities are eligible too. You cannot be denied coverage for health reasons and participation is voluntary. You get to decide if you want to enroll or not. If you have Medicare and Medicaid, you will be enrolled automatically, so there is no lapse in your Medicaid prescription drug coverage. The open enrollment period is October 15 to December 7, for coverage beginning January 1. There will be annual enrollment periods from then on. If you decide to join later, your monthly premiums may be higher because there's an additional fee for late enrollment.
Do I have to pay to participate?
Participation in Medicare Part D does come with a cost and you will pay a portion of it. Typically, the government pays about 75 percent of the enrollment costs of the plan and you pay the rest.
Are prices discounted if I apply?
When you join a Part D plan, and use the plan's network of pharmacies, you have access to discounted prices on drugs. Plans will negotiate lower prices with drug companies and pass those savings along to you. So when you pay for drugs within the plan, even when you are responsible for 100 percent of the payment, you have access to discounted rates.
What happens if I enroll late?
If you did not enroll when you were first eligible, you may pay more. The late enrollment fee is approximately one percent of your premium for each month you delay, and you'll pay it for as long as you stay in a Part D plan. If you're late because you were participating in a qualified prescription drug plan, such as a plan from your former employer, the fees may not apply to you. Or if you are eligible for the Low Income Subsidy, the fees may not apply to you.
If you have drug coverage through the Veterans' Administration (VA), and are enrolled in Medicare, you can still obtain your prescriptions through the VA.
Click below to see full list of Medical Terms
Annual Election Period (AEP)
October 15 through December 7, which is generally the only time of each year that you can change plans (unless you meet certain special exceptions, such as moving out of your plan's service area or you are covered by Medicaid).
The percent that you pay for a covered drug. With some plans, you do not pay coinsurance until you have first paid a deductible.
This is the set amount you pay for each covered drug. Different co-pays may apply depending on the type of drug (brand or generic) or days supply (30 or 90). See "Drug Tiers".
Amount you pay for Medicare prescription drug coverage after the initial coverage limit and until the amount you pay out of your pocket for covered prescription drugs reaches $5,726.25 for 2008. This amount changes each year and is also known as the "true out-of-pocket" or "TrOOP" limit. The Coverage Gap is sometimes referred to as a "Donut Hole."
Drug coverage that is at least as good as Medicare prescription drug coverage.
A set amount of dollars you must pay before you receive coverage for your benefits.
See "Coverage Gap."
Drug tiers allow plans to group different types of drugs together on their preferred drug lists (such as generic drugs, brand-name drugs, or preferred brand-name drugs). For example, a two-tier pharmacy plan will have two different copay options. The lower copay may apply to generic drugs, and the higher copay may apply to brand-name drugs.
A list of drugs covered by a health insurance plan. This list must always meet Medicare's requirements and is sometimes called a "Preferred Drug List."
Monthly Plan Premium
The payment you make to a health insurance company for your health plan.
A drug that typically requires a higher copay than a preferred drug.
The increased amount you may pay if you do not apply for Part D (Medicare prescription drug coverage) when you are first eligible.
If you don't join when you are first eligible, and you don't currently have a drug plan that is at least as good as Medicare prescription drug coverage, you may pay a penalty that increases the cost of the monthly premium by one percent for every month you wait to join.
A drug that typically requires the lowest copay.
True Out-of-Pocket (TrOOP)
Amount you pay during the "Coverage Gap." This amount changes each year and may be paid by another person, or a qualified State Pharmaceutical Assistance Program (SPAP), on your behalf.
Medicare Part B
Kinney Drugs accepts assignment on Medicare Part B diabetes supplies.
Generally, Medicare B will pay 80% of the cost of your covered diabetes testing supplies and Kinney Drugs accepts to bill Medicare directly. If you have a qualified supplemental insurance plan, Kinney Drugs will bill directly for the portion not covered by Medicare. The patient will assume responsibility for any co-payment or deductible not covered.
Diabetes supplies covered under Part B assignment include:
Blood glucose meters
Lancets and lancing devices
Replacement batteries for meters
www.Medicare.gov is the official website for all Medicare coverage information.
Medicare open enrollment starts November 15 and ends December 7 of each calendar year.