2675 Medicare Part D Subsidy

Effective January 1, 2006, persons who are entitled to Medicare Part D are eligible for help with payment of Medicare Part D premiums, co-payment and deductibles if the requirements outlined in this section are met. See 2911.10 for Medicare Part D information.

Persons who are not entitled to Medicare Parts A and B are not entitled to Part D and, therefore, not eligible for the subsidy. Eligibility for the subsidy shall be determined regardless of the beneficiary’s enrollment status with a Part D plan. In order to realize the benefits of the subsidy, the individual must be enrolled in a Medicare Prescription Drug Plan, or designated alternative.

NOTE : Persons who are eligible for the Medicare Savings Program (MSP) coverage due to their Medicare Part B – ID (immunosuppressive drug) enrollment are not entitled to receive Medicare Part D, therefore, are not eligible for the Part D subsidy.

Although persons who are enrolled in an employer, union or group sponsored prescription drug plan which has been designated as a replacement for Medicare Part D [see 2911.10 (4) (e) ] do not have to enroll in a Part D plan, such individual will generally not realize a benefit with a subsidy determination. The subsidy will only provide assistance with costs related to a plan through Medicare Part D, not through a retiree plan.