DDS  Medicare Part D 2013 Update

Information about the 2013 Medicare Part D prescription plans is available at www.medicare.gov. Plan enrollment can also be done from this site.

Any individual that we support who has Medicaid (Masshealth, Commonwealth) and Medicare is considered dually eligible and should be enrolled in one of the 6 Low Income Subsidy (LIS) plans available in 2013 in Massachusetts. They are:
•	Silverscript Basic NEW*
•	Humana Walmart – Preferred RX Plan 
•	Wellcare Classic 
•	Aetna CVS/Pharmacy Prescription Drug Plan 
•	SmartD Rx Saver  NEW*
•	United Healthcare: AARP Medicare RX Saver Plus NEW*

The 2012 plans that will no longer be LIS plans in 2013 are:

•	First Health Part D: First Health Part D Premier
•	HealthSpring Prescription Drug Plan: HealthSpring Drug Plan – Reg. 2
•	CIGNA Medicare RX Plan One  
•	United American-Select

The following 2012 plans are terminating and will no longer be available in 2013
•	Health Net: Health Net Orange  Option 1
•	Silverscript:  CVS Caremark Value
•	Community CCRx Basic

In most cases, people will remain in the same plan they had in 2012.  However, some people who were automatically enrolled in their 2012 plan will be moved automatically into another LIS plan if their plan is no longer LIS or available in 2013.  Some of those individuals will be moved to a new LIS plan within the same company as their 2012 plan.  If an individual receives a blue letter from Medicare (CMS) they will be moved to a new LIS plan automatically because the plan they were automatically enrolled in for 2012 will no longer be a LIS plan in 2013.

Others will need to enroll themselves into a new LIS plan if they voluntarily chose their 2012 LIS plan and it is no longer an LIS plan in 2013 or is no longer available. Enrollment starts October 15 – December 7, 2012 and the plan will be effective January 1, 2013. If an individual receives a tan letter from Medicare (CMS), they need to actively enroll themselves in a new LIS plan as the LIS plan they voluntarily enrolled in for 2012 will no longer be a LIS plan in 2013.

Enrollment starts October 15 – December 7, 2012 and the plan will be effective January 1, 2013

Remember:
•	Blue letter from Medicare (CMS): no need to take any action. Individual will automatically be enrolled in a new LIS plan and receive a new Part D prescription card for their new plan for 2013.
•	Tan letter from Medicare (CMS): Action must be taken to enroll individual in a new LIS plan for 2013. Once enrolled, individual will receive a new part D prescription card. 
•	Dually eligible individuals (those with both Medicare and Medicaid) can change their plans as often as they want (monthly).
•	All duals should be in a LIS plan if they want to avoid monthly premiums and have a copay of only $1 or $3.
•	If you need any help, contact Sharon Oxx at Sharon.Oxx@state.ma.us or call 617-624-7792.