Blind Pension Medicare Part D Enrollment

October 6, 2014

MCB News Wire

MO Dept. of Social Services

This article includes a letter from the Missouri Department of Social Services sent to blind pension participants about enrolling in a Medicare Part D benchmark plan. Following the letter, at the end of this article, you will find links to download the letter and related forms.

October 6, 2014

Dear Blind Pension Participant:

You recently received a letter from the Department of Social Services (DSS) notifying you that if you are a blind pension participant and enrolled in Medicare, beginning January 2015, your prescription costs will be paid by a Medicare Part D benchmark plan before they are paid by the State. This letter provides you with instructions on what to do and resources to assist you with enrolling in a Medicare Part D benchmark plan. You will not have to pay Medicare Part D premiums or additional out-of-pocket copays for prescriptions.

Medicare Part D benchmark plans are prescription drug plans that offer coverage at or below a federally-established premium amount and are typically large, national plans. 2015 Medicare Part D benchmark plans are

  • AARP MedicareRx Saver Plus (PDP)
  • Aetna Medicare Rx Saver (PDP)
  • Humana Preferred Rx Plan (PDP)
  • SilverScript Choice (PDP)
  • SmartD Rx Saver (PDP)
  • Symphonix Value Rx (PDP)

Open enrollment for Medicare Part D begins October 15 and runs through December 7. During that time you should take one of the following actions.

  • If you are enrolled in Medicare and not enrolled in a Medicare Part D plan
    1. Enroll in a Medicare Part D benchmark plan during open enrollment
    2. Complete the enclosed enrollment form and send it to the MO HealthNet Division (contact information is provided later in this letter)

  • If you are enrolled in Medicare and currently enrolled in a Medicare Part D plan
    1. Make sure your Medicare Part D plan is a benchmark plan for 2015 (see above for a list of benchmark plans).
    2. If you are not enrolled in a Medicare Part D benchmark plan, enroll in a benchmark plan during open enrollment
    3. Complete the enclosed enrollment form
    4. Complete the enclosed enrollment form and send it to the MO HealthNet Division (contact information is provided later in this letter)

  • If you are enrolled in Medicare and have employer-sponsored or other third-party insurance other than Blind Pension MO HealthNet
    1. You do not need to enroll in a Part D plan
    2. Complete the enclosed form with information on your employer-sponsored or other third-party insurance coverage
    3. Complete the enclosed enrollment form and send it to the MO HealthNet Division (contact information is provided later in this letter)

When enrolling in a Medicare Part D benchmark plan you will need to provide

  • Your MO HealthNet card
  • Your Medicare card
  • Your Creditable Coverage letter included in this packet
  • A photo ID; and
  • A current list of your medications.

These items are needed regardless of how you enroll; information on enrollment assistance follows.

Send your completed enrollment form to the MO HealthNet Division by:

  • Faxing it to (573) 522-8514
  • Emailing a scanned copy to PartDQuestions@dss.mo.gov
  • Mailing it to :
    MO HealthNet Division – Pharmacy & Clinical Services
    P.O. Box 6500
    Jefferson City, MO 65101-6500


Resources to help you enroll in a Medicare Part D plan

  • MO HealthNet Division. You may return the enclosed authorization form allowing the MO HealthNet Division to enroll you in a Medicare Part D benchmark plan. Send the completed authorization form to DSS using the contact information on the authorization form.

  • CLAIM (Community Leaders Assisting the Insured of Missouri), the State Health Insurance Assistance Program, by calling 1-800-390-3330. A trained counselor can provide free education and assistance in choosing a Medicare Part D benchmark plan.

  • Area Agencies on Aging (AAA). Missouri has ten AAA that are ready to assist you with your enrollment in a Medicare Part D benchmark plan. You can visit www.moaging.com to find your local agency or call 1-855-731-0022 for help locating an agency in your area.

  • Your local pharmacy. Your local pharmacy can assist you with enrolling in a Medicare Part D benchmark plan.

If you choose to work with CLAIM, AAA, your local pharmacy or another entity, please ensure they complete and send the enclosed enrollment form on your behalf.

When you enroll in a Medicare Part D Benchmark Plan, your current coverage through the Missouri’s Blind Pension Program will not be affected. Your Missouri Blind Pension pharmacy benefit will be the secondary plan for your pharmacy coverage. The Mo HealthNet Division will also pay all monthly premiums, deductibles, copayments and coinsurance associated with coverage under the benchmark plan.

Questions?

For general questions related to this change, you can send an email to PartDQuestions@dss.mo.gov or call toll-free 1-855-731-0022.

For questions about your creditable coverage letter call (573) 751-6963.

Download Links:

Part_D_Letter.docx
Part_D_Authorization_Form.docx
Part_D_Notification_Form.docx