What would Medicare cover for everyone

Original Medicare and Drug Coverage during a Public Health Emergency

Changes to Medicare

  • From April 1, 2020, your doctor will be able to bill Medicare for the coronavirus test (after February 4, 2020). You don't owe anything for the lab test and related vendor visits.
  • With virtual check-ins, you can communicate with your doctor and assess whether you should go to the office for a personal visit.
  • During the public health emergency, Medicare includes hospital and doctor visits, psychological counseling, health checkups, and other telemedicine visits for all people on Medicare. Deductibles, co-insurance or additional payments may still apply.

Changes in drug coverage

  • If you want to replenish your prescriptions early to have extra medication on hand, refer to your Part-D Medication Plan. During the emergency, all drug plans must cover a 90 day supply of a drug if you ask for it, unless there are certain safety restrictions such as: B. for opioid drugs.
  • Drug plans also have to suspend rules about how to communicate the plan before receiving certain prescription drugs.
  • Drug plans must contain drugs that are filled in pharmacies outside the network, if you cannot be expected to get them in a pharmacy within the network.
  • At your request, drug plans must cover the maximum supply of your refill.

Medicare benefit plans may have different costs and coverage than original Medicare. Benefit plans may also have waived network requirements, co-payments, referral requirements, and certain prior authorization requirements. Please refer to your individual plan for more information.

Changes to the Medicaid Purchase Plan (MAPP) effective August 2020

  • Monthly medical and remedial expenses over $ 500 incurred by a member or spouse may be used as a deduction for income.
  • Members with a gross income of over 100% of federal poverty receive a monthly bonus. The lowest monthly premium is $ 25 per month.
  • A temporary premium waiver due to hardship of up to 12 months may be requested.
  • Three months of ineligibility for non-payment of premiums instead of six months. Can be restored by paying overdue rewards.
  • Exempt independence accounts are now exempt for all other Medicaid programs if a recipient loses MAPP eligibility.