MA-PD plan, definition
Examples of MA-PD plan, in a sentence
An individual enrolled in an MA plan would not be considered to have been deemed to make an election into an MA-PD plan, unless: (1) for purposes of the January 1, 2006 election, the MA plan provided as of December 31, 2005 any prescription drug coverage; or (2) for periods after January 1, 2006, such MA plan was an MA-PD plan.
The intent of the conferees in including this assessment by the FTC is to assess whether Medicare spending is likely to be adversely affected because of the use of mail order pharmacies that are owned and operated by a PBM under contract to a prescription drug plan or MA-PD plan.
They may not leave their plan to obtain coverage under an MA-PD plan or under a prescription drug plan under Part D.
These payments are to be made on behalf of an individual covered under the retiree plan, entitled to enroll under a PDP or MA-PD plan but elected not to.
For PFFS plans, the Secretary would determine the amount of reinsurance payment using a methodology that bases such amount on the Secretary’s estimate of the amount of such payment that would be payable if the plan were an MA-PD plan and that takes into account the average reinsurance payment made for a population of similar risk under MA-PD plans.
The PDP or MAPD plan would constitute primary coverage, not the employer.
An individual enrolled in a health benefits plan would not be considered to have been deemed to make an election into an MA-PD plan, unless the plan provides prescription drug coverage.
Therefore, this study should evaluate to what extent prescription drug spending is likely to be affected if a PDP or MA-PD plan approves the dispensation of covered drugs from a mail- order pharmacy owned directly or indirectly by a PBM compared to drug utilization and costs if the mail-order pharmacy were independently owned.
An MA-PD plan could provide for a separate or differential payment for a participating physician who prescribes covered part D drugs in accordance with an electronic prescription program meeting Part D requirements.
No materials, which may be used for punitive action, shall be placed in the personnel file if thirty (30) school days have elapsed from the date upon which the administration obtained knowledge of the occurrence that led to the complaint.