Medicare Advantage Prescription Drug Plan definition

Medicare Advantage Prescription Drug Plan means a Medicare Advantage Prescription Drug Plan as defined by Law.
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Medicare Advantage Prescription Drug Plan means an entity authorized by the Centers for Medicare and Medicaid Services to provide prescription drug coverage to Medicare Advantage beneficiaries.
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Medicare Advantage Prescription Drug Plan or “MA-PD” means a Medicare Advantage plan that is certified by Centers for Medicare and Medicaid Services (CMS) as meeting contract requirements as specified in 42 C.F.R. § 422.2 that provides qualified prescription drug coverage under Part D of the Social Security Act.
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Examples of Medicare Advantage Prescription Drug Plan in a sentence

  • This application must be used for all organizations seeking new Prescription Drug Plan (PDP) and Medicare Advantage- Prescription Drug Plan (MA-PD) contracts, seeking to expand the service area of existing contracts, and seeking to add prescription drug coverage.

  • However, if you are enrolled in a state-sponsored HMO offering a Medicare Advantage Prescription Drug Plan, you may have to change to the State Employees’ PPO Plan to get all of your current health and prescription drug benefits.

  • CountyCare intends to submit applications to the Centers for Medicare & Medicaid Services (CMS) to operate several different Medicare Advantage plans, including a general Medicare Advantage Prescription Drug Plan (MAPD) and potentially Chronic Condition Special Needs Plan (C-SNP), Institutional Special Needs Plan (I-SNP) and Dual Eligible Special Needs Plan (D-SNP), effective January 1, 2020.

  • New MAO applicants seeking to offer an EGWP (“800 series” plan) must submit and complete the entire EGWP application for MAOs which consists of: this appendix, along with the 2022 MA Application and the 2022 Solicitation for Applications for New Medicare Advantage Prescription Drug Plan (MA-PD) Sponsors (if applicable).

  • Active employees and non-Medicare eligible retirees who do not have Medicare eligible dependents can enroll in a Medicare Advantage Prescription Drug Plan (MAPDP) in lieu of the basic hospital medical plan.

  • The 2022 Solicitation for Applications for New Medicare Advantage Prescription Drug Plan (MA- PD) Sponsors must also be submitted electronically through HPMS.

  • Medicare Part D Plan (Part D Plan): Prescription Drug Plan (PDP), Medicare Advantage Prescription Drug Plan (MA- PD), Program of All-Inclusive Care for the Elderly (PACE) Plan offering qualified prescription drug coverage, or a Cost Plan offering qualified prescription drugcoverage.

  • A Medicare Advantage Prescription Drug Plan (MA-PD) provides all Medicare benefits in one plan, including prescription drugs.

  • Medicare Advantage Prescription Drug Plan (MA-PD): An MA plan that provides qualified prescription drug coverage.

  • The PDE data has information for all prescription fills that are covered by a Part D plan, regardless of whether the beneficiary is enrolled in a managed care plan (called the Medicare Advantage Prescription Drug Plan; MA-PD) or the FFS program (called a stand-alone prescription drug plan, or PDP).

Related to Medicare Advantage Prescription Drug Plan

  • Medicare Advantage plan means a plan of coverage for health benefits under Medicare Part C as defined in 42 U.S.C. 1395w-28(b)(1), and includes:

  • Prescription drug means any drug required by federal law or regulation to be dispensed only

  • Nonprescription drug or "over-the-counter drug" means any

  • Prescription drugs means drugs, medicine and controlled substances which by law can only be prescribed for human use by persons authorized by law.

  • Nonprescription drugs means nonnarcotic medicines or drugs which may be sold without a prescription and are prepackaged and labeled for use by the consumer in accordance with the requirements of the statutes and regulations of this state and the federal government;

  • Prescription drug order means an original or new order from a practitioner for drugs, drug-related devices or treatment for a human or animal, including orders issued through collaborative care agreements. Lawful prescriptions result from a valid practitioner-patient relationship, are intended to address a legitimate medical need, and fall within the prescribing practitioner's scope of professional practice;

  • Participating Prescription Drug Provider means an independent retail Pharmacy, chain of retail Pharmacies, mail-order Pharmacy or specialty drug Pharmacy which has entered into an agreement to provide pharmaceutical services to participants in the benefit program. A retail Participating Pharmacy may or may not be a select Participating Pharmacy as that term is used in the Vaccinations Obtained Through Participating Pharmacies section.

  • Medicare Advantage The Medicare managed care options that are authorized under Title XVIII as specified at Part C and 42 C.F.R. § 422.

  • Managed care plan means a health benefit plan that either requires a covered person to use, or creates incentives, including financial incentives, for a covered person to use health care providers managed, owned, under contract with or employed by the health carrier.

  • Managed Care Plans means all health maintenance organizations, preferred provider organizations, individual practice associations, competitive medical plans and similar arrangements.

  • Health care plan means any contract, policy or other arrangement for benefits or services for medical or dental care or treatment under:

  • Basic health plan model plan means a health plan as required in RCW 70.47.060(2)(e).

  • Medicaid program means the medical assistance

  • Managed Care Program means the process that determines Medical Necessity and directs care to the most appropriate setting to provide quality care in a cost-effective manner, including Prior Authorization of certain services.

  • Prescription means an order for drugs or medical supplies, written or signed or transmitted by word

  • Licensed health care practitioner means a physician, as defined in Section 1861(r)(1) of the Social Security Act, a registered professional nurse, licensed social worker or other individual who meets requirements prescribed by the Secretary of the Treasury.

  • Drug abuse means any pattern of pathological use of drugs that causes impairment in social or occupational functioning, or that produces physiological dependency evidenced by physical tolerance or by physical symptoms when it is withdrawn.

  • Basic health plan means the plan described under chapter

  • Health care worker means a person other than a health care professional who provides medical, dental, or other health-related care or treatment under the direction of a health care professional with the authority to direct that individual's activities, including medical technicians, medical assistants, dental assistants, orderlies, aides, and individuals acting in similar capacities.

  • Medical Reimbursement Programs means a collective reference to the Medicare, Medicaid and TRICARE programs and any other health care program operated by or financed in whole or in part by any foreign or domestic federal, state or local government.

  • HCFA means the United States Health Care Financing Administration.

  • Federal Health Care Program means any “federal health care program” as defined in 42 U.S.C. § 1320a-7b(f), including Medicare, state Medicaid programs, state CHIP programs, the Veterans Administration, TRICARE and similar or successor programs with or for the benefit of any Governmental Authority, and in each case any third party payor administering such programs.

  • Dependent care assistance program means a benefit plan

  • Approved abuse education training program means a training program using a curriculum approved by the abuse education review panel of the department of public health or a training program offered by a hospital, a professional organization for physicians, or the department of human services, the department of education, an area education agency, a school district, the Iowa law enforcement academy, an Iowa college or university, or a similar state agency.

  • Medicare benefit means the Medicare benefit payable within the meaning of Part II of the Health Insurance Act 1973 with respect to a professional service.

  • National Flood Insurance Program means the program created by the U.S. Congress pursuant to the National Flood Insurance Act of 1968 and the Flood Disaster Protection Act of 1973, as revised by the National Flood Insurance Reform Act of 1994, that mandates the purchase of flood insurance to cover real property improvements located in Special Flood Hazard Areas in participating communities and provides protection to property owners through a Federal insurance program.