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Medicare Information
Get Assistance: We're Here to Help!
We are here to help you navigate the complexities of Medicare and its various programs. Our goal is to ensure that you have the information you need to make informed decisions about your healthcare coverage. Below, you will find details about important Medicare programs, including prescription drug coverage and assistance options for those with limited income.
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Low-Income Subsidy (LIS) Extra Help Program
Anyone who has Medicare can get Medicare prescription drug coverage.
Some individuals with limited income and resources may qualify to receive “Extra Help” with the costs associated with monthly premiums, annual deductibles, and prescription co-payments related to a Medicare prescription drug plan.
To find out if you qualify for this special program, call the Area Agency on Aging District 7 at 1-800-582-7277 and ask for Kristy Bowman at extension 22250 or E-mail info@aaa7.org.
Medicare Part D Education & Enrollment
Medicare Part D is the Prescription Drug Assistance Program that was established by federal legislation in 2003 and launched on January 1, 2006. This program is available to anyone eligible for Medicare Part A or Part B, providing essential coverage for prescription medications.
Key Features of Medicare Part D
Enrollment Options: Individuals with Medicare can enroll in Part D coverage through:
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A stand-alone Part D plan
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A Medicare Advantage plan
Important Enrollment Periods:
Initial Enrollment Period: New Medicare beneficiaries have a seven-month window to enroll in a Part D plan, which includes:
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Three months before their 65th birthday
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The month of their birthday
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Three months after their birthday
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Open Enrollment Period: From October 15 to December 7 each year, individuals can review their options and make changes to their Part D plans for the upcoming calendar year.
Late Enrollment Penalty: If you choose not to enroll in Part D and have no other prescription drug coverage, you may be subject to a penalty for late enrollment.
What to Review During Open Enrollment
When evaluating your Part D options during the open enrollment period, be sure to consider the following:
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Convenience: Check which pharmacies are included in your plan's network.
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Cost: Understand all potential out-of-pocket expenses associated with your plan.
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Coverage: Ensure that the plan's formulary includes all of your necessary prescriptions.
Special Enrollment Situations
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If you lose your creditable drug coverage, you have 63 days from the termination date to enroll in a Part D plan without facing a penalty.
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Depending on your income, you may qualify for the Low-Income Subsidy (LIS) or "Extra Help" program, which can assist with premium costs, drug expenses, and help you avoid the "donut hole."
Need Assistance?
For help in reviewing your Part D plan or determining your eligibility for the Extra Help program, Area Agency on Aging District 7 has a Benefits Specialist ready to assist you. Call 1-800-582-7277, and ask for Kristy Bowman at extension 250, or email us at info@aaa7.org.
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Ohio Senior Health Insurance Information Program (OSHIIP)
The Ohio Senior Health Insurance Information Program (OSHIIP), founded in 1992, is a state and federally-funded program that educates, counsels, and advocates for Medicare beneficiaries. OSHIIP assists Ohio Medicare beneficiaries and their family members through a toll-free hotline at 1-800-686-1578, the Department web site, a speakers’ bureau, educational publications, and a network of approximately 1,200 statewide trained and certified volunteers. The program is managed by the Ohio Department of Insurance.
Medicare Savings Plan (MSP)
Medicare Savings Programs (MSPs) are state-administered programs that help Ohio residents with Medicare who have limited income and resources pay for their Medicare-related costs. If you do not qualify for full Medicaid, you may qualify for other assistance programs. There are four kinds of Medicare Savings Programs that help those with low income and asset levels pay for health care coverage.
Ohio Senior Medicare Patrol (SMP)
The Ohio Senior Medicare Patrol helps protect you and your family from Medicare fraud and scams. It teaches Medicare users how to spot suspicious charges on their Medicare statements, report problems, and prevent healthcare fraud that costs everyone money. This free service helps you understand your Medicare benefits and keep your personal information safe.
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Contact Us
For more information about our services and programs, please reach out to us at:
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Phone: 1-800-582-7277
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Email: info@aaa7.org
For more information or assistance with your Medicare coverage and options, please reach out to our team. We’re here to guide you through the process and help you make informed decisions about your healthcare!