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MEDICARE 2019

Across
A listing of prescription medications which are approved for use and/or coverage by the Managed Care Organization (MCO) and which will be dispersed through participating pharmacies to a Member.
The portion of the covered member’s health care expenses that must be paid out-of-pocket (OOP) before the member’s plan begins paying its share.
the timeframe when beneficiaries can sign up for, change, or disenroll from Medicare Advantage (MA), Medicare Advantage Prescription Drug (MAPD), and Prescription Drug Plan (PDP). AEP runs from October 15 to December 7 each year. Any changes made are effective January 1 of the next year.
a booklet sent to Medicare Advantage (MA) and Medicare Advantage Prescription Drug (MAPD) membership by the end of September every year. The booklet explains any changes to the policy for the upcoming plan year
The facility or location where medical services or supplies were obtained.
Notification to an insurance company that a dollar payment is due for procedures/services rendered under the terms of the policy.
Down
AEP is the timeframe when beneficiaries can sign up for, change, or disenroll from Medicare Advantage (MA), Medicare Advantage Prescription Drug (MAPD), and Prescription Drug Plan (PDP). AEP runs from October 15 to December 7 each year.
a booklet sent to Medicare Advantage (MA) and Medicare Advantage Prescription Drug (MAPD) membership by the end of September every year. The booklet explains any changes to the policy for the upcoming plan year
Assistance provided for eligible beneficiaries who have limited income to pay for their Part D monthly premium, annual deductible, coinsurance, and copayments.
The day an insurance plan coverage goes into effect or is modified.
Voucher slip booklet used by members to mail in their premium payments via check or money order