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Medicare Part D Eligibility


Who is Eligible: Medicare Part D


Medicare Part D Information for Providers

When you are on Medicare, Medicaid does not pay for your prescription drugs. Your drugs are paid by Medicare.This is called the Medicare Part D Prescription Drug Plan Program. You must choose a Prescription Drug Plan Program.

If you are a North Carolina Medicaid recipient who is also on Medicare, you are automatically eligible for Medicare Part D. This means you will receive a Low Income Subsidy, so known as "extra help." You do not need to apply for this low income subsidy.

To enroll with a Prescription Drug Plan Program, contact Medicare at 1-800-MEDICARE. You may also receive enrollment assistance through the Seniors' Health Insurance Information Program (SHIIP) at 1-800-443-9354.


What is Medicare Part D Prescription Drug Coverage?

Medicare prescription drug coverage is insurance that covers both brand-name and generic prescription drugs at participating pharmacies in your area.

Medicare prescription drug coverage provides greater peace of mind by protecting you from unexpected drug expenses. Even if you don't use a lot of prescription drugs now, you should still consider joining. As we age, most people need prescription drugs to stay healthy. For most people, joining now means protection from unexpected prescription drug bills in the future.


Who Can Get Medicare Prescription Drug Coverage?

Everyone with Medicare is eligible for this coverage, regardless of income and resources, health status, or current prescription expenses.


When Can I Get Medicare Prescription Drug Coverage?

You may sign up when you first become eligible for Medicare (three months before the month you turn age 65 until three months after you turn age 65). If you get Medicare due to a disability, you can join from three months before to three months after your 25th month of cash disability payments. If you don't sign up when you are first eligible, you may pay a penalty. If you didn't join when you were first eligible, your next opportunity to join will be during the open enrollment period at the end of each year.


Contact Information

  • Medicare beneficiaries can obtain enrollment assistance through the Seniors' Health Insurance Information Program (SHIIP) by calling 1-800-443-9354.
  • To find a provider in your area or to learn more about Medicare Part D, you can contact Medicareat 1-800-MEDICARE.
  • Additional information can be obtained from the Centers for Medicare and Medicaid (CMS) website.


(Information obtained from) 







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