Medicare Part D is a prescription drug benefit that began January 1, 2006. Part D offers optional drug coverage to all Medicare beneficiaries through private drug plans (PDPs) or Medicare Health Maintenance Organizations (HMOs). Anyone with Medicare Part A or Medicare Part B is eligible for Part D.
Limited Income Newly Eligible Transition (LI-NET)
The Centers for Medicare & Medicaid Services (CMS) created the Limited Income Newly Eligible Transition (LI-NET) program to provide temporary Part D prescription drug coverage for low income Medicare beneficiaries eligible for both Medicare and Medicaid but not already enrolled in a Medicare drug plan. The program is administered for Medicare by Humana. To learn more:
The point-of-sale facilitated enrollment process ensures that dual-eligible clients who are not yet enrolled in a Medicare prescription drug plan (PDP) are still able to obtain prescription drug coverage when evidence of Medicare and Medicaid eligibility is presented at the pharmacy. Pharmacy staff can submit an eligibility verification (E1) transaction to Relay Health to identify whether the client is already enrolled in a PDP.