The Online Resource for Massachusetts Poverty Law Advocates

Prescription Advantage 2003 Update

Date: 
12/04/2003
Author: 
Diane F. Paulson

NO OPEN ENROLLMENT IN JANUARY 2004
THIS MEANS YOU CANNOT ENROLL IN PRESCRIPTION ADVANTAGE UNLESS:
You qualify for Prescription Advantage based on disability; OR
You are 65 (but not yet 66) years old; OR
You were not previously a member of Prescription Advantage AND one of the following applies:
You establish new Massachusetts residency; OR
You lose your employer-sponsored health care coverage because your employment ends, your employer stops covering active or retired employees, or your coverage ends due to insolvency, bankruptcy, or involuntary termination of coverage; OR
You lose your non-group health care coverage due to insolvency, bankruptcy, or involuntary termination of coverage; OR
You lose Medicare HMO coverage because your HMO ceases to provide service in the geographic area in which you live; OR
You lose MassHealth pharmacy benefits.
Otherwise, you must wait for an open enrollment period. For example, if your Medicare HMO changes what it covers and/or what it costs, but still offers coverage in the geographic area in which you live, you cannot enroll until the next open enrollment period.
CONFUSED?
HAVE QUESTIONS OR CONCERNS?
CALL THE MEDICARE ADVOCACY PROJECT (MAP)1-800-232-2305

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