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CENTERS FOR MEDICARE&MEDICAID SERVICES Quick Facts about Medicare's New Coverage for Prescription Drugs for people who are Nursing Home residents or live in certain pes of Long-term Care Facilities StartingJanuary1,2006,Medicarewillofferprescriptiondrugcoverageforeveryone withMedicare.InordertogetMedicaredrugcoverage,youwillneedtoenrollina Medicareprescriptiondrugplan. Whatdo need to know? I • YoucanfirstenrollinaMedicareprescriptiondrugplanfromNovember15,2005 -May15,2006.Inmostcases,ifyoudon'tenrollduringthisperiodyournext chancetoenrollwillbeNovember15,2006-December31,2006,andyoumay havetopayahigherpremium.Youwon'thavetopayahigherpremiumifyouhad continuousdrugcoveragefromanothersourcethatwas,onaverage,atleastas goodasstandardMedicaredrugcoverage. • Ifyouarenotabletoenrollonyourown,yourauthorizedrepresentativecanenroll youinaplanthatmeetsyourneeds. • Somenursinghomesandotherlong-termcarefacilitieshavetheirownpharmacy. • Ifyoumoveintoanursinghomeorotherlong-termcarefacility,youcanswitch Medicareprescriptiondrugplansatthattimeifyouchooseto. • IfyouareinaskillednursinghomegettingMedicare-coveredskillednursingcare, yourprescriptionsgenerallywillbecoveredbyMedicarePartA. • Thereisextrahelpforpeoplewithlimitedincomeandresources,includingpeople whohaveMedicaidhealthcoverageandpeoplewhoreceiveSupplementalSecurity Income. PUBS H93G91' IICCi2'--1057L-ib1i3ary U.55 1In7-Cii0t0i-.Zr-o^rco.v.'MA^yrByihvrd-.ci 21244 Q532 2005 ensLIBRBRV 3 aOT5 ODDLDTflS b Whatdo needto know? (continued) I • IfyouhavefullcoveragefromMedicaid,yourprescriptiondrugsstopbeing coveredbyMedicaid,andstartbeingcoveredbyMedicareonJanuary1,2006. Youwillhavecontinuouscoverage. • IfyouhavefullcoveragefromMedicaidandliveinanursinghome,youwill paynothingoutofyourownpocket. • IfyouhavefullcoveragefromMedicaidandliveinanAssistedLivingorAdult LivingFacility,oraResidentialHome,youwillpayasmallcopaymentforeach coveredprescriptiondrug. How do get more information? I • Readthe"Medicare&You2006"handbookthatyougetinthemailinOctober 2005. • Visitwww.medicare.govontheweb. Select"SearchTools"togetpersonalized information. • CallyourStateHealthInsuranceAssistanceProgram(seeyourcopyofthe "Medicare&You2006"handbookfortheirtelephonenumber).Youcanalsocall 1-800-MEDICARE(1-800-633-4227),orvisitwww.medicare.govonthewebto getthetelephonenumber.TTYusersshouldcall1-877-486-2048. • Call1-800-MEDICARE(1-800-633-4227).TTYusersshouldcall 1-877-486-2048. • LookforlocalMedicare-relatedevents. ) C2-0''-i5 _ „. o. i^vy^^^iif:. CMSPub.No.11121 April2005