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A great place in the call to verify LIS is on the “Medicare Determine Eligibility” “Verify Coverage” plate.
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Right-click and open this link in a new tab to open the step-by-step Marx guide.
Follow the instructions in the guide to determine:
Customer’s name as it appears on their Medicare card
Date of Birth
Address
Part A/B eff dates
Current plan along with plan’s effective date
LIS (Low Income Subsidy) level
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With Extra Help/LIS as long as the plan covers the medications, they will be covered at the rate listed on the LIS Table or the rate charged by the plan, whichever is less.
Beneficiaries will pay the same amount under LIS for a 90 day supply as a 30 day supply.
Beneficiaries will not be responsible for the following costs:
The coverage gap phase
The Part D IRMMA
The Part D late enrollment penalty
Enrollment Reasons
Plan | Medicare Code/Reason | Dialer Code/Reason | Uses |
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MAPD/PDP | MDE | MDE | May be used once per quarter (during the first 3 quarters of the year) if there are no recent changes to Medicaid or LIS level. |
MAPD/PDP | MCD | MCD | Changes to Medicaid or LIS level this month, or in the past 2 months. |
Additional Resources
Right-Click Here and open in a new tab to view the 2021 2022 LIS Table.