Get Educated, Get Enrolled: Medicare Rx Benefit Campaign
This website contains many of the tools you need including:
On January 1, 2006, Medicare started a new program to help pay for prescription drugs for people who receive Medicare benefits. This new program, also called Medicare Rx, Part D, or the prescription drug benefit, marks a major change in how many people with mental health needs will pay for their prescription drugs. The rules for this new program are complex, and it is very important to learn about and get ready for this new program.
Through the Mental Health America’s Get Educated, Get Enrolled Medicare Rx Campaign, you can learn about this new benefit, and how it can help you, your friends, or your family pay for some or all of your prescription drug costs. Advocates, consumer leaders, public policy leaders and healthcare providers can gain important resources, current updates on policy changes, and the tools to educate and enroll others into the program.
For more information or questions, please email schrinfo@mentalhealthamerica.net or call 1-800-969-6642
Fast Facts for Healthcare Consumers
2008 Medicare Prescription Drug Open Enrollment Questions and Answers (pdf) - The Basics: Medicare Part D & Open Enrollment (pdf)
- Medicare Prescription Drug Coverage: Changes in 2007 (pdf)
- Saving Dough in the “Doughnut Hole” (pdf)
- Prepare & Compare: Medicare Part D Open Enrollment (pdf)
- Medicare Rx Basics
- Know the Basics: Exceptions and Appeals (pdf)
- The New Medicare Prescription Drug Benefit: What Consumers Need to Know
- Find a Medicare Prescription Drug Plan
- Get Educated, Get Enrolled A Workbook for Mental Health Consumers (pdf)
Cobertura de MedicarePara Recetas Médicas (pdf) - Key Questions to Ask (pdf)
- Key Questions to Ask (en espanol) (pdf)
- Medicaid Coverage of Benzodiazepines and Barbiturates (pdf)
- Medicare Rx: Tell Your Story The new Medicare Prescription Drug Benefit is impacting millions of individuals with mental illnesses who utilize both Medicaid and Medicare services. Mental Health America needs your help to let the public and elected officials know how the Medicare Prescription Drug Benefit is affecting real people’s lives.
- Visit www.mentalhealthpartd.org for the latest information on Medicare’s new prescription drug benefit
- Prescription Drug Plan Finder http://www.medicare.gov
Tools for Public Policy Leaders and Advocates
- Medicare Prescription Drug Medicare Part D Frequently Asked Questions
- Eligibility & Enrollment (pdf)
- Benefit Design (pdf)
- Exceptions & Appeals (pdf)
- Administrative Issues (pdf)
- Timeline for Medicare Part D (pdf)
- State Specific Resources for Medicare Prescription Drug Information
- Key Questions: Transition to Medicare Part D (pdf)
- Issue Brief: Mental Health Medications and the Medicare Prescription Drug Benefit(pdf)
- Medicare Part D Model Legislation for States:
- Transition Assistance (pdf)
- Hotline (pdf)
- Wraparound Coverage (pdf)
- Mental Health America Correspondence to CMS on Medicare Rx
- Mental Health America Letter to CMS on “All or Substantially All” Q&A Guidance (pdf)
- Mental Health America/NAMI/APA April 27, 2005 Transition Guidance Letter to CMS (pdf)
- Comments on Draft Guidelines on Formulary Review for the Medicare Prescription Drug Benefit (pdf)
- Comments on the Centers for Medicare and Medicaid Services’Notice of Proposed Rulemaking regarding the Medicare Prescription Drug Benefit (pdf)
- Comments of the Mental Health America on the Draft Model Guidelines for the Medicare Prescription Drug Benefit Developed by the U.S. Pharmacopeia Expert Committee (pdf)
- Medicare Prescription Drug Benefit PowerPoint Trainings
News and Connections
- Send an email to subscribe to the Get Educated, Get Enrolled E-bulletins
- Archived E-bulletins
- November 2007 (pdf)
- July 2007 (pdf)
- March 2007 (pdf)
- Sept 2006
- May 2006 (WORD)
- Feb. 13, 2006(WORD)
- Jan. 18, 2006(pdf)
- Dec. 16, 2005 (pdf)
- Dec. 2, 2005 (pdf)
- Nov. 18, 2005 (pdf)
- Nov. 4, 2005 (pdf)
- Oct. 24, 2005 (pdf)
- Oct. 13, 2005 (pdf)
- Sept. 28, 2005 (pdf)
- Sept. 9, 2005 (pdf)
- Aug 12, 2005 (pdf)
- Resources and Information
- Joint Website on Medicare Rx and Mental Health www.mentalhealthpartd.org
The following list will help you find organizations that can give you more information , help with the Extra Help, enrollment, or exceptions and appeals processes of the Medicare Prescription drug benefit program, or help you obtain medications not covered by the drug benefit.
More information about the Medicare Prescription Drug Benefit:
- Medicare Program
1-800-MEDICARE (633-4227) or http://www.medicare.gov - SHIPs State Health Insurance Assistance Programs (SHIPs)
https://www.shiptalk.org - Access to Benefits Coalition
http://www.accesstobenefits.org - Mental Health America Resource Center
1-800-969-6642 or http://www.mentalhealthamerica.net - Local Mental Health Associations
http://www.mentalhealthamerica.net/affiliates/directory/index.cfm - Navigating Your Pharmacy Benefit
www.yourpharmacybenefit.org - State Ombudsman offices
http://www.ltcombudsman.org/static_pages/ombudsmen.cfm
Help with Extra Help Application Process:
- State Health Insurance Assistance Programs (SHIPs)
https://www.shiptalk.org - Local Social Security Administration office
http://s3abaca.ssa.gov/pro/fol/fol-home.html - State Medicaid agency
http://www.cms.gov/medicaid/statemap.asp - BenefitsCheckUpRx.org
http://www.benefitscheckuprx.org - Mental Health America Resource Center
1-800-969-6642 or http://www.mentalhealthamerica.net - Local Mental Health Associations
http://www.mentalhealthamerica.net/affiliates/directory/index.cfm
Help with Drug Benefit Enrollment Process:
- Medicare Program
1-800-MEDICARE (633-4227) or http://www.medicare.gov - SHIPs State Health Insurance Assistance Programs (SHIPs)
https://www.shiptalk.org - BenefitsCheckUpRx.org
http://www.benefitscheckuprx.org - Mental Health America Resource Center
1-800-969-6642 or http://www.mentalhealthamerica.net - Local Mental Health Associations
http://www.mentalhealthamerica.net/affiliates/directory/index.cfm
Legal Resources for Help with Exceptions and Appeals Processes:
- American Bar Association –free legal services website
http://www.abanet.org/legalservices/probono/directory.html - Administration on Aging Legal Assistance website
http://www.aoa.gov/eldfam/Elder_Rights/Legal_Assistance/Legal_Hotline.asp - Protection & Advocacy organizations
http://www.napas.org - Mental Health America Resource Center for community legal assistance referrals 1-800-969-6642 or http://www.mentalhealthamerica.net
For Help Obtaining Access to Medications Not Covered by Medicare Prescription Drug Plans:
Partnership for Prescription Assistance
1-888-477-2669 or http://www.pparx.org
www.mentalhealthamerica.net/medicare
For more information or questions, please email schrinfo@mentalhealthamerica.net or call 1-800-969-6642
For More Information
Mental Health America continues to expand resources to assist advocates across the country. Please direct inquiries to Mental Health America's Advocacy Resource Center or by phone (1-800-969-6642, option 6).
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