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Category |
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Medicare Modernization Act
$600 Credit
First Conference April 7- 8
Medicare Advantage
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Date Created |
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| 06/07/2004 10:47 AM |
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Date Updated |
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| 06/09/2004 04:16 PM |
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Are there any exceptions to the rule that a beneficiary cannot get the $600 credit if he/she has an EGHP? |
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Question |
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Are there any exceptions to the rule that a beneficiary cannot get the $600 credit if he/she has an Employer Group Health Plan(EGHP)? What if the EGHP has very limited drug coverage, or only covers generic drugs? |
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Answer |
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Individuals with other health coverage that includes coverage for drugs, such as Employer Group Health Plans (EGHP), are precluded from receiving the $600 credit, UNLESS that other coverage is a Medicare Advantage plan or Medigap. EGHP members who are enrolled in a Medicare Advantage plan are not precluded from getting the $600 credit, and may apply to meet the other eligibility requirements.
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