Part D

E127207

Part D is the Medicare program that provides outpatient prescription drug coverage to eligible beneficiaries in the United States.

All labels observed (1)

Label Occurrences
Part D canonical 1

How this entity was disambiguated

Statements (49)

Predicate Object
instanceOf Medicare program
prescription drug benefit program
administeredBy Centers for Medicare & Medicaid Services
alsoKnownAs Medicare Part D
surface form: Medicare prescription drug benefit
beneficiaryCostComponents annual deductible
coinsurance
copayments
monthly premiums
coordinatesWith TRICARE
surface form: TRICARE drug coverage

Veterans Affairs drug coverage
employer or union prescription drug coverage
country United States of America
surface form: United States
coverageType outpatient prescription drugs
self-administered prescription medications
createdBy Medicare Prescription Drug, Improvement, and Modernization Act of 2003
doesNotCover most drugs covered under Medicare Part B
most over-the-counter drugs
eligibility people eligible for Medicare Part A or enrolled in Medicare Part B
enrollmentPeriod annual open enrollment period
initial enrollment period around Medicare eligibility
fundingSource beneficiary premiums
federal government
state payments
hasFeature coverage gap protections (reduced from original donut hole)
formulary of covered drugs
standard benefit design defined by law
tiered cost-sharing structure
hasLowIncomeSubsidy Extra Help program
implementedOn 2006-01-01
lateEnrollmentPenalty applies in many cases if beneficiary delays enrollment without creditable coverage
lowIncomeSubsidyProvides lower deductibles
reduced copayments
reduced premiums
offeredThrough private insurance plans approved by Medicare
partOf Medicare
planTypesInclude Medicare Advantage plans with drug coverage
stand-alone prescription drug plans
policyGoal improve access to prescription medications for Medicare beneficiaries
reduce out-of-pocket drug costs for seniors and disabled individuals
protectedDrugClassesInclude anticonvulsants
antidepressants
antineoplastics
antipsychotics
antiretrovirals
immunosuppressants for transplant rejection
provides outpatient prescription drug coverage
regulates plan formularies through CMS standards
requires plans to cover drugs in all or substantially all drugs in certain protected classes
targetPopulation Medicare beneficiaries

How these facts were elicited

Referenced by (1)

Full triples — surface form annotated when it differs from this entity's canonical label.