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  #1  
Old 01-29-2018, 07:38 PM
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Default Medicare Advantage Question

In Medicare Advantage plans, how do members that have a plan that covers RX pay their Part D premium? Are they paying the premium to the MCO? Or to the government along with Part B premiums?

I see some Medicare Advantage plans saying they are $0 premium plans. Trying to understand what is/isn't included in that $0 premium definition.

Last edited by bigb; 01-29-2018 at 07:45 PM..
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Old 01-29-2018, 08:09 PM
cincinnatikid cincinnatikid is offline
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Most plans are MAPD plans, meaning they replace Medicare coverage for Parts A, B, and D. If the plan covers Part D, there would be no premium required to the MAPD carrier for either Medical or Rx coverage on a $0 premium plan; members would still pay their standard Part B premium to the government.
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Old 01-29-2018, 09:51 PM
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Quote:
Originally Posted by cincinnatikid View Post
Most plans are MAPD plans, meaning they replace Medicare coverage for Parts A, B, and D. If the plan covers Part D, there would be no premium required to the MAPD carrier for either Medical or Rx coverage on a $0 premium plan; members would still pay their standard Part B premium to the government.
In such a case how is the government getting the beneficiary Part D premium?
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Old 01-29-2018, 10:09 PM
cincinnatikid cincinnatikid is offline
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In such a case how is the government getting the beneficiary Part D premium?
The issuer uses the savings from bidding below the county benchmark to reduce the part D base premium to $0.
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Old 01-29-2018, 10:14 PM
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The issuer uses the savings from bidding below the county benchmark to reduce the part D base premium to $0.
Thanks.
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Old 02-07-2018, 08:06 PM
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Quote:
Originally Posted by cincinnatikid View Post
Most plans are MAPD plans, meaning they replace Medicare coverage for Parts A, B, and D. If the plan covers Part D, there would be no premium required to the MAPD carrier for either Medical or Rx coverage on a $0 premium plan; members would still pay their standard Part B premium to the government.
Sometimes there is a Part B Premium giveback. Not very often and only in certain counties where benchmark rates are crazy high (Dade County FL?).
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