Medicare Part D prescription drug coverage
GPTKB entity
Statements (34)
| Predicate | Object |
|---|---|
| gptkbp:instanceOf |
Medicaid program
|
| gptkbp:administeredBy |
private insurance companies
|
| gptkbp:availableOn |
Medicare beneficiaries
|
| gptkbp:combines |
Medicare Advantage plans
|
| gptkbp:coverageGapKnownAs |
donut hole
|
| gptkbp:eligibility |
annual open enrollment
|
| gptkbp:establishedBy |
gptkb:Medicare_Prescription_Drug,_Improvement,_and_Modernization_Act_of_2003
|
| gptkbp:excludes |
over-the-counter drugs
certain drugs (e.g., weight loss, cosmetic) |
| gptkbp:hasCoverageGap |
yes
|
| gptkbp:heldBy |
prior authorization requirements
quantity limits step therapy requirements appeals process catastrophic coverage phase |
| https://www.w3.org/2000/01/rdf-schema#label |
Medicare Part D prescription drug coverage
|
| gptkbp:includes |
formulary
|
| gptkbp:offers |
low-income subsidy
enhanced plan standard plan |
| gptkbp:partOf |
gptkb:Medicare
|
| gptkbp:penalty |
yes
|
| gptkbp:provides |
prescription drug coverage
|
| gptkbp:regulates |
gptkb:Centers_for_Medicare_&_Medicaid_Services
|
| gptkbp:requires |
coinsurance
copayments annual deductible monthly premium |
| gptkbp:startDate |
January 1, 2006
|
| gptkbp:subject |
annual plan changes
formulary changes network pharmacy restrictions |
| gptkbp:bfsParent |
gptkb:Medicare_Advantage_Plans
|
| gptkbp:bfsLayer |
5
|