Medicare Part D prescription drug plans

GPTKB entity

Statements (45)
Predicate Object
gptkbp:instanceOf Medicaid program
gptkbp:administeredBy private insurance companies
gptkbp:availableOn 2006
gptkbp:canBe gptkb:Medicare_Advantage_Prescription_Drug_plan_(MA-PD)
stand-alone prescription drug plan (PDP)
gptkbp:canBeAppealedBy beneficiaries
gptkbp:canBeChangedDuring gptkb:Annual_Election_Period_(October_15_-_December_7)
gptkbp:covers generic drugs
prescription drugs
brand-name drugs
gptkbp:eligibility Medicare beneficiaries
gptkbp:establishedBy gptkb:Medicare_Prescription_Drug,_Improvement,_and_Modernization_Act_of_2003
gptkbp:excludes certain drugs (e.g., over-the-counter drugs, weight loss drugs)
gptkbp:hasCoverageGap donut hole
gptkbp:heldBy gptkb:plan_finder_tool_on_Medicare.gov
catastrophic coverage phase
coverage determination process
formulary exceptions process
grievance process
mail-order pharmacy options
preferred pharmacy networks
https://www.w3.org/2000/01/rdf-schema#label Medicare Part D prescription drug plans
gptkbp:offers gptkb:Extra_Help_for_low-income_beneficiaries
standard benefit design
enhanced benefit design
gptkbp:partOf gptkb:Medicare
gptkbp:regulates gptkb:Centers_for_Medicare_&_Medicaid_Services
gptkbp:requires coinsurance
copayments
annual deductible
monthly premium
formulary
gptkbp:subject gptkb:income-related_monthly_adjustment_amount_(IRMAA)_for_higher-income_beneficiaries
gptkb:state_pharmaceutical_assistance_programs_(SPAPs)_coordination
quantity limits
annual plan changes
prior authorization
step therapy
Medicaid dual eligibility coordination
Medicare Savings Programs coordination
annual open enrollment period
late enrollment penalty
gptkbp:bfsParent gptkb:UnitedHealthcare_Medicare_&_Retirement
gptkb:coverage_gap_(donut_hole)
gptkbp:bfsLayer 7