Part D (Prescription Drug Coverage)

URI: https://gptkb.org/entity/Part_D_(Prescription_Drug_Coverage)
GPTKB entity
Statements (51)
Predicate Object
gptkbp:instanceOf Medicare Part D
gptkbp:administeredBy private insurance companies
gptkbp:availableOn Medicare beneficiaries
gptkbp:canBeIncludedIn Medicare Advantage plans
gptkbp:canChangePlans during open enrollment
gptkbp:combines gptkb:Original_Medicare
gptkbp:compatibleWith Part B drugs
gptkbp:covers generic drugs
prescription drugs
brand-name drugs
gptkbp:coversVaccines yes
gptkbp:donutHoleClosedIn 2020
gptkbp:enrollment yes
gptkbp:establishedBy gptkb:Medicare_Prescription_Drug,_Improvement,_and_Modernization_Act
gptkbp:excludes over-the-counter drugs
certain drugs (e.g., cosmetic, weight loss)
gptkbp:hasAnnualLimit yes
gptkbp:hasAnnualNoticeOfChange yes
gptkbp:hasAnnualReview yes
gptkbp:hasAppealsProcess yes
gptkbp:hasCatastrophicCoverage yes
gptkbp:hasCoverageGap yes
gptkbp:hasDeductible yes
gptkbp:hasDonutHole coverage gap
gptkbp:hasEnrollmentAssistance gptkb:State_Health_Insurance_Assistance_Program_(SHIP)
gptkbp:hasFormulary yes
gptkbp:hasIncomeRelatedPremiumAdjustment yes
gptkbp:hasLateEnrollmentPenalty yes
gptkbp:hasMaximumOutOfPocketLimit yes
gptkbp:hasNationalBasePremium yes
gptkbp:hasOpenEnrollmentPeriod October 15 to December 7
gptkbp:hasOutOfPocketThreshold yes
gptkbp:hasPlanRatings yes
gptkbp:hasPlanTypes Medicare Advantage Prescription Drug plans (MA-PDs)
stand-alone prescription drug plans (PDPs)
gptkbp:hasPreferredPharmacyNetwork yes
gptkbp:hasPremium yes
gptkbp:hasSpecialEnrollmentPeriods yes
gptkbp:hasStandardBenefitDesign yes
https://www.w3.org/2000/01/rdf-schema#label Part D (Prescription Drug Coverage)
gptkbp:introducedIn 2006
gptkbp:offersExtraHelp low-income subsidy
gptkbp:partOf gptkb:Medicare
gptkbp:regulates gptkb:Centers_for_Medicare_&_Medicaid_Services
gptkbp:requiresCopayment yes
gptkbp:subject quantity limits
formulary restrictions
prior authorization
step therapy
gptkbp:bfsParent gptkb:Title_XVIII_of_the_Social_Security_Act
gptkbp:bfsLayer 5