Brotherhood Of Homeless Human Beings Inc
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Contact: Bob Mills: 310-991-3296
Medicare Programs Part D Consumer Web Site Directory
If your required to view some of the files on this page in PDF format then visit this site and download the files.
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Please read the information below for people that are low income. WellCare offers people that are low income a Part D Drug Plan. Coverage with only a $1.00 and $3.00 dollar drug plan with no monthly payments WeCare Medicare Prescription Durg Plan Customer Service: 1-888-550-5252. You may also visit their site at www.WellCarePDP.com please call them even if Social Security has placed you into a Part D Drug Plan. Since your low income you may change plans once a month until you find a plan that meets your needs.
This web page provides a directory of resources for consumers and those who will be assisting Medicare beneficiaries with understanding the Medicare drug benefit. The Centers for Medicare and Medicaid Services (CMS) operates a telephone call center to answer questions about the Medicare drug benefit. The telephone number is: 800-Medicare (800-633-4227). The main Medicare web site is at: http://www.Medicare.gov
Online Application to Apply for Low Income Subsidy for Medicare Part D
The Social Security Administration is responsible for processing applications to provide extra assistance with prescription drug costs for individuals with limited income.
The FPL, Federal Poverty Level is set at $14,355.00 per person, if your combined income, Social Security Disability (SSA.DI Title II) and your Social Security Retirement Income, and if your receiving Supplemental Security Income, SSI along with any other combined income, bank Interest does not exceed $14,355.00 yearly income. Your Single your total net worth is no more than $11,500.00, Married total net worth is no more than $23,500.00, your Home is NOT Counted. You MUST APPLY for LOW INCOME Status before May 2006. After that date you will pay more for your coverage. Please follow the link below, and file your application for low income. Do not depend on the Social Security Administration to place you into a Part D Low Incom Drug Plan that meets your needs. You must apply, please follow this link and answer all the questions, or if you can not file online please wisit your local Social Security office and ask for the low income form, fill it out and obtain a stamped copy of the low incom document you submited. http://www.ssa.gov/prescriptionhelp/
The National Council on the Aging has a web site that assists individuals of limited income to locate and sign up for programs that assist with costs of prescription drugs, utilities, health care, and other needs. The Benefits Checkup web site is located at: We use this for our clients to locate additional entitlement benefits low income and disablied people. Please use this tool.
lNovember 3, 2005 - PDF File Medicare Part D: Twenty Things Medicare Beneficiaries Should Know About the Medicare Drug Benefit
October 26, 2005 - PDF File Medicare Part D: Access to Medications Under Medicare Part D http://sites.stockpoint.com/AARP/drugbenefit.asp
Kaiser Family Foundation Resource Information
The Kaiser Family Foundation has a variety of resource information related to the Medicare drug benefit for Medi-Medi holders. The resource page with links to these publications and resources is located at:
Long-Term Care Resources
CMS fact sheet on Medicare prescription drug coverage for long-term care residents:
PDF format http://www.cms.hhs.gov/medicarereform/nursing%20home.pdf
Resources from Other Organizations
A number of organizations also have resource information about Medi-Medi the Medicare prescription drug benefit. These include:
The Center for Medicare Advocacy has resources for consumers about Medicare Part D, located at:
The National Council on the Aging has a web site that assists medi medi individuals of limited income to locate and sign up for programs that assist with costs of prescription drugs, utilities, health care, and other needs. The Benefits Checkup web site is located at:
The National Community Pharmacists Association has a web site to provide Medi Medi information and resources to community pharmacists about Medicare Part D. This web site is located at:
The primary ASCP web page with links and information about Medicare Part D is located at:
The National Community Pharmacists Association has a web site to provide information and resources to community pharmacists about Medicare Part D. This web site is located at:
The primary ASCP web page with links and information about Medicare Part D is located at:
What You Need To Know When You Get Disability Benefits - explains some of your rights and responsibilities when you receive disability benefits from Social Security
DI 12548.035 Processing Payment Actions after Favorable Adjudication - Title XVI (SSI Cases)
20 CFR 404.1805 Paying Benefits
When Are Social Security Benefits Paid
20 CFR 404.1807 Monthly Payment Day
When Your Disability Benefits Start
Do I Have To Pay Income Tax On My Social Security Benefits?
Can I Have State Or Local Tax Withheld From My Social Security Benefit?
IRS Schedule R (Form 1040) Credit for the Elderly or Disabled 2005
IRS Instructions for Schedule R (Form 1040) Credit for the Elderly or Disabled 2005
Medicare – The Centers for Medicare & Medicaid Services (CMS) administers the Medicare program. You may wish to send your inquiry to that Agency at:
Centers for Medicare & Medicaid Services
7500 Security Blvd
Baltimore MD 21244
You can also call 1-800-MEDICARE (1-800-633-4227) to speak to a Medicare Customer Service Representative. Information regarding CMS can also be accessed on the Internet at:
Before age 65, you are eligible for Medicare hospital insurance if you get Social Security disability benefits. Social Security will automatically enroll you in Medicare after you get disability benefits for two years. You must be a Social Security disability beneficiary for 24 months from your disability date of entitlement (entitlement date is calculated to be 5 full months after date you become disabled) in other words they start counting the 24 months from the month you were entitled to receive Disability, not the month when you received your first check. You will receive information by mail shortly before you become eligible. People with Amyotropic Lateral Sclerosis (Lou Gehrig's disease) get Medicare beginning with the month they become entitled to disability benefits. If you receive a disability annuity from the Railroad Retirement Board, you will be eligible for hospital insurance after a waiting period. (Contact your railroad retirement office for details.) Most people have both parts of Medicare. If you get Medicare and have low limited monthly income and few resources, your state may pay your Medicare premiums and, in some cases, other Medicare costs for which you are normally responsible such as deductibles and coinsurance amounts. Only your state can decide if you qualify for this assistance. To find out if you do, contact your state or local medical assistance, social services, welfare office or Medicaid agency. You can also call the Medicare hotline, 1-800-MEDICARE (1-800-633-4227) and ask about the Medicare Savings Programs. You will be contacted a few months before you become eligible for Medicare and given the information you need.
VERY IMPORTANT: Medicare enrollment period rules are very strict. If you already receive retirement or disability benefits, you will automatically be enrolled in Medicare Parts A and B. However, because you must pay a premium for Part B coverage, you have the option of turning it down. When you first become eligible for hospital insurance (Part A), you have a seven-month period to sign up for medical insurance (Part B). This is called your “initial enrollment period.” If you are eligible for Medicare based on disability or permanent kidney failure, your initial enrollment period depends on the date your disability or treatment began. If you accept the automatic enrollment in Medicare Part B, or if you enroll in Medicare Part B during the first three months of your initial enrollment period, your medical insurance protection will start with the month you are first eligible. If you enroll during the last four months, your protection will start from one to three months after you enroll. If you don’t enroll in Medicare Part B during your initial enrollment period, you have another chance each year to sign up during a “general enrollment period” from January 1 through March 31. Your coverage begins the following July. However, your monthly premium increases 10 percent for each 12 month period you were eligible but didn’t enroll.
Medicare SSA Publication No. 05-10043
Your Medicare Coverage
Medicare Eligibility Tool
What are the requirements to receive Medicare benefits?
How Do I Enroll In Medicare?
What is the difference between Medicare Part A and Medicare Part B?
Medicare Savings Programs – CMS Publication 10126 http://www.cms.hhs.gov/partnerships/tools/materials/savings/populations/HI_brochure.pdf
Medicare Personal Plan Finder
Medicare Participating Physician Directory
Medicare Home Health Compare
Medicare Nursing Home Compare - Provides detailed information about the past performance of every Medicare and Medicaid certified nursing home in the country.
Medicare Supplier Directory - provide names, addresses, and contact information for suppliers that provide services or products under the Medicare program.
The ABCs and D of Medicare
Basic Information On Medicare Part D Prescription Drug Coverage
Medicare Prescription Drug Coverage: Common Situations - Find the situation that describes you and learn what you need to do.
Things To Consider When Choosing A Medicare Prescription Drug Plan
Medicare Prescription Drug Coverage Landscape Of Local Plans - List of all plans available in your area. By choosing your state from a map, you can get answers to important questions for people with Medicare based what matters to them, including: cost (premiums, deductibles and payments), coverage (important issues around what and how drugs are covered) and convenience (pharmacy and mail-order options).
Medicare RX Education Network
Medicare And Prescription Help
Medicare Prescription Drug Plan Finder
Medicare Formulary Finder For Prescription Drug Plans - Helps you find plans in your state that match your required drug list.
Calculate Your Costs Under The New Medicare Prescription Drug Law
Getting Help With Medicare Prescription Drug Plan Costs Information For Medicare Beneficiaries With Disabilities - SSA Publication No. 05-10118 - September 2005 - ICN 444800
Need Help With Medicare Prescription Drug Costs?
Help Available To Pay Costs Of Medicare's New Prescription Drug Program
Help With Medicare Prescription Drug Plan Costs
What You Need To Apply To Get Extra Financial Help For Medicare Part D Prescription Drug Plan
What You Need To Complete The Application For Help With Medicare Prescription Drug Plan Costs - SSA Publication No. 05-10128 - April 2005 - ICN 480068
What You Need To Complete The Application For Help With Medicare Prescription Drug Plan Costs - SSA Publication No. 05-10124 - May 2005 - ICN 468755
Will You Be Eligible For Medicare Part D Low Income Assistance?
SSA-1020 – Application For Help With Medicare Prescription Drug Plan Costs
SSA-1021 – Appeal Of Determination For Help With Medicare Prescription Drug Costs
SSA-1021 INST – Instructions For Completing The Appeal Of Determination For Help With Medicare Prescription Drug Costs
Getting Help with Medicare Prescription Drug Plan Costs - Life Insurance: Face And Cash Values - SSA Publication No. 05-10108 - May 2005 - ICN 468720
Getting Help With Medicare Prescription Drug Plan Costs - Income And Resource Limits - SSA Publication No. 05-10115, May 2005, ICN 468740
CDR/Continuing Disability Reviews – As long as you are receiving Social Security Disability Insurance (SSDI) or Supplemental Security Income (SSI) you will be subject to periodic reviews of your claim by Social Security. These will happen every 2-7 years based on the type of disability you have, unless you have a terminal illness where your life expectancy is under the 2 year period. These periodic reviews will continue until you reach retirement age, at which point your Social Security Disability benefits automatically turn into regular Social Security retirement benefits and the reviews will stop. It is very important to get in the habit, especially while collecting Social Security Disability/SSI benefits, to see your doctors on a regular basis and get copies of ALL your medical records EVERYTIME you see a doctor or have a test, for the rest of your life. These records will be a very valuable tool when these reviews come up to in order to prove that you are still disabled and eligible to continue to receive Social Security Disability benefits.
How We Decide If You Are Still Disabled
Your Continuing Eligibility For Benefits
Reviewing Your Disability
DI 28001.001 What is a Continuing Disability Review (CDR)? http://policy.ssa.gov/poms.nsf/lnx/0428001001
What Can Cause Benefits To Stop
Reviewing Your Disability and Cessation of Benefits
http://www.ssdisability.net/review.html What You Need To Know Reviewing Your Disability http://www.ssa.gov/pubs/10068.html The Continuing Disability Review http://thedisabilityexpert.com/The%20Continuing%20Disability%20Review.html
DI 28005.010 CDR Evaluation Process - Title II and Adult Title XVI Beneficiary - Summary Chart http://policy.ssa.gov/poms.nsf/lnx/0428005010
DI 28005.015 CDR Evaluation Process - Step-by-Step Discussion
DI 28001.020 Frequency of CDRs http://policy.ssa.gov/poms.nsf/lnx/0428001020 DI 28001.015
Kinds of Events That May Initiate a CDR
http://policy.ssa.gov/poms.nsf/lnx/0428001015 DI 26525.001
Scheduling Continuing Disability Reviews (CDRs) - General Policies
Your Right To Question The Decision To Stop Your Disability Benefits
Social Security Disability Program Operations Manual - DI 405 - Processing Continuing Disability Review Cases
DI 13004.005 An Overview of Processing Continuing Disability Review (CDR) Mailer Forms SSA-455 and SSA-455-OCR-SM http://policy.ssa.gov/poms.nsf/lnx/0413004005
DI 13005.040 Completion of Form SSA-454-BK (Report of Continuing Disability Interview) http://policy.ssa.gov/poms.nsf/lnx/0413005040
DI 40502.001 Processing Center Instructions for the Continuing Disability Review Mailer Forms SSA-455 and SSA-455-OCR-SM
SSA-789-U4 – Disability Cessation – Request For Reconsideration – Right To Appear
A list of resources from around the Web about Medicare as selected by researchers and editors of The New York Times.
A list of resources from around the Web about Medicaid as selected by researchers and editors of The New York Times.