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This web site contains information about the Medicare Prescription Drug Coverage. You will find information about all of the following on this site, after selecting your region:

• Looking for 2009 Information
• Summary Of Benefits
• Enrollment
• 2010 Formulary
• Evidence of Coverage

More Important Info:

• Member Information
• Employer Information
• Participating Pharmacies
• Customer Service
• Important Information for Providers
• Click here for information on plans with our Medical Benefits
• Frequently Asked Questions
• Plan Transition Policy

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First Health Part D (PDP) is a Medicare-approved Part D sponsor. The contracts with the Centers for Medicare & Medicaid Services (CMS) are renewed annually; coverage beyond the end of the current contract is not guaranteed. Our plan is authorized by law to refuse to renew its contract with CMS and CMS also may refuse to renew the contract. Termination or non-renewal may result in termination of your enrollment in our plan. First Health Part D (PDP) may reduce its service area and no longer offer services in the area where you reside. 

You must be entitled to Medicare benefits under Part A and/or enrolled in Part B, and reside in the First Health Part D (PDP) service area. You may only enroll in one Part D Benefit Plan (PDP) at a time and only during specific times of the year. If you are enrolled in a Medicare coordinated care (HMO or PPO) plan or a Medicare Advantage (MA) Private Fee-for-Service (PFFS) plan that includes Medicare prescription drugs, you may not enroll in a PDP unless you disenroll from the HMO, PPO or MA PFFS plan. Enrollees in a PFFS plan that does not provide Medicare prescription drug coverage, or a MA Medical Savings Account (MSA) plan may enroll in a PDP. Enrollees in an 1876 Cost plan may enroll in a PDP. You must continue to pay your Medicare Part B premium if not otherwise paid for under Medicaid or by another third-party.

Medicare beneficiaries may enroll in First Health Part D (PDP) through the Centers for Medicare & Medicaid Services Online Enrollment Center, located at www.medicare.gov. For more information contact First Health Part D (PDP) at 1-800-588-3322 (TTY/TDD users call 1-888-788-4010), 8 a.m. to 8 p.m., seven days a week. Brokers are paid a commission upon beneficiary enrollment.

People with limited incomes may qualify for Extra Help to pay for their prescription drug costs. If eligible, Medicare could pay for seventy five (75) percent of drug costs including monthly prescription drug premiums, annual deductibles, and coinsurance. Additionally, those who qualify will not be subject to the coverage gap or a late enrollment penalty. Many people are eligible for these savings and don’t even know it. For more information about this Extra Help, contact your local Social Security office or call 1-800-MEDICARE (1-800-633-4227), 24 hours per day, 7 days per week. TTY users should call 1-877-486-2048.

Eligible beneficiaries must use network pharmacies to access their prescription drug benefit, except under non-routine circumstances when they cannot reasonably use network pharmacies. In general, benefits are only available at contracted network pharmacies.

Benefits, formulary, pharmacy, network premium and/or copayments/coinsurance may change on January 1, 2010. Please contact First Health Part D (PDP) for details.

If you decide to switch to premium withhold or move from premium withhold to direct billing, it could take up to three months for it to take effect and you will ultimately be held responsible for those premiums.

This site last updated 9/23/2009
CMS Approval Date: Pending CMS Approval
CMS Approval ID: M0003C0002_09MAPDPDP_502_CVTYWEBe

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