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Welcome -> Medicare Replacement Drug Demonstration
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The Medicare Replacement Drug Demonstration (MRDD) is a new demonstration mandated under section 641 of the Medicare Modernization Act. Under this demonstration, Medicare will pay for certain drugs that replace other drugs that are currently covered under Medicare Part B. This includes certain drugs for rheumatoid arthritis, multiple sclerosis, cancer, and other serious diseases. Up until now, some of the drugs that treat these conditions were only covered under Medicare when provided in a doctor’s office.
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Highlights:
- The program is intended to help certain Medicare beneficiaries pay for very costly medicine for very serious illness.
- The person must have Medicare Parts A and B and Medicare must be their primary insurance. They must not have any other insurance that has comprehensive drug coverage (such as MaineCare, TRICARE or certain other group health plan.)
- The program will only pay for specific drugs used to treat specific illness. The physician will need to certify a need for the drug. Covered drugs and illnesses.
- 'Replacement' refers to the fact that the drugs covered by the program are replacing drugs received in a medical office 'incident to a physician service' and covered by Medicare Part B. The drug is an alternative (or replacement) to an office-administered drug.
- A network of pharmacies and mail order option will be available.
- You may Apply now.
More complete details about the demonstration are available on the CMS website. Or contact your local State Health Insurance Assistance Program (SHIP) at: 1-877-353-3771.
SHIP is sponsored locally by your Area Agencies on Aging and Legal Services for the Elderly.
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