Medicaid and the Medicare Part D Prescription Drug Benefit
Medicare Part D is a prescription drug benefit available to everyone with Medicare. It has special importance to people with Medicare and New York State Medicaid because Medicare Part D replaces Medicaid in paying for most of your prescription drugs
Under the Medicare Part D prescription benefit almost all of your drugs costs will be paid for by Medicare instead of Medicaid. You will get prescription drug coverage from Medicare and pay a small Medicare copayment for each prescription. If you currently receive NYS Medicaid and you do not join a Medicare prescription drug plan, you may lose all your NYS Medicaid benefits.
When you become eligible for both Medicare and Medicaid you will automatically be assigned to a Medicare Prescription Drug Plan to make sure you don't miss a day of coverage. You can also enroll in a plan of your own choosing that may better meet your prescription drug needs. Information about available plans and the “Medicare & You” handbook is available from Medicare. Be sure to read this information to understand all the changes.
For more information, click on or call:
TTY users should call 1-877-486-2048
Or for free personalized health insurance counseling contact:
- New York Health Insurance Information, Counseling and Assistance Program (HIICAP)
Call from 8 AM to 5 PM Monday through Friday.
Important Information for Prescribers and Pharmacists:
Medicaid will continue to pay for barbiturates when used for medical indications other than epilepsy, cancer, or a chronic mental health disorder, select prescription vitamins and certain non-prescription drugs.
- Medicare Part D Frequently Asked Questions
- Letter to Prescribers dated 3/29/06 regarding exceptions and appeals (PDF, 33KB, 2pg.)
- Physician Part D Resource Fact Sheet (PDF, 98KB, 2pg.)
- Part D Web-Based Resources
- Definitions for Medicare/Medicaid Dual Eligibles and Medicare Part D Information
- Drugs covered by Medicaid for Dual Eligible Beneficiaries (PDF, 96KB, 1pg.)
- Important Information for Consumers (PDF, 19KB, 1pg.)
- Important Information for Consumers (Spanish) (PDF, 21KB, 1pg.)
- 2006 Medicare Prescription Drug Plan Contact Information
- 2007 Medicare Prescription Drug Plan Contact Information
- 2008 Medicare Prescription Drug Plan Contact Information
- 2009 Medicare Prescription Drug Plan Contact Information
- 2010 Medicare Prescription Drug Plan Contact Information
- 2011 Medicare Prescription Drug Plan Contact Information
- 2012 Medicare Prescription Drug Plan Contact Information
- Medicaid Update (Special Edition)- Medicare Prescription Drug Benefit
- Nursing Homes & Medicare Part D - More information on how Medicare Part D might impact residents in nursing homes