Part D

E127207

Part D is the Medicare program that provides outpatient prescription drug coverage to eligible beneficiaries in the United States.

All labels observed (1)

Label Occurrences
Part D canonical 1

How this entity was disambiguated

Statements (49)

Predicate Object
instanceOf Medicare program ⓘ
prescription drug benefit program ⓘ
administeredBy Centers for Medicare & Medicaid Services ⓘ
alsoKnownAs Medicare prescription drug benefit ⓘ
linked to: Medicare Part D
beneficiaryCostComponents annual deductible ⓘ
coinsurance ⓘ
copayments ⓘ
monthly premiums ⓘ
coordinatesWith TRICARE drug coverage ⓘ
linked to: TRICARE

Veterans Affairs drug coverage ⓘ
employer or union prescription drug coverage ⓘ
country United States ⓘ
coverageType outpatient prescription drugs ⓘ
self-administered prescription medications ⓘ
createdBy Medicare Prescription Drug, Improvement, and Modernization Act of 2003 ⓘ
doesNotCover most drugs covered under Medicare Part B ⓘ
most over-the-counter drugs ⓘ
eligibility people eligible for Medicare Part A or enrolled in Medicare Part B ⓘ
enrollmentPeriod annual open enrollment period ⓘ
initial enrollment period around Medicare eligibility ⓘ
fundingSource beneficiary premiums ⓘ
federal government ⓘ
state payments ⓘ
hasFeature coverage gap protections (reduced from original donut hole) ⓘ
formulary of covered drugs ⓘ
standard benefit design defined by law ⓘ
tiered cost-sharing structure ⓘ
hasLowIncomeSubsidy Extra Help program ⓘ
implementedOn 2006-01-01 ⓘ
lateEnrollmentPenalty applies in many cases if beneficiary delays enrollment without creditable coverage ⓘ
lowIncomeSubsidyProvides lower deductibles ⓘ
reduced copayments ⓘ
reduced premiums ⓘ
offeredThrough private insurance plans approved by Medicare ⓘ
partOf Medicare ⓘ
planTypesInclude Medicare Advantage plans with drug coverage ⓘ
stand-alone prescription drug plans ⓘ
policyGoal improve access to prescription medications for Medicare beneficiaries ⓘ
reduce out-of-pocket drug costs for seniors and disabled individuals ⓘ
protectedDrugClassesInclude anticonvulsants ⓘ
antidepressants ⓘ
antineoplastics ⓘ
antipsychotics ⓘ
antiretrovirals ⓘ
immunosuppressants for transplant rejection ⓘ
provides outpatient prescription drug coverage ⓘ
regulates plan formularies through CMS standards ⓘ
requires plans to cover drugs in all or substantially all drugs in certain protected classes ⓘ
targetPopulation Medicare beneficiaries ⓘ

How these facts were elicited

Referenced by (1)

Full triples — surface form annotated when it differs from this entity's canonical label.