In order to have Part D coverage, beneficiaries must purchase a policy (i.e., enroll in a plan) offered by one of these companies. These companies are both regulated and subsidized by Medicare, pursuant to one-year, annually renewable contracts. That is, Medicare contracts with private companies that are authorized to sell Part D insurance coverage. Unlike Parts A and B, which are administered by Medicare itself, Part D is provided through private plans. The Part D drug benefit (also known as “Medicare Rx”) is a voluntary program that helps Medicare beneficiaries pay for outpatient prescription drugs purchased at retail, mail order, home infusion, and long-term care pharmacies. Medicare did not cover outpatient prescription drugs until January 1, 2006, when it implemented the Medicare Part D prescription drug benefit, authorized by Congress under the “Medicare Prescription Drug, Improvement, and Modernization Act of 2003.” This Act is generally known as the “MMA.” Prior to 2006, Medicare paid for some drugs administered during a hospital admission (under Medicare Part A), or a doctor’s office (under Medicare Part B). There, you will also find relevant legislative, statutory and CFR citation. For more detailed information on any of the topics in this section, please click on the links within the topics. This section constitutes an introduction to Part D.
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