 |
 |
|
|
Group Medex is an employer-sponsored plan that supplements Medicare coverage. Group Medex plans can only be purchased through your employer.
The most commonly held coverage includes a prescription plan with a $35 per calendar-quarter prescription deductible. Once the deductible has been satisfied, brand-name medications are covered at 80% and generic medications are covered at 100%. A mail service feature can also be included. The copayment for up to a 90-day supply purchased from the mail service pharmacy is $15 for brand-name medications and $2 for generic medications.
Many groups have added additional benefits, which supplement Part A and Part B services covered by Medicare (including office visits, ambulance services, durable medical equipment, etc.).
The above describes a standard Group Medex plan design. If you are a Group Medex member, please contact your employer regarding the specifics of your plan.
For additional information about other health plans for seniors available in Massachusetts, you can call the Massachusetts Executive Office of Elder Affairs at 1-800-243-4636. You can also visit the Massachusetts Division of Insurance on the web at:
http://www.state.ma.us/doi/Consumer/CSS_health.html
You can also contact The SHINE Program, Massachusetts' state health insurance program that provides free, one-on-one health insurance information, counseling and assistance to Medicare beneficiaries of all ages. Call SHINE, toll-free, at 1-800-AGE-INFO (1-800-243-4636), and press "2". TTY: 1-800-872-1066. You can visit their website at www.medicareoutreach.org.
The federal government has a Medicare information telephone line and website. Call 1-800-MEDICARE (1-800-633-4227) 24 hours a day, 7 days a week, or TTY: 1-877-486-2048. You can visit the Medicare website at www.medicare.gov
You can also call the Social Security Administration for help with questions about eligibility and enrolling Medicare, and for questions about eligibility and help with the costs of a Medicare Part D prescription plan. 1-800-772-1213. TTY: 1-800-325-0778.
To help you learn more about your health plan coverage options under Medicare, use these helpful tools. To learn more, just click on the links below.
