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What if I get certain benefits or other help to pay Medicare costs?

If you don’t join a Medicare drug plan, Medicare will enroll you in one to make sure you get help paying for your prescription drug costs. You will get extensive drug coverage with little or no monthly premium. Generally, you pay only a small amount out-of-pocket for each covered prescription.

  • If you apply and qualify for extra help paying your Medicare costs or get Supplemental Security
    Income (SSI) benefits
    without Medicaid, you can switch plans once by the end of the calendar year, and
    once each year after between November 15 and December 31.
  • If you belong to a Medicare Savings Program (your state Medicaid program pays your Medicare premiums),
    you can switch to another Medicare drug plan at any time.

If you have other prescription drug coverage that’s at least as good as Medicare’s drug coverage (creditable prescription drug coverage), you can decline to keep the drug plan Medicare enrolls you in. If you don’t want to join this plan or any Medicare drug plan, call 1 800 633 - 4227, or call the plan Medicare enrolls you in.

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