3/22/2016
`
`2016 MI Retail Drug Price Details
`
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`2016 Medicare Part D Plan’s Negotiated
`Retail Drug Price
`
`Medicare Supplements
`fill the gaps in your
`Original Medicare
`
`1. Select Your State:
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`'-Select-ovSelect - v
`
`2016 Medicare Part D Rx plans
`2016 Medicare Advantage plans
`Browse any 2016 Drug Formulary
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`Help! Where do| start?
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`
`Below youwill find the average negotiated retail prescription drug price for your
`2017 Plan Info Reminder Service
`chosen Medicare Part D or Medicare Advantageplan, alongwith, tier cost-sharing
`
`details, your estimated cost for purchases during each coverage phase, tier cost-
`haring
`detail
`l
`ts
`wit
`lanations, and plan's
`retail
`d
`ice
`history.
`
`
`
`Return to the Alliance Medicare PPO (PPO) 2016 Formulary Browserby choosing a
`letter below:
`
`ABCDEFGHIJSKEMNOPQRSTUVWXYZ09
`
`» Medicare Supplement FAQs
`
`2. Get Quotes >>
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`Find a 2016 Part D Plan (Rx Only)
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`Plan (Health and Health w/Rx Plans)
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`Formulary (or Drug List)
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`Acrossall 2016 Medicare Plans
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`2016 Medicare Part D Prescription Drug Price Information
`
`Alliance Medicare PPO (PPO) (H2322-008-0)
`Benefits & Contact Info @&
`bh
`
`Monthly Premium: $126.00 Deductible: $0 ICL: $3,310
`KERYDIN 5% TOPICAL SOLUTION (=)
`Plan’s average negotiated retail drug
`price in
`Genesee, MI: CMS MA Region11,
`includes: MI
`
`$557.76" 30-Day Supply
`$1,617.99* 90-Day Supply
`Tier #4: Non-Preferred Brand
`
`Formulary (Drug List) Drug Tier:
`
`CFAD Exhibit 1041
`
`http:/Avww.qimedicare.com/PartD-2016MedicarePlan-RetailDrugPrice.php?ndc= 103370905448&letter=K&formulary=00016286&stateReg=13Ml&contractId=H2322&planid=008&segmentid=O#History
`
`1
`
`

`

`
`
`Find a 2016 Medicare Part D Plan
`
`(PDP-Finder: Rx Only)
`
`Find a 2016 Medicare Advantage
`Plan (Health and Health w/Rx Plans)
`
`Browse Any 2016 Medicare Plan
`Formulary (DrugList)
`
`2016 Plan’s Retail Drug Price
`Details
`
`Find a 2016 Medicare Part D or
`
`Medicare AdvantagePlan by Drug
`
`2016 Part D Plan (PDP) Overview
`by State
`
`2016 PDP & MAPD Overview by
`State
`
`2016 Overview by CMS PDP
`Region
`
`Medicare Star Quality Ratings 2016
`
`Guided Help Finding a 2016
`Medicare Prescription Drug Plan
`
`2016 Part D Plan - Quick Search
`
`Search for 2016 Medicare Plans by
`Plan ID
`
`Search for 2016 Medicare Plans by
`Formulary ID
`
`2016 PDP-Planner & Donut Hole
`
`Calculator
`
`2016 Cost Estimator
`
`2016 Medicare Prescription Drug
`
`3/22/2016
`
`Part D Plan Changein 2016?
`
`Doesthis plan offer any Gap
`Coverage?
`
`2016 MI Retail Drug Price Details
`
`No Gap Coverage
`
`>
`
`MA-Compare: Review Changesin
`No, this drug IS NOT covered in the
`each 2015 Medicare Advantage
`gap,butall drugs receive the donuthole
`Does this Drug have Gap Coverage?
`Plan for 2016
`discount.
`Drug Usage ManagementRestrictions: Prior Authorization
`Formulary (Drug List) Tier Cost-Sharing Details
`30-Day Supply
`90-Day Supply
`Cost-Sharing
`Cost-Sharing
`Preferred
`Mail-
`Preferred
`Non-
`Non-
`Pharmacy
`Pharmacy Preferred Order
`Preferred
`This plan does not haveanInitial Deductible:
`N/A
`N/A
`N/A
`
`Cabela’s Spring
`Great Outdoor
`Days
`
`Mail-
`Order
`
`N/A
`
`N/A
`
`N/A
`
`Initial Coverage Phase Cost-Sharing:
`33%
`33%
`33%
`
`33%
`
`33%
`
`33%
`
`gman
`
`Coverage Gap Phase Cost-Sharing Incl. Donut Hole Discount (Brand 55%):
`45%
`45%
`45%
`45%
`45%
`45%
`
`Preferred
`Pharmacy
`
`Mail-
`Order
`
`WW
`
`Quick Links
`Sign-up for our Medicare Part D
`Newsletter.
`
`Catastrophic Coverage Phase Cost-Sharing for Other Drugs (Brand-Nameor
`Non-Preferred Multi-Source Drugs):
`The greater of 5% or $7.40
`The greater of 5% or $7.40
`Your Estimated Cost for Purchases During Each Coverage Phase (brands)
`30-Day Supply
`90-Day Supply
`Cost-Sharing
`Cost-Sharing
`Mail-
`Preferred
`Non-
`Non-
`Pharmacy Preferred Order
`Preferred
`Est. CostInitial Coverage Phase:
`$533.94
`$533.94
`$533.94
`$184.06
`$184.06 $184.06
`YourEst. Cost in Coverage Gap Using the Brand-Name Drug Discount(55%):
`$250.99
`$250.99 $250.99
`$728.10
`$728.10
`$728.10
`Your Estimated Cost in Catastrophic Coverage (Brand-Nameor Non-Preferred
`Multi-Source Drugs):
`$27.89
`
`$27.89
`
`$27.89
`
`$80.90
`
`$80.90
`
`$80.90
`
`Tier Cost-Sharing Details and Your Costs with Explanations
`90-Day Supply
`30-Day Supply
`Cost-Sharing
`Cost-Sharing
`Preferred
`Non
`Mail-
`Preferred
`Non-
`Pharmacy
`Preferred
`Pharmacy Preferred Order
`--- If you purchase duringthe Initial Deductible Phase---
`This plan does not have anInitial Deductible:
`N/A
`N/A
`N/A
`
`N/A
`
`N/A
`
`Mail
`Order
`
`N/A
`
`2
`
`2016 PDP-Finder: Medicare Part D (Drug
`Only) Plan Finder
`PDP-Compare: 2015/2016 Medicare Part
`D plan changes
`2016 MA-Finder: Medicare Advantage
`.
`Plan Finder
`MA-Compare: 2015/2016 Medicare
`Advantage plan changes
`Drug Finder: 2016 Medicare Part D plan
`drug search
`Formulary Browse: View any 2016
`--- If you purchase duringtheInitial Coverage Phase---
`Medicare plan formulary
`2016 Browse DrugsByLetter
`Initial Coverage Phase Cost-Sharing:
`http:/Avww.q1medicare.com/PartD-2016MedicarePlan-RetailDrugPrice.php?ndc=10337090544&letter=K&formulary=00016286&stateReg=13Ml&contractld=H2322&planid=008&segmentid=O#History
`
`

`

`2016 MI Retail Drug Price Details
`
`33%
`
`33%
`
`33%
`
`33%
`
`33%
`
`33%
`
`Est. CostInitial Coverage Phase:
`$184.06
`$184.06 $184.06
`
`$533.94
`
`$533.94
`
`$533.94
`
`Explanation for 30-Day Preferred Pharmacypurchase:
`
`The cost-sharing for purchases madeduring theinitial coverage phase
`(ICP) would be $184.06 or ($557.76 x 33%).
`
`--- Ifyou purchase during the Coverage Gap Phase (DonutHole)---
`
`YourEst. Cost in Coverage Gap Using the Brand-NameDrug Discount (55%):
`$250.99
`$250.99 $250.99
`$728.10
`$728.10
`$728.10
`Explanation for 30-Day Preferred Pharmacypurchase:
`Yourcosts is the negoiated retail price of $557.76 x 45%.
`
`PDP-Facts: 2016 Medicare Part D plan
`Facts & Figures
`Guide to 2015/2016 LIS Mailings from
`CMS, Social Security and Plans
`Medicare Part D Reminder Service: 2017
`
`Sreren
`
`2ECURED
`-
`
`--- If you purchase during the Catastrophic Coverage Phase---
`Catastrophic Coverage Phase Cost-Sharing for Other Drugs (Brand-Nameor
`Non-Preferred Multi-Source Drugs):
`The greater of 5% or $7.40
`The greater of 5% or $7.40
`Your Estimated Cost in Catastrophic Coverage (Brand-Nameor Non-Preferred
`Multi-Source Drugs):
`$27.89
`
`$27.89
`
`$27.89
`
`$80.90
`
`$80.90
`
`$80.90
`
`3/22/2016
`
`Plan (PDP) Benefit Details
`
`2016 Medicare Advantage Plan
`Benefit Details
`
`2017 Medicare Part D Plan
`
`Information
`
`Medicare Star Quality Ratings
`
`Medicare.gov Tutorial
`
`The Basics of Medicare Part D
`
`How Part D Plans Work
`
`The Donut Hole and Beyond
`
`DoughnutHole Calculator
`
`Out-of-Pocket Cost Estimator
`
`Which Drugs are Covered?
`
`Which Drugs are Excluded?
`
`Understanding Your Explanation of
`Benefits
`
`Formulary Exceptions
`(Coverage Determinations),
`Appeals & Grievances
`
`Choosing a Plan: The Basics
`
`Your Medicare Part D Checklist
`
`Tips from CMS
`
`Important Dates
`
`The Late Enrollment Penalty
`
`After Enrollment into Part D
`
`Part D Scams- Watch Out!
`
`Medicaid, "Extra Help" and LIS
`
`Medicare Advantage Plans
`
`2016 Medicare Advantage Plans
`State Overview
`
`
`
`Explanation for 30-Day Preferred Pharmacypurchase:
`In the catastrophic coverage phase,you will pay the greater of 5% of the
`retail drug price or the minimum cost-share of $7.40. Calculating 5% of
`$557.76 = $27.89. Since $27.89 is more than $7.40, you would pay
`$27.89 for this drug at any pharmacy, becauseit is not a generic or
`preferred multi-source drug.
`
`Alliance Medicare PPO (PPO) Average Negotiated Retail Drug Price History
`30-Day Supply
`90 Day Supply
`$557.76
`$1,617.99
`$509.54
`$1,477.81
`N/A
`N/A
`
`January, 2016:
`September, 2015:
`June, 2015:
`
`April, 2015:
`January, 2015:
`September, 2014:
`June, 2014:
`
`March, 2014:
`
`January, 2014:
`October, 2013:
`
`N/A
`N/A
`N/A
`N/A
`
`N/A
`
`N/A
`N/A
`
`N/A
`N/A
`N/A
`N/A
`
`N/A
`
`N/A
`N/A
`
`N/A
`January, 2013:
`N/A
`April, 2012:
`
`September, 2010: N/A
`
`http:/Avww.q1medicare.com/PartD-2016MedicarePlan-RetailDrugPrice.php?ndc=10337090544&letter=K&formulary=00016286&stateReg=13Ml&contractld=H2322&planid=008&segmentid=O#History
`
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`
`

`

`3/22/2016
`
`2016 Medicare Advantage Plan
`Benefit Details
`
`Find a 2016 Medicare Advantage
`Plan by Drug Costs
`
`Medicare Overview
`
`Medicare & You Handbook
`
`Guide to Rx Coverage
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`Plan Archives
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`Support Center
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`Medicare.gov Tutorial
`
`:: Click here to link to this page on
`your website
`
`Mowtuitter
`
`
`
`2016 MI Retail Drug Price Details
`
`*The plan’s Average Retail Drug Price is based onthree things: (1) the
`medication, (2) the specific Medicare Part D plan, and (3) the pharmaciesin the
`plan’s service area. In this case, the average of the KERYDIN 5% TOPICAL
`SOLUTIONpricesthat the Alliance Medicare PPO (PPO) has negotiated with
`eachofthe retail pharmacies in the plan’s service area (in
`Genesee, MI: CMS MA Region 11, includes: Ml). In other words, when you use
`the Alliance Medicare PPO (PPO) to purchase KERYDIN 5% TOPICAL
`SOLUTION, you may pay slightly more orslightly less than the figures shown in
`the table above depending on the pharmacy where youfill your prescription.
`
`
`
`Return to the Alliance Medicare PPO (PPO) 2016 Formulary Browser by
`choosing a letter below:
`ABCDEFGHIJSKLMNOPQRSTUVWXYZ09
`
`It's gone. Undo
`
`Whatwas wrong with this ad?
`
`O Notinterested
`
`O Already purchased
`O Repetitive
`
`C ha rt
`Legend:
`
`Whatdoesall this
`mean? Below are a
`
`few notes to help
`you understand the
`above 2016
`
`Medicare Part D
`Alliance Medicare
`
`PPO (PPO)Plan
`Formulary.
`
`Google
`
`= Plan Name: Thisis the official Medicare Part D prescription drug plan name
`from the Centers for Medicare and Medicaid Services (CMS). The same
`Medicare Part D plan name generally has a different Plan ID in each state (or
`CMS Region).
`
`= Monthly Premium: This is the amount you must pay each monthforthis
`prescription drug plan. This monthly premium mustbe paid evenif you are in
`theinitial deductible phase or the coverage gap (donut hole) phase.
`
`http:/Avww.q1medicare.com/PartD-2016MedicarePlan-RetailDrugPrice.php?ndc= 10337090544&letter= K&formulary=00016286&stateReg= 13M l&contractld=H2322&planid=008&segmentid=0#History
`
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`3/22/2016
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`2016 MI Retail Drug Price Details
`
`Deductible: If your Part D plan has an initial deductible, you are 100%
`responsible for your drug costs until your expenses exceed this value and you
`begin your Initial Coverage Phase. Many Medicare Part D plans use the the
`standard $360 deductible as provided by CMS in their Standard plan design.
`Some Part D plan providers offer an initial deductible lower than the Standard
`deductible. Many prescription drug plans do not have a deductible (also called
`first dollar coverage or a $0 deductible), however the monthly premium for a
`plan with a $0 deductible may be slightly higher.
`
`Qualifies for LIS: The Extra Help or Low Income Subsidy (LIS) Program.
`Yes ­ This plan qualifies for the $0 Premium for those persons with a full
`LIS or Extra Help benefit. Persons on the LIS program who select a
`qualifying plan will also pay a $0 deductible, pay lower cost­sharing
`payments and have coverage through the Coverage Gap or Doughnut
`Hole.
`
`No ­ This plan does not qualify for the $0 Premium for persons wit the
`full LIS benefit.
`
`Plan ID: This is the Medicare Part D prescription drug plan's unique ID.
`
`Drug Tier Information ­ Drug Tiers are the logical grouping of prescription
`drugs on a Part D plan formulary. These fields represent the Tier (or drug list
`group) ­ for this particular medication ­ on this particular plan’s Formulary or
`Drug List.
`Tier Number ­ This is the actual numerical tier level from the formulary.
`Most Part D plans have four (4) tiers 1=Preferred Generics, 2=Preferred
`Brands, 3=Non­preferred Brands and Generics, 4=Specialty Drugs.
`Drug Description ­ This is the Medicare Part D plan’s description of this
`particular drug tier.
`Cost Sharing ­ Copay / Coinsurance ­ These figures apply to the initial
`coverage phase of your plan. This is the phase after the initial deductible has
`been met and before you reach the Coverage Gap (Donut Hole). Plans often
`cover drugs in "tiers". Tiers are specific to the list of drugs covered by the
`plan. Plans may have several tiers, and the copay for a drug depends on
`which tier the drug is in. The drug Tier is shown to the left of this column.
`These cost sharing figures DO NOT necessarily apply to the Coverage Gap.
`The plan may have a separate copay/coinsurance for the same drug while in
`the Coverage Gap. There are two figures shown under this "Cost Sharing"
`
`http://www.q1medicare.com/PartD­2016MedicarePlan­RetailDrugPrice.php?ndc=10337090544&letter=K&formulary=00016286&stateReg=13MI&contractId=H2322&planId=008&segmentId=0#History
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`2016 MI Retail Drug Price Details
`
`category:
`Preferred Network Pharmacy ­ (Preferred Pharm) ­ This is the cost­
`share amount you would pay during the intial coverage phase for a 30­
`Day supply (until your total retail prescription drug costs reach $3310)
`at a "Preferred" network pharmacy. In most cases, the "Preferred"
`network and network pharmacy pricing are the same. However, for
`example on the 2016 Humana Walmart­Preferred Rx Plan the cost­
`sharing is much higher at a network pharmacy over a "Preferred"
`network pharmacy. "Preferred" network pharmacies for this plan include
`only Walmart, Sam’s Club and RightSource.
`Mail Order ­ This is the cost­share amount you would pay during the
`initial coverage phase for a 90­Day supply if you purchased your
`medication through your plan’s preferred mail order partner(s).
`Drug Utilization Management or Coverage Rules ­ (Drug Usage Mgmt) ­
`This shows the plan requires drug utilization management controls for this
`particular medication.
`None ­ This drug does not fall under any drug utilization management
`controls.
`P ­ Prior Authorization ­This drug is subject to prior authorization.
`S ­ Step Therapy ­This drug is subject to step therapy.
`Q ­ Quantity Limits ­This drug is subject to quantity limits. The actual
`quantity limit is shown as Q:Amount/Days. For Example: Q:6/28Days
`means the quantity limit is a quantity of 6 pills per 28 days.
`Q:90/365Days would mean that the plan limits this drug to 90 pills for
`the entire year.
`
`Top
`
`(Chart Source: Centers for Medicare and Medicaid files: CMS Data January 2016 ) 
`
`Please note: The above plan information comes from CMS. We make every attempt
`to keep our information up­to­date with plan/premium changes. However, the
`Medicare Part D plan data changes over time and we cannot guarantee the
`accuracy of this information. You should always verify cost and coverage
`information with your Part D plan provider. 
`
`http://www.q1medicare.com/PartD­2016MedicarePlan­RetailDrugPrice.php?ndc=10337090544&letter=K&formulary=00016286&stateReg=13MI&contractId=H2322&planId=008&segmentId=0#History
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`Tips & Disclaimers
`
`The Medicare Advantage and Medicare Part D prescription drug plan data on our site comesdirectly from Medicare and is subject to change.
`Medicare has neither reviewed nor endorsedthe information on our site.
`
`Weprovide our QiMedicare.com site for educational purposes andstrive to present unbiased and accurate information. However, QiMedicare is not intended as a
`substitute for your lawyer, doctor, healthcare provider, financial advisor, or pharmacist. For more information on your Medicare coverage, please be sureto seeklegal,
`medical, pharmaceutical, or financial advice from a licensed professional or telephone Medicare at 1-800-633-4227.
`Weare an independent education, research, and technology company. Weare notaffiliated with any Medicare plan, plan carrier, healthcare provider, or insurance company.
`Weare not compensated for Medicare plan enrollments. We donotsell leads or share your personalinformation.
`Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year. Our PDP-Compare.com and
`MA-Compare.com provide highlights of annual plan benefit changes.
`The benefit information provided is a brief summary, not a complete description of benefits. For more information contact the plan.
`Limitations, copayments, and restrictions may apply.
`Wemakeevery effort to show all available Medicare Part D or Medicare Advantageplansin your service area. However, since our data is provided by Medicare, it is
`
`http:/Avww.q1medicare.com/PartD-2016MedicarePlan-RetailDrugPrice.php?ndc= 10337090544&letter=K&formulary=00016286&stateReg= 13M l&contractld=H2322&planid=008&segmentid=0#History
`
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`3/22/2016
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`2016 MI Retail Drug Price Details
`possible that this may not be a complete listing of plans available in your service area. For a complete listing please contact 1­800­MEDICARE (TTY users should call 1­877­
`486­2048), 24 hours a day/7 days a week or consult www.medicare.gov.
`When enrolling in a Medicare Advantage plan, you must continue to pay your Medicare Part B premium.
`Medicare beneficiaries with higher incomes may be required to pay both a Medicare Part B and Medicare Part D Income Related Monthly Adjustment Amount (IRMAA).
`Read more on IRMAA.
`Medicare Advantage plans that include prescription drug coverage (MAPDs) are considered Medicare Part D plans and members with higher incomes may be subject to the
`Medicare Part D Income Related Monthly Adjustment Amount (IRMAA), just as members in stand­alone Part D plans. In certain situations, you can appeal IRMAA.
`You must be enrolled in both Medicare Part A and Part B to enroll in a Medicare Advantage plan. Members may enroll in a Medicare Advantage plan only during specific
`times of the year. Contact the Medicare plan for more information.
`If you are enrolled in a Medicare plan with Part D prescription drug coverage, you may be eligible for financial Extra Help to assist with the payment of your prescription drug
`premiums and drug purchases. To see if you qualify for Extra Help, call: 1­800­MEDICARE (1­800­633­4227). TTY users should call 1­877­486­2048, 24 hours a day/ 7 days
`a week or consult www.medicare.gov; the Social Security Office at 1­800­772­1213 between 7 a.m. and 7 p.m., Monday through Friday. TTY users should call, 1­800­325­
`0778; or your state Medicaid Office.
`Medicare evaluates plans based on a 5­Star rating system. Star Ratings are calculated each year and may change from one year to the next.
`A Medicare Advantage Private Fee­for­Service plan (PFFS) is not a Medicare supplement plan. Providers who do not contract with the plan are not required to see you
`except in an emergency.
`Disclaimer for Institutional Special Needs Plan (SNP): This plan is available to anyone with Medicare who meets the Skilled Nursing Facility (SNF) level of care and resides
`in a nursing home.
`Disclaimer for Dual Eligible (Medicare/Medicaid) Special Needs Plan (SNP): This plan is available to anyone who has both Medical Assistance from the State and Medicare.
`Premiums, co­pays, co­insurance, and deductibles may vary based on the level of Extra Help you receive. Please contact the plan for further details.
`Disclaimer for Chronic Condition Special Needs Plan (SNP): This plan is available to anyone with Medicare who has been diagnosed with the plan specific Chronic
`Condition.
`Medicare MSA Plans combine a high deductible Medicare Advantage Plan and a trust or custodial savings account (as defined and/or approved by the IRS). The plan
`deposits money from Medicare into the account. You can use this money to pay for your health care costs, but only Medicare­covered expenses count toward your
`deductible. The amount deposited is usually less than your deductible amount, so you generally have to pay out­of­pocket before your coverage begins.
`Medicare MSA Plans do not cover prescription drugs. If you join a Medicare MSA Plan, you can also join any separate (stand­alone) Medicare Part D prescription drug plan
`There are additional restrictions to join an MSA plan, and enrollment is generally for a full calendar year unless you meet certain exceptions. Those who disenroll during the
`calendar year will owe a portion of the account deposit back to the plan. Contact the plan provider for additional information.
`Medicare beneficiaries may enroll through the CMS Medicare Online Enrollment Center located at www.medicare.gov.
`Medicare beneficiaries can file a complaint with the Centers for Medicare & Medicaid Services by calling 1­800­MEDICARE 24 hours a day/7 days or using the medicare.gov
`site. Beneficiaries can appoint a representative by submitting CMS Form­1696.
`
`http://www.q1medicare.com/PartD­2016MedicarePlan­RetailDrugPrice.php?ndc=10337090544&letter=K&formulary=00016286&stateReg=13MI&contractId=H2322&planId=008&segmentId=0#History
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`Q1Medicare.com
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`Education and Decision Support Tools for the Medicare Community
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`-- Find a 2016 Part D Plans in Your State --
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`a1 Are you finding the world of Medicare Part D prescription drug plans and
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`Donut Hole (or even Doughnut Hole) and Donut Hole Discount?
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`1. Select Your State:
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`Medicare Part D
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`Well - you are not alone. Without a doubt, the Medicare Part D prescription drug
`and Medicare Advantage programsare rather complicated. We originally started our
`site, Q1Medicare.com, to help people like you better understand these government
`health programs. Our QiMedicare.comsite will continue to grow and changeasthe
`Medicare Part D prescription drug and Medicare Advantage programsevolve.
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`Latest Medicare News
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`Q1Medicare.com offers a large selection of Frequently Asked Questions, online
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`tools, aMedicarePartDBlog, and a Medicare Part D Newsletter all developed to
`Enrollment Tips
`help Medicare beneficiaries, healthcare professionals, advocates, advisers,
`caregivers, and insurance agents better understand both the Medicare Part D
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`If you have any questions or concernsplease feel free to contact usat:
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`Medicare.gov Tutorial
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`The Basics of Medicare Part D
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`How Part D Plans Work
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`The Donut Hole and Beyond
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`DoughnutHole Calculator
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`Out-of-Pocket Cost Estimator
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`Which Drugs are Covered?
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`Which Drugs are Excluded?
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`About Q1Group LLC and
`Q1Medicare.com
`
`a Q1Medicare.comis oneof the nation’s largest independent online
`resourcesfor MedicarePart D prescription drug plan (PDP) and
`Medicare Advantage plan (MA, MAPD,SNP,etc) information.
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`The Q1iMedicare.com website is operated by Q1Group, LLC located in Saint
`Augustine, Florida.
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`Understanding Your Explanation of
`Benefits
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`Q1Group specializes in the design, development, and operation of complex, content
`intensive online decision support and education systems.
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`Formulary Exceptions
`(Coverage Determinations),
`Appeals & Grievances
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`Part D Scams- Watch Out!
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`Find a 2016 Medicare Advantage
`Plan by Drug Costs
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`Medicare Overview
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`Q1Group designed Q1Medicare.com as a neutral online resource to objectively
`educate seniors, Medicare beneficiaries, advocates, agents, and membersof the
`general public whoare interested in Medicare Part D prescription drug plans and/or
`Medicare Advantage plans.
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`Q1Group makesevery effort to ensure that the Q1Medicare.comsite is factually
`accurate - and provides content and tools that can assist with the understanding or
`selection of a Medicare Part D plan.
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`Anyerrors, omissions, or problems with the Q1Medicare.com site should be
`reported to Team@Qi1Group.com.
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`Users of the Q1Medicare.com site are always encouragedto join the Medicare Part
`D plan or Medicare Advantage plan that most economically covers their prescription
`medication and health needs.
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`Q1Medicare.com wasalso formerly known as Medicare-PartD.com - we changed
`the nameof oursite as we expanded ourcontentto include more information on
`Medicare Advantage plans, Medicare Supplements (or Medigapplans), and the
`general Medicare program.
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`PDP­Facts: 2016 Medicare Part D plan
`Facts & Figures
`Guide to 2015/2016 LIS Mailings from
`CMS, Social Security and Plans
`Medicare Part D Reminder Service: 2017
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`Our Philosophy
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`We strive to provide the most up to date information on Medicare Part D
`prescription drug plans and Medicare Advantage plans ... and we also work to
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`remain politically and professionally neutral. neutral
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`What does this mean to you? We are an educational site. 
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`We do not sell, market or represent any Medicare Part D plans or Medicare
`Advantage plans. And we do not sell customer leads or share any of your personal
`information.
`
`We publish information that is relevant to the entire Medicare Part D program, as
`well as specific Part D drug plans and Medicare Advantage plans. Please note, as a
`general rule, we do not publish editorial information on Medicare Part D plans. We
`do, however, republish and reference relevant press releases from the Centers for
`Medicare and Medicaid Services (CMS or Medicare), selected Medicare advocates,
`and some of the major Part D plan providers. 
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`Q1Medicare.com is not intended as a substitute for your lawyer, doctor, healthcare
`provider, financial advisor, or pharmacist. For more information on your Medicare
`coverage, please be sure to seek legal, medical, pharmaceutical, or financial advice
`from a licensed professional or telephone Medicare at 1­800­633­4227. 
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`If you have any questions or concerns please feel free to contact us at:
`Team@Q1Group.com.
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`We provide information on all Medicare
`Part D and Medicare Advantage plans.
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`Q1Group tools included on Q1Medicare.com: PDP­Finder, MA­Finder,
`PDP­Compare, and MA­Compare along with our Formulary Browser and
`Drug Finder are available to all site visitors at no cost and designed for PC,
`smartphone, and tablet platforms.
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`Some people prefer to work alone and some people like to work with a real person.
`No matter who you are, we will try to provide answers to your specific Medicare Part
`D plan or Medicare Advantage plan questions or provide assistance in cases where
`there are slight "challenges". However, due to our own internal resources, we will
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`sometimes need to refer you to other sources for assistance.
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`THE 2016
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`FROM $64,950°
`EXPLORE
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`Please note, we are a private organization. We are NOT employed by or
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`Although the Medicare Advantage and Medicare Part D prescription drug plan data
`on our site comesdirectly from Medicare and is subject to change, Medicare has
`neither reviewed nor endorsed the information on our site.
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`Last updated on: 10/13/2015
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`Tips & Disclaimers
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`About Us ­ www.Q1Medicare.com
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`The Medicare Advantage and Medicare Part D prescription drug plan data on our site comes directly from Medicare and is subject to change.
`Medicare has neither reviewed nor endorsed the information on our site.
`We provide our Q1Medicare.com site for educational purposes and strive to present unbiased and accurate information. However, Q1Medicare is not intended as a
`substitute for your lawyer, doctor, healthcare provider, financial advisor, or pharmacist. For more information on your Medicare coverage, please be sure to seek legal,
`medical, pharmaceutical, or financial advice from a licensed professional or telephone Medicare at 1­800­633­4227.
`We are an independent education, research, and technology company. We are not affiliated with any Medicare plan, plan carrier, healthcare provider, or insurance company.
`We are not compensated for Medicare plan enrollments. We do not sell leads or share your personal information.
`Benefits, formulary, pharmacy network, provider network, premium and/or co­payments/co­insurance may change on January 1 of each year. Our PDP­Compare.com and
`MA­Compare.com provide highlights of annual plan benefit changes.
`The benefit information provided is a brief summary, not a complete description of benefits. For more information contact the plan.
`Limitations, copayments, and restrictions may apply.
`We make every effort to show all available Medicare Part D or Medicare Advantage plans in your service area. However, since our data is provided by Medicare, it is
`possible that this may not be a complete listing of plans available in your service area. For a complete listing please contact 1­800­MEDICARE (TTY users should call 1­877­