UMP Classic Medicare Part D option
HCA staff will present an option to the PEB Board in March 2024 to help reduce UMP Classic Medicare’s premiums by transitioning its current prescription drug coverage to a Medicare Part D plan in 2025.
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Want to know more about the Medicare Part D option?
About the option
View the UMP Classic Medicare Part D option details in the video presentation.
In response HCA explored ways to make the plan more affordable while maintaining high-quality benefits and coverage.
The transition to a Medicare Part D prescription drug plan was an option that could be implemented quickly with the largest potential reduction in premiums. The Part D list of covered drugs (formulary) is also very similar to UMP Classic Medicare’s Preferred Drug List.
Timeline
- March 21: PEB Board meeting. A summary of town hall feedback presented to the Board.
- April 11: PEB Board meeting. The Board votes on the option.
- April to November: If option is passed by the Board, HCA prepares for implementation.
- Open enrollment, fall 2024: Members are able to change to the plan option. More information including premiums and how to change plans will be available before open enrollment.
- January 1, 2025: Plan option goes live.
PEB Board meetings are open to the public.
FAQs
See the UMP Classic Medicare Part D fact sheet.
Have a question not listed below? Email UMP Questions.
- Will UMP Classic Medicare be available with either the current prescription drug coverage or with the Medicare Part D option?
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No, the Part D option would replace the current prescription drug coverage and it would be embedded in UMP Classic Medicare.
- Is the UMP Classic Medicare Part D option very different from the current prescription drug coverage?
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No, the changes would be very minimal and mostly positive – that is, reduced costs, more coverage, and fewer requirements.
- There would be a change from Basaglar to Lantus, but Lantus uses the same drug, dosage, and type of delivery system, so the impact on members should be minimal.
- The pharmacy network for the Part D option would also be very similar to the current pharmacy network for UMP Classic Medicare, including Costco and Postal Prescription Services (PPS) for mail order.
- I currently pay an Income Related Monthly Adjustment Amount (IRMAA) directly to CMS for my Medicare Part B premium. Will I have an IRMAA on the Part D option?
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Yes. Although you won’t be paying your Part D premium separately, the Centers for Medicare and Medicaid Services (CMS) will assess an IRMAA on the amount of your UMP Classic Medicare premium that is attributable to the Part D coverage.
You will receive a bill for the IRMAA directly from CMS and will pay that directly to CMS.