Overview of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 Page: 3 of 28
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Contents
O verview ........................................................ 1
Prescription Drugs ............................................... 2
Voluntary Prescription Drug Benefit Program ........................ 2
O verview ................................................2
Eligibility and Enrollment ................................. 2
Prescription Drug Benefits ................................. 3
Beneficiary Protections for Qualified Prescription Drug Coverage . . .. 4
Electronic Prescription Program .............................. 5
Access to a Choice of Qualified Prescription Drug Coverage ........ 6
PD P R egions .............................................6
Submission of Bids ....................................... 6
Plan A pproval ............................................6
F allb ack .................................................7
Contract Requirements ..................................... 7
Prem ium s ................................................8
Premium and Cost-Sharing Subsidies for Low-Income Individuals ... 8Direct Subsidies ......................................... 9
Risk Corridors .......................................... 10
Subsidies for Retiree Plans ................................. 10
Relationship to Other Programs ............................. 11
M edigap ...............................................11
Medicare Prescription Drug Discount Card ......................... 11M edicare Advantage ......................
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Cost Containment .............................................. 16
Administration of Medicare Part C and Part D .......................... 17
Appeals, Regulatory, and Contracting Provisions ........................ 17Provisions Affecting Medicare's Fee-for-Service Program Payments,
Demonstration Projects, Expansion of Covered Benefits and
Beneficiary Cost Sharing ......................................
Changes to Medicare's Fee-for-Service Program ....................
Selected Rural Provider Provisions ...........................
Selected Acute Hospital Provisions ..........................
Selected Physician Provisions ...............................
Selected Provisions Affecting Other Providers and Practitioners . ...
Selected Fee-for Service Demonstration Projects ................
Expansion of Covered Benefits ..............................18
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O'Sullivan, Jennifer; Chaikind, Hinda; Tilson, Sibyl; Boulanger, Jennifer & Morgan, Paulette C. Overview of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003, report, December 6, 2004; Washington D.C.. (https://digital.library.unt.edu/ark:/67531/metadc807947/m1/3/: accessed April 23, 2024), University of North Texas Libraries, UNT Digital Library, https://digital.library.unt.edu; crediting UNT Libraries Government Documents Department.