Are there other prescription drug payment sources for long-term care residents besides a Medicare drug plan?
Residents of long-term care facilities whose care is being covered under the Medicare skilled nursing facility (SNF) benefit have their prescribed medications and over-the-counter medications paid under the Part A SNF per diem payment to the facility. Part B-covered drugs remain coverable under Part B and are not covered under Medicare drug coverage. These include: • drugs not commonly self-administered that are administered incident to a physicians services • certain anti-cancer drugs • certain anti-nausea medications taken with anti-cancer drugs Drugs specifically excluded by Medicare drug coverage (see Question 5 above) could be covered, at state option, by the state Medicaid program, or by a state pharmacy assistance program (SPAP). These include medications often prescribed for nursing home residents such as: • benzodiazepines • over-the-counter (OTC) medications such as those to redress pain, constipation or indigestion • medications to prevent weight loss, particularly for peopl
Related Questions
- Should I enroll in a Medicare Advantage-Prescription Drug Plan covering both Medical and Prescription Drug expenses?
- Are there other prescription drug payment sources for long-term care residents besides a Medicare drug plan?
- Who may be a Prescription Drug Plan (PDP Sponsor) for Medicare Drug coverage?
