I have a Medicaid Spenddown – How will Medicare Part D work with Medicaid? What part will ADAP play?
Medicare drug coverage cannot be used to meet your spenddown/surplus, but it is important to keep your Medicaid active as it pays for services that are not covered by Medicare. ADAP can still help to meet your Medicaid Spenddown. When your Medicaid is active, it will be secondary payor and will cover drugs and services not covered by Medicare. At the beginning of each month you should check to make sure your Medicaid is active for that month (your pharmacist, social worker, Medicaid worker, or an ADAP representative can tell you). If your Medicaid is not active, your ADAP card can be used by your pharmacist to pay for enough medication to meet your spenddown. Ask the pharmacist to give you a receipt or wait to receive a letter and special receipt from ADAP. You will need to bring one of these receipts to Medicaid. For ADAP to meet your Spenddown, it is very important that we have accurate information. Make sure you have sent ADAP a copy of your most recent “Notice of Decision” letter f
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