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If an auto-enrolled Medicare beneficiary comes into a pharmacy without a card, how can a pharmacist determine eligibility and bill the correct plan sponsor?

April 26, 2017Beneficiary card comes determine eligibility medicare pharmacist pharmacy

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If an auto-enrolled Medicare beneficiary comes into a pharmacy without a card, how can a pharmacist determine eligibility and bill the correct plan sponsor?

2 Answers

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There are three ways for pharmacists to determine eligibility and correct billing information: (1) through the TrOOP facilitator, (2) by utilizing the Limited Income NET Program, or (3) by calling 1-800-MEDICARE.

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There are three ways for pharmacists to determine eligibility and correct billing information: (1) through the TrOOP facilitator, (2) by utilizing the point-of-sale facilitated enrollment process, or (3) by calling 1-800-MEDICARE.