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The Handbook of Employee Benefits: Health and Group Benefits 7/E by Jerry Rosenbloom

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CHAPTER 21Medicare Part D Prescription Drug Benefits

Craig S. Stern

This chapter focuses on Medicare Part D prescription drug coverage, with particular emphasis on how the rules apply to group health plans.

The Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA) was signed into law on December 8, 2003. It created a new Medicare Part D, which established a voluntary outpatient prescription drug benefit for seniors and qualified disabled persons.

The eligible population is enormous. It is estimated that the Medicare and Medicaid populations consist of 43 million eligible Medicare beneficiaries, of whom approximately 14 million may qualify for low-income subsidy assistance, and about 6 million beneficiaries who will move ...

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