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The Pennsylvania Department of Aging is a cabinet-level agency charged with providing aid to Pennsylvania's approximately three million individuals age 60 and older. . Although the bureau operates some services directly, such as the Pharmaceutical Contact for the Elderly (PACE) prescription drug program, it generally serves as a clearinghouse of funding and information for county-level Area ...
Elderly Pharmaceutical Insurance Coverage (EPIC) [1] [2] [3] ("New York State's Senior Prescription Plan") [4] was designed so that personal/out-of-pocket costs for medicines are reduced or largely paid for program participants by the state. [1] Members are also given assistance with Medicare Part D. [5]
Under funding from the CMS, PACE provides all services covered by the Medicare and Medicaid. [9] PACE may also cover services outside the scope of Medicare and Medicaid funding, as long as the providers deem the service necessary. [9] Most PACE participants have co-morbidities, including cardiovascular diseases, diabetes, and hypertension. [10]
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The insurance benefit manager recognizes the drug as a TIER 3 brand for the patient and relays the patient co-pay to be $30.00. The co-pay card benefit manager recognizes the $30.00 and covers the $20.00 of co-pay, leaving $10 for the patient to pay out of pocket. Another patient without prescription insurance coverage follows the same process.
The Community Living Assistance Services and Supports Act (or CLASS Act) was a U.S. federal law, enacted as Title VIII of the Patient Protection and Affordable Care Act. The CLASS Act would have created a voluntary and public long-term care insurance option for employees, [ 1 ] [ 2 ] [ 3 ] but in October 2011 the Obama administration announced ...
By definition, retail clinics offer a more narrow range of services (usually limited to 25 - 30 of the most common diagnoses) than are offered in traditional primary care offices. [9] This limited scope of services is seen in both nurse practitioner and physician-staffed retail clinics, and is an integral part of the retail clinic model. [10]