If you get extra help from Medicare to help pay for your Medicare prescription drug plan costs, your monthly plan premium will generally be lower than what it would be if you did not get extra help form Medicare. The amount of extra help you get will determine your total monthly plan premium as a member of our Plan.
This table shows you what your monthly plan premium will be if you get extra help.
| Your level of extra help |
Monthly Premium for
Care N’ Care Plan I |
Monthly Premium for
Care N’ Care Plan II |
| 100% |
$0 |
$0 |
| 75% |
$7.25 |
$18.75 |
| 50% |
$14.50 |
$37.70 |
| 25% |
$21.75 |
$56.25 |
*This does not include any Medicare Part B premium you may have to pay.
Care N’ Care’s premium includes coverage for both medical services and prescription drug coverage.
To see if you qualify for getting extra help call:
1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048, 24 hours a day/7 days a week;
The Social Security Administration at 1-800-772-1213 between 7 a.m. and 7 p.m. Monday through Friday. TTY users should call 1-800-325-0778; or Your State Medicaid office.
You can also call our customer service department at 817-529-5267; TTY users should call 817-529-5268 from 8:00am to 8:00pm seven days a week.
What if you believe you have qualified for extra help and you believe that you are paying an incorrect co-payment amount?
If you believe you have qualified for extra help and you believe that you are paying an incorrect co-payment amount when you get your prescription at a pharmacy, our Plan has established a process that will allow you to either request assistance in obtaining evidence of your proper co-payment level, or, if you already have the evidence, to provide this evidence to us. Please provide us with one of the following pieces of information:
 A copy of your Medicaid card that includes your name and an
eligibility date during a month after June of the previous calendar year;
A copy of a state document that confirms active Medicaid
status during a month after June of the previous calendar year;
A print out from the State electronic enrollment file showing
Medicaid status during a month after June of the previous calendar year;
A screen print from the State’s Medicaid systems showing
Medicaid status during a month after June of the previous calendar year;
Other documentation provided by the State showing Medicaid
status during a month after June of the previous calendar year; or,
A copy of your SSA award letter.
Please mail this information to the following address:
Care N’ Care
Attn: Enrollment
1701 River Run, Suite 402
Fort Worth, TX 76107
For more information on providing Best Available Evidence, please contact our Customer Service department at 817-529-5267; TTY users should call 817-529-5268 from 8:00am to 8:00pm seven days a week.
If you would like to read more about the Best Available Evidence Policy (BAE) on the CMS website click here. |
