Prescription Drug Coverage
A Message About Your Medicare Prescription Drug Coverage
If you are enrolled in a Medicare prescription drug plan and are experiencing difficulty obtaining your prescriptions or feel there are problems with your benefit, please call your prescription drug plan. For questions about your options under Medicare or to find out more about your rights and protections, call Medicare at 1-800-MEDICARE
(1-800-633-4227).
Medicare Rx (Medicare Part D) is a federal government program offered by the U.S. Department of Health and Human Services Centers for Medicare and Medicaid Services (CMS). Through this website, the Texas Health and Human Services Commission hopes to provide information that helps dual eligible Texans - those who are Medicare-eligible and also receive assistance from Medicaid - make a successful transition to the new Medicare Part D program. Additional information is available from the Texas Department on Aging and Disability Services (DADS) and the Texas Department of State Health Services (DSHS) Kidney Health Care Program and Texas HIV Medication Program.
*Information for Medicaid clients who receive community attendant services:
Texas is the only state that takes advantage of Medicaid's 1929(b) program, which provides community attendant services that help lower-income elderly clients live at home instead of moving into a nursing facility. Texas has roughly 47,000 Medicaid clients who benefit from this program.
The Centers for Medicare and Medicaid Services (CMS), the federal program that runs Medicare, has announced that Medicare beneficiaries whose only Medicaid benefit is community attendant services are not automatically eligible for the low-income subsidy for Medicare prescription drug program. If you receive community attendant services through Medicaid and no other Medicaid services, you must do two things to receive Medicare prescription drug coverage at a reduced price. You must:
- File an application for the low-income subsidy and meet the financial eligibility requirements in order to receive the subsidy and,
- Choose and enroll in a Medicare prescription drug plan.
Contact your Texas Department on Aging and Disability Services (DADS) caseworker for more information.
