Do You Need Help Managing Your Medications?
Posted on February 17, 2021
If you have complex health needs, take multiple prescription drugs and have high prescription drug costs, you may be eligible to participate in Health New England’s Medication Therapy Management (MTM) Program.*
This program provides eligible Medicare Advantage members with a chance to review medications with a medical professional— either a pharmacist or registered nurse. This program is available at no charge and is included with your Medicare Part D benefits.
By participating in the MTM program, you can:
- Empower yourself and take an active role in your medication management
- Enhance your medication use to improve your quality of life
- Reduce your health care costs
- Reduce your risk of medication-related problems
To qualify, you must meet all three of the following criteria:
- Fill at least eight different Medicare Part D medications.
- Have at least three out of the following five disease states: Alzheimer’s disease, bone disease (osteoporosis), chronic heart failure, diabetes, respiratory disease (chronic obstructive pulmonary disease (COPD)).
- Estimate spending about $4,376 on medications over the course of the year.
Savings Tip: By switching to a generic alternative medication, you can save money on copays each time you fill a prescription and reduce your prescription drug costs, which can help you from reaching the coverage gap, also called the “donut hole.”
For more about the program, visit healthnewengland.org/medicare/MTM or call our MTM department at (800) 424-7885.
*The MTM program applies to members enrolled in a Health New England Medicare Advantage plan with prescription benefits.
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