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Manage Your Health With Medicare Medication Therapy

7 de septiembre de 2017

If you have multiple chronic health conditions, you might appreciate a little help managing your various prescriptions and their effects on you. One easy way to do this: Enroll in a Medicare prescription drug plan with a medication therapy management program. These programs are designed to help people manage a variety of chronic conditions such as diabetes, asthma, high blood pressure, high cholesterol, heart disease, depression, arthritis and osteoporosis.

What Medication Therapy Management Programs Can Do for You

All  Medicare plans that give you prescription drug benefits (Medicare Part D) must offer medication therapy management (MTM) programs. These programs help you work with your doctor and your pharmacist to make sure you are using your medications safely and effectively. And if you’re eligible, this service is free.

You May Qualify for Free Medication Therapy Management

You might be eligible to receive medication therapy management services — at no cost to you — if you have a Medicare drug plan and meet the criteria your plan sets. These criteria can vary by plan, but typically include:

  • How many medical conditions you have that need prescriptions to treat them.
  • How many prescription medications you take daily.
  • How much your medications cost on an annual basis.

Some  Medicare Part D Plans will auto-enroll you in their MTM program if they see you qualify. Medicare Advantage plans that provide prescription drug benefits, including Medicare special needs plans, might also offer you membership in their MTM programs.

If you take many medications for more than one chronic health condition and you’re not automatically enrolled in an MTM program by your plan, you should ask your plan about taking advantage of it.

Medication Therapy Management Program Started

An MTM program starts with a comprehensive review of all your medications by a pharmacist, who will meet one-on-one with you and go over:

  • What prescription medications you’re taking and how well they’re working.
  • Any over-the-counter medications or herbal and dietary supplements you take.
  • Whether your medications have side effects and how you’re tolerating them.
  • If there might be interactions between the drugs you're taking, or between drugs and food or other substances.
  • Whether your medicine costs can be lowered, such as with generic drugs.
  • Any other questions or issues you may have about your medications.
How a Medication Therapy Management Program Keeps Helping You

At the end of your comprehensive initial review, you’ll get a written summary of it plus:

  • An action plan for you to make the best use of your medications.
  • A personal medication list to take along on your doctor visits and help you keep track of all your medications.

Your MTM program will probably include ongoing medication reviews to help you continue taking an active role in managing your health. They may be monthly, quarterly or some other interval set by your plan. These typically check for changes with your prescriptions, harmful drug interactions, duplications in drug therapy, and other errors or gaps in care.

Remember, most MTM services will cost you nothing if you qualify. And although you are not required to use your plan’s program, it’s a smart way to make sure that all your medications are working together effectively to maintain and improve your health.

Y0114_17_32334_I 08/14/2017

Anthem Blue Cross and Blue Shield es el nombre comercial de: En Colorado: Rocky Mountain Hospital and Medical Service, Inc. Los productos de planes HMO están asegurados por HMO Colorado, Inc. En Connecticut: Anthem Health Plans, Inc. En Indiana: Anthem Insurance Companies, Inc. En Kentucky: Anthem Health Plans of Kentucky, Inc. En Maine: Anthem Health Plans of Maine, Inc. En Missouri (con excepción de los 30 condados del área de la ciudad de Kansas): RightCHOICE® Managed Care, Inc. (RIT), Healthy Alliance® Life Insurance Company (HALIC) y HMO Missouri, Inc. RIT y ciertos afiliados administran beneficios que no pertenecen a planes HMO asegurados por HALIC y beneficios de planes HMO asegurados por HMO Missouri, Inc. RIT y ciertos afiliados brindan solamente servicios administrativos para planes autofinanciados y no suscriben beneficios. En Nevada: Rocky Mountain Hospital and Medical Service, Inc. Los productos de planes HMO están asegurados por HMO Colorado, Inc., que opera con el nombre comercial HMO Nevada. En Nuevo Hampshire: Anthem Health Plans of New Hampshire, Inc. Los planes HMO son administrados por Anthem Health Plans of New Hampshire, Inc., y asegurados por Matthew Thornton Health Plan, Inc. In Ohio: Community Insurance Company. En Virginia: Anthem Health Plans of Virginia, Inc. trades as Anthem Blue Cross and Blue Shield in Virginia, and its service area is all of Virginia except for the City of Fairfax, the Town of Vienna, and the area east of State Route 123. Anthem Blue Cross and Blue Shield and its affiliate HealthKeepers, Inc. En Wisconsin: Blue Cross Blue Shield of Wisconsin (BCBSWi), underwrites or administers PPO and indemnity policies and underwrites the out of network benefits in POS policies offered by Compcare Health Services Insurance Corporation (Compcare) or Wisconsin Collaborative Insurance Corporation (WCIC). Compcare asegura o administra las pólizas de los planes HMO o POS; WCIC asegura o administra las pólizas de los planes HMO o POS de Well Priority. Licenciatarios independientes de Blue Cross and Blue Shield Association. ANTHEM es una marca registrada de Anthem Insurance Companies, Inc. The Blue Cross and Blue Shield names and symbols are the registered marks of the Blue Cross and Blue Shield Association.

Esta información no es una descripción completa de los beneficios. Comuníquese con el plan para obtener más información. Limitations, copayments, and restrictions may apply. Benefits, premiums and/or co-payments/co-insurance may change on January 1 of each year. You must continue to pay your Medicare Part B premium.

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