Medicare

    Facilitated Enrollment

    Facilitated enrollment is the process of placing Low Income Subsidy-eligible individuals into a Part D benchmark plan, including immediate point-of-sale coverage through a temporary plan when an eligible person arrives at the pharmacy without drug coverage. It complements CMS auto-enrollment to prevent coverage gaps.

    Definition

    Facilitated enrollment is the process of placing Low Income Subsidy-eligible individuals into a Part D benchmark plan, including immediate point-of-sale coverage through a temporary plan when an eligible person arrives at the pharmacy without drug coverage. It complements CMS auto-enrollment to prevent coverage gaps.

    Why it matters

    It ensures low-income beneficiaries can fill prescriptions right away, though the facilitated plan may later need review for best fit.

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