
Who We Are
Founded by specialists in data management, pharmacy benefits, health care consulting and federal health regulations, we are among the very few -- if not the only -- solutions providers with the knowledge and industry relations necessary to expertly navigate all aspects of the Retiree Drug Subsidy maze from beginning to end.
What We Do
Part D Subsidies. That's all we do.
The Retiree Drug Subsidy application and follow-up tasks are complex, time-consuming, and constantly changing. Capable of providing virtually all services necessary to receive the tax-free 28% federal subsidy payments under Medicare Part D, Part D Advisors can relieve retiree prescription drug plan sponsors of the burden of multiple service providers and the risk of miscommunications, incompatibility, delays and other headaches. We let you focus on your core business, not the Medicare regulatory jungle.
Employing the latest technologies in communications such as real-time online conferencing, we provide Retiree Drug Subsidy application and follow-up assistance for our clients across the continental U.S. -- municipalities, Taft-Hartley health funds and private employers. We are also engaged by third party administrators and pharmacy benefit managers who wish to subcontract Retiree Drug Subsidy services to their clients.
Scope of Services
Plan sponsors rely on Part D Advisors to:
- Counsel plan sponsors to maximize federal subsidy opportunities
- Fulfill all creditable coverage notice requirements, including mailing
- Provide full customer service team for inquiries from retirees regarding notices
- Prepare drug subsidy application for filing with the Center for Medicare and Medicaid Services (CMS)
- Handle all creditable/noncreditable coverage reporting with CMS
- Provide actuarial equivalency attestations as required for drug subsidy
- Satisfy ongoing federal cost estimate reporting requirements, including monthly file updates
- Prepare and submit monthly subsidy payment requests to CMS
- Electronically respond to CMS regarding rejected subsidy applications
- Electronically respond to CMS regarding rejected payment applications
- Handle the complex and dangerous Final Reconciliation
Process
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