Medicare Part D Eligibility Requirements

To be eligible for Medicare Part D coverage and/or Blue MedicareRx (PDP)^SM, you must:

• be entitled to Medicare benefits under Part A or enrolled in Part B;
• reside in Texas; and
• not be enrolled in any other Medicare Part D Plan

Please note: If you are currently enrolled in a Medicare Advantage (MA) plan, you should review the following scenarios carefully:

• You may not enroll in any Medicare-approved prescription drug plan unless you have a Medical Services Account (MSA) or a Private Fee-For-Service (PFFS) Medicare Advantage Plan that does not provide Medicare prescription drug coverage.
• If you are enrolled in a Medicare Advantage HMO, PPO, or POS plan, you may only receive your Medicare Prescription drug benefits through that Medicare Advantage plan.
• If you are enrolled in a Medicare Advantage HMO, PPO, or POS plan, or a Medicare Advantage Prescription Drug Plan, and then enroll in an independent Medicare-approved prescription drug plan, you will automatically be disenrolled from your Medicare Advantage plan or the other prescription drug plan.

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Last Updated 09/15/09 - S5715_WEB_TX_PDP
CMS Approved 11/19/2009