Do State Pharmacy Assistance Programs (SPAPs) have to work with all Medicare drug plans offered in their states?

September 20, 2009 by admin

Yes.If the SPAP chooses to administer its wrap-around benefits in the form of secondary coverage at the point-of-sale, it must do so for all beneficiaries regardless of their primary Part D coverage plan.However, some SPAPs specifically contract with Part D sponsors to administer the SPAP's wrap-around benefits. In these instances, only those beneficiaries joining Part D plans that have agreed to accept a lump sum per capita payment from the State to administer the wrap-benefit on their behalf will receive wrap-around benefits. When you join the SPAP, the SPAP will communicate to you which plans they contract with so that you may enroll in the appropriate Part D plan.