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IBX | The Medicare Prescription Payment Plan (M3P)

IBX | The Medicare Prescription Payment Plan (M3P)

IBX | The Medicare Prescription Payment Plan (M3P)
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New for 2025! The Medicare Prescription Payment Plan (M3P)

What is the Medicare Prescription Payment Plan?

The Medicare Prescription Payment Plan is a new payment option that works with your client’s current prescription drug coverage to help them manage their out-of-pocket Part D drug costs by spreading the costs across the calendar year (January–December) instead of paying the full amount at the pharmacy or through mail order. It can help your clients manage their monthly expenses, but it doesn’t save your clients money or lower their total drug costs.

Starting in 2025, any of your clients with Medicare prescription drug coverage can use this payment option to pay for covered Part D drugs. All IBX MAPD plans offer this payment option. Participation is voluntary, and there is no cost to participate. There are no fees or interest charged under the program.

How it works

Your client’s must first opt into the program. When they fill a prescription for a covered Part D drug, they won’t pay their pharmacy (including mail order and specialty pharmacies). Instead, they will get a bill each month from IBX Medicare.

Even though they won’t pay for their drugs at the pharmacy or when receiving their mail-order delivery, they are still responsible for the costs. If they want to know what their drug will cost before they take it home, they can call the number on the back of their IBX ID Card or ask the pharmacist.

How to opt in to the program

Your client must opt in to take advantage of the program, which you will be able to do beginning October 15, 2024.
It is your responsibility as their agent to advise them of the program and CMS defines anyone who “likely to benefit” as paying $600 or more in prescription drug costs a year.

Phone

You can call our Member Help Team.

  • Keystone 65 HMO: 1-800-645-3965 (TTY/TDD: 711), seven days a week from 8 a.m. to 8 p.m.
  • Personal Choice 65SM PPO: 1-888-718-3333 (TTY/TDD: 711), seven days a week from 8 a.m. to 8 p.m.

Online

By mail: IBX

Download our paper form and mail it to:

Keystone 65 Rx or Personal Choice 65 Rx
PO Box 7799
Philadelphia, PA 19101-7799

By fax: IBX

Download our paper form and fax it to 1-888-289-3029 or 215-238-7960.

Member Materials, Communications, and Outreach

  • IBX newly enrolled or members who change plans during the Annual Enrollment Period will receive a paper copy of the form within their 2025 Welcome Kit.
  • Any current IBX member who meets the CMS defined “likely to benefit” $600 amount will receive communications from their health plan to educate them on the payment plan and provide options on how to enroll into the payment plan.
  • During November, IBX Member Help Team representatives will make outbound calls to member. During our attempt to outreach, members who are likely to benefit will be notified of the payment plan and ways to enroll into the payment plan. They will be provided the option to enroll with the Member Help Team representative over the phone during that same phone call.
  • Resources and more information about the IRA are available online at ibxmedicare.com/ira.
For more information, contact a Pinnacle Financial Services representative today 1 (800) 772-6881 x7731 | sales@pfsinsurance.com

Contact a Pinnacle Representative if you have any questions.

1 (800) 772-6881 support@pfsinsurance.com

Contact Us

Contact a Pinnacle Financial Service representative today for assistance.

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Wellabe | Make a splash with a Meidcare Supplement Incentive

Wellabe | Make a splash with a Meidcare Supplement Incentive

Wellabe | Make a splash with a Meidcare Supplement Incentive
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Contact a Pinnacle Representative if you have any questions.

1 (800) 772-6881 support@pfsinsurance.com

Contact Us

Contact a Pinnacle Financial Service representative today for assistance.

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Aetna | Bonus Program Medicare Supplemnt and Ancillary Products

Aetna | Bonus Program Medicare Supplemnt and Ancillary Products

Aetna | Bonus Program Medicare Supplemnt and Ancillary Products
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Contact a Pinnacle Representative if you have any questions.

1 (800) 772-6881 support@pfsinsurance.com

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Wellabe | Make a splash with a Meidcare Supplement Incentive

Wellable | Cross-sell to earn more – and enjoy more

Wellable | Cross-sell to earn more – and enjoy more
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Contact a Pinnacle Representative if you have any questions.

1 (800) 772-6881 support@pfsinsurance.com

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Contact a Pinnacle Financial Service representative today for assistance.

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Humana | Q4 Bonus Program: Rewarding Your Commitiment to Clients

Humana | Q4 Bonus Program: Rewarding Your Commitiment to Clients

Humana | Q4 Bonus Program: Rewarding Your Commitiment to Clients
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On top of the exciting $200 bonus for Underwritten Policies, you can also earn a $200 bonus

for each eligible Medicare Supplement Plan N Open Enrollment Policy.

4th Quarter Medicare Supplement Bonus.

With so much disruption in the MA space, please let agents know to share the GI business among all carriers otherwise it will hurt our rate increase moving forward.  

  • Qualify for bonus with a minimum of 3 approved eligible applications
  • Blue States paying $200 for Underwritten and Plan N OEP – $50 for all other OEP
  • Yellow States paying $200 for all UW and OEP
  • Green States paying $50 for all UW and OEP
  • Please notice that we are not paying a bonus in WA,NY, CT, and MA
For more information, contact a Pinnacle Financial Services representative today 1 (800) 772-6881 x7731 | sales@pfsinsurance.com

Contact a Pinnacle Representative if you have any questions.

1 (800) 772-6881 support@pfsinsurance.com

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Contact a Pinnacle Financial Service representative today for assistance.

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