If you’re in a Medicare drug plan and you have complex health needs, you may be able to participate in a medication therapy management (MTM) program. MTM is a service offered by Quartz Medicare Advantage at no additional cost to you!
The MTM program is required by the Centers for Medicare and Medicaid Services (CMS) and is not considered a benefit. This program helps you and your doctor make sure that your medications are working. It also helps us identify and reduce possible medication problems.
To take part in this program, you must meet certain criteria set forth in part by CMS. These criteria are used to identify people who have multiple chronic diseases and are at risk for medication-related problems. If you meet these criteria, we will send you a letter inviting you to participate in the program. Along with the letter, we will include information about the program, including how to access the program. Your enrollment in MTM is voluntary and does not affect Medicare coverage for drugs covered under Medicare.
To help reduce the risk of possible medication problems, the MTM program offers two types of clinical review of your medications:
To qualify for Quartz Medicare Advantage's MTM program, you must meet ALL of the following criteria:
2. Take at least six (6) covered Part D medications for your chronic diseases; AND,
3. Are likely to have medication costs of covered Part D medications greater than $4,376 per year.
You can obtain a blank copy of the PML to help you and your health care providers keep track of the medications you are taking. For more information, please contact Quartz Medicare Advantage Customer Service at (800) 394-5566.