Authorized by the Medicare Prescription Drug, Improvement and Modernization Act (MMA) in 2003 and implemented in January 2006, the Part D program covers beneficiaries through (1) a Prescription Drug Plan (PDP) for drug coverage only, or (2) a Medicare Advantage plan (MA) that covers medical services and prescription drugs (MA-PD).  Medicare beneficiaries have to affirmatively choose and enroll in a plan, unless they are dual eligible, having both Medicare and Medicaid.  Dual eligibles are automatically enrolled into a random Prescription Drug Plan (PDP) in their area.

http://www.cms.gov/Medicare/Prescription-Drug-Coverage/PrescriptionDrugCovGenIn/index.html?redirect=/PrescriptionDrugCovGenIn/

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