Medicare Prescription Payment Plan 

The Medicare Prescription Payment Plan is a voluntary payment option that works with your current drug coverage to help you manage your out-of-pocket Medicare Part D drug costs by spreading them across the calendar year (January–December). This payment option may help you manage your expenses, but it doesn’t save you money or lower your drug costs.

The Medicare Prescription Payment Plan is available to all Community First Medicare Advantage Alamo (HMO) and Medicare Advantage D-SNP (HMO) Members.

This payment option might not be the best choice for you if you get help paying for your prescription drug costs through programs like Extra Help from Medicare or a State Pharmaceutical Assistance Program (SPAP).

FACT SHEET

For more information about the Medicare Prescription Payment Plan, read the fact sheet from the Centers for Medicare & Medicaid Services.

• Medicare M3P Fact Sheet (ENG)
• Medicare M3P Fact Sheet (SPN)

To Enroll

The Medicare Prescription Payment Plan is administered through SimplicityRx. To participate, you will need to fill out a Participation Request Form.

Mail

Download and mail your completed Participation Request Form to:

Community First Health Plans
Mailstop: 1002
MPPP Election Dept.
13900 N. Harvey Ave. Edmond, OK 73013

Fax: 440-557-6525
Email: ElectMPPP@RxPayments.com

Downloadable Forms:
Participation Request Form – Community First Medicare Advantage Alamo Plan (HMO)

Participation Request Form – Community First Medicare Advantage Dual Eligible Special Needs Plan (HMO D-SNP)

Online

Fill out the Participation Request Form online at Activate.RxPayments.com.

Phone

Call SimplicityRx at (833) 246-7612 to submit your request via telephone.

Log in to your Prescription Payment Plan Portal to access your account.

If you have questions or need help completing this form, call SimplicityRx at (833) 246-7612, 24 hours a day, 7 days a week. TTY users can call 711.