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AFDC amount annual election period beneficiaries were enrolled beneficiary premium caid cash assistance ciaries coinsurance community spouse copayment cost-sharing covered deductible and copayment disabled individuals disenroll drug discount card drug plan PDP dual eligibles durable medical equipment eligible individuals enrollee federal health insurance health plan home health services income and resources initial enrollment period institutional items and services January limit MA-PD Medi Medicaid benefits Medicaid coverage Medicaid eligibility Medicaid program medically needy Medicare Advantage plan Medicare and Medicaid Medicare benefi Medicare beneficiaries Medicare prescription drug Medigap plans Medigap policies nursing home option original Medicare outpatient paid pap smears patient persons physician poverty line PPOs Preferred provider organizations prescription drug benefit prescription drug coverage prescription drug plan private fee-for-service plan Provider-sponsored organizations qualified prescription drug receive requirements SCHIP service area services provided sickle cell disease skilled nursing facility speech therapy spell of illness terminated therapy tion drug