Medicare Part D
Medicare’s Prescription Drug Plan (PDP) program – Part D – is optional.
However, if you do not enroll in a PDP when you become eligible, you may be charged a late enrollment penalty if you decide you want this coverage later.
Criteria for joining a Prescription Drug Program are:
Prescription Drug Plan coverage is also available to you as a stand-alone Part D plan, which can be added to your Original Medicare coverage.
Read more about Medicare Part D:
Medicare Part D FAQ’s
According to the Kaiser Family Foundation, prescription drugs are a part of the care plan for 59 million seniors and people with disabilities. What’s more, the drugs account for $1 of every $6 in Medicare spending.Private companies offer Part D plans in...read more
We suggest you select a PDP when you are eligible, even if you do not currently take any prescription medications.read more
Learn common Medicare Part D terms such as formulary, deductible and copay.read more
This term refers to the gap in coverage by prescription drug plans that occurs when the member and the plan have each contributed a set amount outlined in the plan for the medications that it covers. Some people will not experience the gap because the...read more
If you need to enroll in Part D for the first time, you can do so during your IEP, during Fall Open Enrollment), or if you qualify for a Special Enrollment Period.read more
If you have Extra Help, the federal program that helps pay for the out-of-pocket costs of Medicare prescription drug coverage, you have access to an SEP to enroll in a Part D plan or switch between plans.read more
Part A covers the drugs you need during a Medicare-covered stay. Part B covers most drugs administered by your provider.read more
Original Medicare covers these outpatient drugs at 80% of its approved amount, meaning that as long as you see a provider who accepts Medicare assignment, you will be responsible for a 20% coinsurance charge.read more
The amount you pay for your vaccines may vary depending on where you are vaccinated. Make sure to check your plan’s coverage rules and see where you can get your vaccine at the lowest cost.read more
The way Medicare covers your insulin depends on how you take insulin.read more
Immunosuppressants are drugs that you take following a transplant to prevent your body from rejecting the donor organ. The way Medicare covers your immunosuppressant medication depends on the circumstances of your transplant.read more
There are several other drugs that may be covered by Part B or Part D, depending on what they are used for and how they are administered.read more
Become familiar with how your medication is covered. Ask your pharmacist or provider to submit claims to the correct part of Medicare.read more