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. There are two reasons:If you fail to sign up for Medicare prescription drug coverage when you first become eligible, unless you have what...read more
Formulary A formulary is a list of medications list of medications covered by a prescription drug plan. It usually includes tiers, or levels, of coverage based on how much the drugs cost. In general, the higher the drug price, the more the plan member must...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 (see What is Fall Open Enrollment?), or if you qualify for a Special Enrollment Period (see What Other Opportunities Do I Have To Change My...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.This SEP is available once per calendar quarter for...read more
Part A covers the drugs you need during a Medicare-covered stay in a hospital or skilled nursing facility (SNF).Note: If you are getting SNF care that is not covered by Part A, your drugs may be covered by Part D.Part B covers most drugs administered by...read more
Part B covers an injectable drug if it generally cannot usually be self-administered and your doctor provides and administers the drug to you.Original Medicare covers these outpatient drugs at 80% of its approved amount, meaning that as long as you see a...read more
Part D covers most vaccines that your doctor recommends you get. The only exceptions are the flu, pneumonia, and hepatitis B vaccines, and certain vaccines that you receive after being exposed to a dangerous virus or disease (see below). Part D plans must...read more
The way Medicare covers your insulin depends on how you take insulin.Part D may cover insulin and related medical supplies used to inject insulin (syringes, gauze, and alcohol swabs) if you have a prescription from your doctor. Your drug plan should cover...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.Part B covers your...read more
If you are experiencing issues accessing your medication, take these steps:Become familiar with how your medication is covered: Use the information above or call 1-800-MEDICARE to learn about which part of Medicare should cover your medication. If it is a...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: What Should I Do If I Am Having Trouble Accessing My Medication?Learn About: How Does...read more