Ask yourself the following questions before choosing a Part D drug plan:
- Does the plan cover all the medications I take?
- Does the plan have restrictions on my drugs (i.e. prior authorization, step therapy, or quantity limits?)
- Prior authorization means that you must get approval from your Part D plan before the plan will pay for the drug.
- Step therapy means that your plan requires you to try a cheaper version of your drug before it will cover the more expensive one.
- Quantity limits restrict the quantity of a drug you can get per prescription fill, such as 30 pills of Drug X per month.
- How much will I pay for monthly premiums and the annual deductible?
- How much will I pay at the pharmacy (copay/coinsurance) for each drug I take?
- Is my pharmacy in the plan’s preferred network? You pay the least if you used preferred network pharmacies.
- Can I fill my prescriptions by mail order?
- If I have retiree coverage, will the Medicare drug plan work with this coverage?
- What is the plan’s star rating?
You may find it helpful to use Medicare’s Plan Finder tool (see What is The Medicare Plan Finder?), which gives you a list of Medicare Advantage and Part D plans, the drugs they cover, and their estimated costs for the year. You can access Plan Finder by going online at www.medicare.gov or calling 1-800-MEDICARE.
Read Next: What are Some Things I Should Consider When Choosing a Medicare Advantage Plan?
Find Out: What are Star Ratings?
Return to: Medicare 2020
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