Prescriptions Drugs
Medicare Prescription Drug (Part D) Plans
A stand-alone Medicare prescription drug (Part D) plan can help pay for your medication. You can also get prescription drug coverage as part of a Medicare Advantage plan.
Medicare is made up of Parts A, B, C, and D.
To enroll in a Medicare Advantage plan you must have both Part A and B. Members may enroll in the plan only during specific times of the year.
You must live in the service area of the Part D plan to enroll, and some plans will have a network of pharmacies they work with. With prescription drug coverage, in addition to costs varying by plan and provider, your costs may be different based on if a pharmacy is considered in-network or out-of-network, as well as if your drugs are separated into different cost levels, or tiers.
What do Medicare Part D plans cover?
Medicare prescription drug (Part D) plans cover the following:
- Types of drugs most prescribed for Medicare beneficiaries as determined by federal standards
- Specific brand name drugs and generic drugs included in the plan's formulary (list of covered drugs)
- Commercially available vaccines not covered by Part B
It is important to note that while Medicare Part D plans are required to cover certain common types of drugs, the specific generic and brand-name drugs they include on their formulary varies by plan.
Contact us to learn about all the coverage you deserve including the cost-sharing that applies to out-of-network services.