Understanding Medicare Part D Plans

By planmedicare1 - March 10, 2016

Medicare Part D plans are offered through private insurance carriers and are available to beneficiaries across the country. Plan benefits, prices and features vary based on your location & the insurance carrier.

It’s important to speak with a licensed agent who can compare various Part D plans offered in your area and help you find the best one, with the most coverage at the lowest price.

It is a Medicare requirement that all beneficiaries have some form of RX drug plan, whether that is through their employer, or through a PDP (Prescription Drug Plan).

Each Part D Plan contains a formulary, or a list of drugs covered by that plan. Formularies may include generic or brand-name drugs. If you enroll in a drug plan that does not include your prescription in it’s formulary, then you will be responsible to pay the full retail cost of the drug.

Costs associated with each Part D plan differs by insurance carrier. Generally speaking, most Part D plans require a monthly payment (also known as a premium). When you work with an agent at Plan Medicare, he will help you compare the total cost of drugs & premiums, as well as other factors such as: yearly deductibles, co-payments & coinsurance and coverage gaps (aka the donut hole).

You must be enrolled in Original Medicare in order to be eligible for Medicare Part D enrollment. When you sign up for Medicare (3 months prior to and after your 65th birthday), you should also enroll in a Prescription Drug Plan. In addition, you can choose to change or enroll in a new Part D plan during Annual Election Period (AEP), which lasts from October 15 to December 7 of each year.

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