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Lower Prescription Drug Costs with Medicare Part D

Medicare Part D Helps You
Pay Less for Prescriptions

Medicare Part D helps cover the cost of prescription drugs. It’s optional and offered by private insurance companies approved by Medicare. Many Medicare Advantage plans already include drug coverage as part of their benefits.

How You Can Get Medicare Drug Coverage

You have two ways to get Medicare Part D

Stand-Alone Prescription Drug Plan (PDP):This adds drug coverage to Original Medicare.

Medicare Advantage Plan (Part C):These plans include hospital (Part A), medical (Part B), and drug (Part D) coverage all in one. Many also include extra benefits like dental, vision, and hearing.

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Medicare Part D Plan Basics

Medicare Part D is regulated and subsidized by the federal government, offering prescription drug coverage for outpatient medications. Here is how the coverage typically works.

Drugs Covered Wide range of brand-name and generic prescription drugs.

Monthly PremiumPart D plans have a monthly cost that varies by plan.

Deductibles & Cost-sharingPlans have deductibles and cost-sharing terms, which vary by plan.

FormularyEach plan has a list of covered drugs, called a formulary, with medications organized into tiers. Lower-tier drugs usually cost less than higher-tier ones.

Benefits of
Medicare Part D

Medicare Part D helps you pay for your prescription drugs, covering both brand‑name and generic medicines. You will have a set monthly premium, deductible, and copay, so you know what your costs will be. You can pick a stand‑alone drug plan or add drug coverage to a Medicare Advantage plan. If you qualify for the Extra Help program, you will pay even less out of pocket.

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Frequently Asked Questions

Do I need a separate plan for prescription drugs?

Yes. If you have Original Medicare, you need to join a Medicare Part D plan to get drug coverage. It’s not included with Part A or Part B.

What happens if I wait to sign up for Part D?

You could pay a late penalty each month that adds to your cost. If you don’t have other drug coverage, it’s best to enroll when you’re first eligible.

Are all my prescriptions covered?

Not always. Each plan has its own list of covered drugs, called a formulary. Check that your medications are included before you enroll.

How much will I pay for my medications?

It depends on the plan. Most plans place drugs into levels or tiers. You may also pay a deductible, copay, or coinsurance.

Can I change my drug plan if it doesn’t work for me?

Yes. You can switch plans every year during Open Enrollment from October 15 to December 7, or if you qualify for a Special Enrollment Period.

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