Medicare Part D - Prescription Drug Coverage

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Get Medicare prescription drug coverage either from a Part D plan or a Medicare Advantage Plan offering Medicare prescription drug coverage.​

​Medicare prescription drug coverage is available to everyone with Medicare. Private companies provide this coverage. You choose the Medicare drug plan and pay a monthly premium. Each plan can vary in cost and specific drugs covered. If you decide not to join a Medicare drug plan when you’re first eligible, and you don’t have other creditable prescription drug coverage, or you don’t get Extra Help, you’ll likely pay a late enrollment penalty. You may have to pay this penalty for as long as you have Medicare drug coverage.  

When Can I Enroll in Medicare Part D?

• Your initial eligibility begins with your Initial Enrollment Period (during the 7-month period that begins 3 months before the month you turn 65, includes the month you turn 65, and ends 3 months after the month you turn 65) and can extend depending on your current coverage timeline.

•  During the Annual Election Period where anyone can join (October 15 - December 7), you can switch or drop your Medicare drug plan. The change will take effect on January 1st of the following year. ** Every Annual Election Period (AEP), our office will conduct drug reviews to make sure you are still on the best plan based on your medications.  We will also help you enroll in a new plan if any changes need to be made.

• If you receive Medicare due to a disability, you can join a prescription drug plan during the 7-month period that begins 3 months before your 25th month of disability, includes your 25th month of disability, and ends 3 months after your 25th month of disability. You will get another opportunity to join during the 3 months before the month you turn 65, the month you turn 65, and 3 months after the month you turn 65.

• You may join, drop, or switch a Medicare drug plan any time if you receive Extra Help.
  

What You Should Expect to Pay with your Part-D Plan:

• Premium 

• Yearly Deductible

• Co-payments or coinsurance
  

• Costs in the coverage gap
  

• Costs if you get Extra Help
  

• Costs if you pay a late enrollment penalty

Your Actual Drug Plan Costs Will Vary Depending On:

• The drugs you use
  

• The plan you choose
  

• Whether you go to a pharmacy in your plan's network
  

• Whether the drugs you use are on your plan's formulary
  

• Whether you get Extra Help paying your Medicare Part D costs​