Part D

PART D PRESCRIPTION DRUG PLAN

The  text below comes from Medicare.gov website

Medicare Prescription Drug Plans are offered by insurance companies and other private companies approved by Medicare. They add coverage to:

  • The Original Medicare Plan,
  • Some Medicare Cost Plans,
  • Some Medicare Private Fee-for-Service Plans, and
  • Medicare Medical Savings Account Plans.

With a Medicare Prescription Drug Plan:

  • Generally, you pay less for your prescriptions
  • You will get a plan member card after you enroll. You use this card when you go to the pharmacy to get your prescriptions filled
  • You will pay the co-payment, coinsurance, and/or deductible, if any

If you have limited income and resources, you may get extra help to pay for your Medicare drug plan costs.  If you want to compare Medicare Prescription Drug Plans, use the Medicare Prescription Drug Plan Finder on the Medicare.gove website.
Information below is NOT from Medicare.gov

Here are some ranges of co-pays among different Part D drug plans offered by different companies. You can see that you need to shop around and study the plans:

Generics/tier 1:                       $0 – $15 for one-month supply (depending on the plan you select)

Preferred brand/tier 2:        $35 – $45 for one-month supply

Non-preferred brand/tier 3:    $70 – $95 for one-month supply

Specialty drugs:                      25% – 33%

Don’t sign up for a Part D Drug plan (PDP) or a Medicare Advantage plan with a drug plan (MAPD) unless the agent tells you what your drug co-payments will be.

The “Donut Hole”or coverage gap

In 2017 the Part D coverage gap beings once your costs and the plan’s costs total $3,700.

 

For more help or questions, call (520) 820-8639.

 

  2 comments for “Part D

  1. dolores cobb
    September 29, 2010 at 6:52 am

    I currently have the original Medicare plan + a supplement with Bankers Insurance Co. My drug plan is with Advantra Rx Premier by First Health Life & Health Ins. Co. I have been informed that they will no longer operate as of 1/1/2011. I am currently taking Vytorin 10/40mg and Pristiq 50mg. My drug plan is $44.60 a month which is subtracted from mu SS check. Some of my friends have Secure Horizon for all their needs and claim they are paying much less than I am (Bankers supplement is $196 month + $44.60 drug plan and Medicare $96.50 a month totalling $337.10 per month) I want to compare the benefits of both but do not want a salesman to come to my home as they are only interested in signing me up to their plan and have been misleaded in the past. Can you help me with a good decision.
    Thanking you in advance for your help. Dolores Cobb

  2. Editor
    September 29, 2010 at 7:26 am

    You will be able to enroll in a new Part D plan, but you are wise to be cautious about inviting an insurance agent into your home. Part D is not something for which insurance agents make money, so they are likely to try to move you to Medicare Advantge. You should should look at the video I have on this site to understand the differences between Medicare Advantage and Medicare + Medicare Supplement + Part D. On the home page of the site it is the post with the social security card. That’s a good place to start.

    I don’t know how old your are, so I can’t say if you are paying too much for your Medicare Supplement, but Bankers is more expensive than other Medicare Supplements sold in Arizona.

    If you call me I can answer some questions for you. I am in training meetings until late this afternoon as all the Medicare Advantage plans are preparing for the Annnual Election Period which runs from November 15 to December 31. Call me at 520-820-8639

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