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How do I find the right Medicare Part D plan?

Apr 9, 2017 1:17:56 PM / by Stephanie Pogue

Stephanie Pogue

Although Part D is associated with Medicare, the way it works and the way you enroll is different from Parts A and B. 

What is Medicare Part D?

Quite simply, Medicare Part D covers your prescriptions. It is commonly referred to as “drug coverage”.

Generally, you will pay a monthly premium, possibly a deductible, and copays at the pharmacy when you receive your prescriptions.

It’s important to note, Part D plans are administered through private insurance companies, not Medicare.  Therefore, each company has their own prescription plans and the coverage and costs are very different between them. It’s a good idea to compare your options on Medicare.gov or speak to a licensed insurance agent who can help choose the right plan for you.

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How to choose the right plan for you

Generally, the “right plan” for you should cover all of your prescriptions and your pharmacy should be included in the plan’s network. After that, you should compare the monthly premium amounts, and the deductible and copay amounts to find the most cost effective plan.  Sometimes, you can find better prices if you use the plan’s “preferred” pharmacies or their mail order service. 

How and when to enroll? 

You enroll in Part D plans through private insurance companies, not through Medicare. This is different from the way you enroll in Parts A and B.  You can start the enrollment process 3 months prior to your 65th birth month.

You may or may not need to enroll in a Part D plan depending on what type of insurance you choose to go along with your Medicare coverage.  If you choose a Medicare Supplement as your secondary insurance, you will need to enroll in a Part D plan. However, most Medicare Advantage plans already include Part D coverage and you won’t need to enroll separately.

Remember, there may be a penalty if you enroll in a Part D plan after you are first eligible. Do I need a Medicare Part D penalty calculator will give you more information. 

By now, you probably understand the basics of Medicare and are ready to decide how Medicare Supplements or Medicare Advantage plans can help with the gaps in the Medicare coverage.

If you would prefer to save time and effort, we can explain what your options are and help you decide on the right plan in a quick 3 Step process. Schedule your video conference today.

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Topics: Medicare

Stephanie Pogue

Written by Stephanie Pogue

Stephanie has been primarily helping seniors and retirees with their healthcare decisions since 1995. In addition, she has recruited and trained agents, developed and promoted managers, and ranked in the Top 3% of Sales Managers at Bankers Life & Casualty while she was there. She is now the Director of the St. Louis Insurance Group and can be reached by email at [email protected]