Medicare Part D Prescription Insurance

Helpful information to help you decide which Rx plan is right for you

MEDICARE PART D INFORMATION

Medicare Part D is Prescription Drug Coverage for generic, name brand, and specialty drugs.  Part D is acquired through individual insurance companies as stand-alone Prescription Drug Plans (PDP) or in conjunction with a Medicare Advantage Plan (MA-PD).  Formularies, deductibles, co-pays, and monthly premiums all vary between companies and plans.  Be sure to consult with a trusted agent or visit  Medicare.gov.


“When can I enroll in a Medicare Part D Plan?”

When you first become eligible for Medicare, your Initial Enrollment Period (IEP) is 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.

If you are under age 65, and on Medicare due to a disability, your Initial Enrollment Period (IEP) is the 7-month period that begins 3 months before your 25th month of disability and ends 3 months after your 25th month of disability.

Each Year between October 15 – December 7
This Annual Enrollment Period (AEP) is the Open Enrollment Period (OEP) when Medicare beneficiaries can apply for a new Medicare Part D plan with a start date of January 1st for the coming new year. Good health or poor health makes no difference. Prescriptions change, formularies change, monthly premiums and co-pays change; therefore, the Annual Open Enrollment Period provides an opportunity to potentially save money each year.

PLEASE NOTE:  Only one (1) Part D plan can be active at any given time, that is why successful enrollment into a new Medicare Part D plan should automatically dis-enroll a person from his/her current plan.
“When happens if I do not enroll in a Medicare Part D Plan?”

Enrollment is 100% voluntary; however, a person can be penalized with an increase in monthly fees if he/she enrolls in a Medicare Part D plan after his/her Initial Enrollment Period (IEP).

Late Enrollment Penalty  This is calculated by multiplying 1% of the "national base beneficiary premium" ($34.10 in 2018) times the number of full, uncovered months a person was eligible but did not join a Medicare Prescription Drug Plan and went without other creditable prescription drug coverage.  The final amount is rounded to the nearest $.10 and added to your monthly premium.

Creditable Coverage  If a Medicare-eligible individual has Rx coverage comparable to Medicare Part D through his/her employer or another source, then it is possible to delay Part D enrollment without penalty.

If you are considered low-income, you might be eligible for Extra Help.

For more information, click here to download an official copy of  Your Guide to Prescription Drug Coverage from the Department of Health & Human Services, or call 1-800-MEDICARE (633-4227).
TTY users should call 1-877-486-2048.

Would you like help enrolling in a stand-alone Prescription Drug Plan (PDP)?   Click Here to  Contact Us.

LEGAL NOTICE:  "This Product is not connected with or endorsed by the United States government or the federal Medicare program."    (we can not explain why this legal notice is required for any insurance product related to Medicare coverage.)