MEDICARE PART D
WHAT IS MEDICARE PART D?
Watch this Easy to Understand Video
Six Keys to Finding a Part D Plan
(this information comes directly from CMS Medicare and can be found on www.Medicare.gov)
Click on the picture for the information
or go to Medicare.gov and use the plan finder there.
We gained experience as we helped roll out Medicare Part D Drug plans in 2006. At that time people were not sure if they actually needed a drug plan since Medicare said its optional, but still if you decided later to enroll in one because you did not enroll when you were first eligible you may experience a PART D Late Enrollment Penalty. (see video at the bottom of page)
We can help you pick a Medicare Part D drug plan.
We use a tool to research your drugs that can store your prescriptions and search all the plans in a given market area. We then input your drugs, and then sort out your options. We explain copays and deductibles and then enroll you in the plan that meets your needs by price and pharmacy selection.
Medicare Part D can be confusing because there are many drug plans available in plan service areas. Every year we review your prescriptions and make sure that you are still in the most cost effective plan based on the current drugs you take.
Many people forget to do this and end up paying more. Plan premiums change every year as do copays and the tier levels of drugs. Drugs may also change as to whether they are covered or are moved from being a Brand to a Generic.
It's not enough just to input your drugs, so we also compare the pricing and the plan from Medicare.gov to the specific drug plans page. We help show you what you will pay and whether, based on your drugs, you may fall into the coverage gap. (We have posted more information on the Medicare Coverage Gap in our blog) See below on the chart from Kaiser Family Foundation as to anticipated costs and the lowering of the coverage gap.
Its better to have knowledge about this upfront so you can work with your doctor and pharmacist to see if there are alternatives to your medicines that may prevent you from getting into or delay getting into the coverage gap.
In our Articles section you can find out more about the Medicare Part D "Coverage Gap" and about whats happening to it.
Prescriptions are a fact of life today and are helping people live longer lives, but the facts show that prescription drug prices are on the RISE so having another set of eyes and an Advocate explaining Medicare Drug Plans could be in your interest.
We have included a lot of information in this section and have made it easier by using videos. (Click on the Video link to learn more about Medicare Part D). Good Luck on your journey into the world of Medicare Part D drug plans.
To find the Medicare Guide to Prescription Drugs just click on the picture:
MEDICARE PART D AND THE LATE ENROLLMENT PENALTY
What’s the Part D late enrollment penalty?
that may be added to a person’s monthly Part D premium. A person enrolled
in a Medicare drug plan may owe a late enrollment penalty if he or she
goes without Part D or other creditable prescription drug coverage for any
continuous period of 63 days or more in a row after the end of his or her Initial
Enrollment Period for Part D coverage.
Generally, the late enrollment penalty is added to the person’s monthly
Part D premium for as long as he or she has Medicare prescription drug
coverage, even if the person changes his or her Medicare drug plan. The late
enrollment penalty amount changes each year. The cost of the late enrollment
penalty depends on how long the person went without Part D or other
creditable prescription drug coverage.
What’s creditable prescription drug coverage?
coverage that’s expected to pay, on average, at least as much as Medicare’s
standard prescription drug coverage. Most plans that offer prescription drug
coverage, like plans from employers or unions, must send their Part D eligible
members a yearly notice explaining how their prescription drug coverage
compares to Medicare prescription drug coverage and if it’s creditable coverage.
If a person with Medicare doesn’t get a separate written notice, the person’s plan
may provide this information in its benefits handbook. If the person doesn’t
know if the prescription drug coverage he or she has is creditable, the person
should contact the plan.
Click on the above to find out more from Medicare....
Source: Medicare and You 2017, Medicare.Gov