Original Medicare parts A and B do not cover prescription drugs, therefore a stand-alone Medicare prescription drug plan is available! With these Medicare prescription drug plans, the total amount you pay each time you fill a prescription depends on the payment stage you're in. It is important to review your prescriptions before you decide so the plan you choose works best for you.
Medicare Part D prescription plans include 3 drug payment stages
You pay a co-pay or co-insurance depending on the type of plan you purchased.
Coverage Gap (Donut Hole)
You pay 45% of the cost of brand-name drugs and 58% of the cost of generic drugs.
You pay a small co-pay or co-insurance amount.
Many Medicare Beneficiaries who have a Medicare Supplement Plan also purchase a Medicare Part D Medicare Prescription Drug Plan (PDP) to help pay the costs of medications. They do this because Medicare and Medicare Supplement plans do not cover prescription drugs, only medical.
Each year Medicare issues more and more rules and regulations governing the sale of Medicare Prescription Drug Plans (also called Part D). As a result, issuing these types of plans is becoming very complex and requires specific expertise. We recommend that Medicare Beneficiaries consult with companies that do have the expertise to correctly answer questions and furthermore, issue appropriate plans and service needs.
Companies you might want to contact are Silver Script (two plans with $0 annual deductible and low monthly premiums), Transamerica, and Anthem. These three companies have developed the expertise to counsel Medicare Beneficiaries, analyze prescription use, and in addition recommend the right Medicare Part D Prescription Drug Plan to service the needs of their clients.
If you do call about coverage, be sure to talk to them about all of your medications and get their recommendation for the plan that suits you best. You will want to have a list of your medications handy while including the prescribed amounts as well as how often you take them.
ENROLLING IN MEDICARE PRESCRIPTION DRUG PLANS
You cannot enroll in Medicare part D without enrolling in parts A and B. Therefore, if you are not yet enrolled in Medicare parts A and B, please contact the Social Security Administration as soon as 3 months before your 65th birthday.
Medicare is a great resource for looking up prescription drug plans, in addition, to finding companies who cover those drugs:
To sign up for Medicare parts A and B, you can call or login online. To be eligible for a Medicare Supplement you have to be enrolled in part B.