Prescription Drugs

What does Medicare Part D cover?

Medicare Part D helps cover the cost of prescription drugs.

How do I get Medicare Part D coverage?

Medicare Part D prescription drug coverage is available to anyone who has Medicare, but it is only available through private insurance companies.

There are 2 ways to get Medicare prescription drug coverage:

1. Through a separate (stand-alone) Medicare Prescription Drug Plan (Part D) – These plans (sometimes called “PDPs”) add drug coverage to Original Medicare.
2. As part of a Medicare Advantage Plan (Part C) – You can get your Part A, Part B and Medicare prescription drug coverage (Part D), through a single plan. Most of these plans include Medicare prescription drug coverage. Medicare Advantage Plans with prescription drug coverage are sometimes called “MA-PDs.”

What are the costs associated with Medicare Part D coverage?

• Monthly Premium (may be included with your Medicare Advantage Plan premium) will be determined based on the plan you choose and if you are subject to Late Enrollment Penalty or the higher income earner additional premium.
• Annual deductible will depend on the plan you choose, up to the Medicare-approved limit.
• Copayments or coinsurance for the cost of the covered drugs.

Your actual drug costs will vary depending on:

• The drugs you are prescribed
• The plan you choose
• Whether you go to a pharmacy in your plan’s network
• Whether the drugs you use are on your plan’s formulary
• Whether you get Extra Help paying your Medicare Part D costs

How can you lower prescription costs?

• Use generic drugs
• Consider using mail-order pharmacies
• Look into discount programs

---

Extra Help Program:

If you meet certain income and resource limits, you may qualify for a program called Extra Help from Medicare to pay for some prescription costs. (The income and resource limits change annually.)

Newly qualifying for this program also gives you the opportunity to enroll in or change your Part D or Medicare Advantage plans through a Special Election Period.

We can help you with applying for Extra Help.

---

Please call us for a FREE personal consultation so we can help you find ways to save: 1-855-I-TURN-65 (1-855-488-7665) or 503-691-2978.

---

Attention Pharmacists:  We are also available as a resource for you. If you have a customer that needs assistance with enrolling in a plan with prescription drug coverage, has questions about plan options that may cover their prescriptions at a lower cost, or might be a candidate for Extra Help, please refer to them to us. We can save you time, and your customer will be grateful for being referred to such a valuable resource.