Saving with Medicare Prescription Drug Benefit

Updated: Apr 19


Many choose to prefer Medicare Part D over the others after being laid off and loose workplace insurance benefits. If you wonder why and what is medicare prescription drug, follow us all along and feel free to reach out to us.


What is Medicare Part D?

Many people are likely to add Medicare coverage after being laid off and losing workplace insurance. However, what can they do when their income has gone down? How about the cost-prohibitive medications?


Beneficiaries can enroll in Medicare Part D to get help with their prescription drug costs. Accordingly, Medicare Part D is available through lead geeks insurance companies contracted by Medicare. However, it may differ slightly between Medicare plans, insurance geeks companies, and location regarding the cost and availability. If you are wondering about Medicare Part D's eligibility and enrollment, follow us all along.


You're eligible for Medicare Part D coverage if:

  • Enrolled in Medicare Part A and Part B.

  • You are currently situated in the service area of a Medicare plan that includes prescription drug coverage.


Suppose you want to avail the of Medicare Part D coverage. In that case, an individual has to choose and enroll in a private Medicare Advantage Plan with a drug plan or a Medicare prescription drug plan. However, keep in mind that enrollment is optional, but it is recommended to avoid future penalties. Moreover, you have to sign up for Part D when you first become eligible to enroll in Medicare.


Other people are already enrolled in specific low-income assistance programs. With that, they can be automatically enrolled in a Medicare drug plan and receive additional financial assistance. Also, extra help with prescription drugs is covered by Part D. If approved; the drug prices can be lowered across the board. To find more about this, check this out: https://secure.ssa.gov/i1020/start.


Medicare Part D Drug Plans Coverage

Each plan that covers prescription drugs has a list of covered medications. Accordingly, these include coverage of specific generic and brand-name prescription drugs. The plans must also cover certain categories of medications, but each category's specific prescription drugs may vary by the insurance company and by Medicare plan. Moreover, it is essential to check the formulary before enrolling in an MPDP or MAPDP to ensure your specific medications are covered.


Accordingly, if an individual doesn't have many medications, they can get a "tiering exception" from the Part D drug plan. A great example is some people need Synthroid and can't tolerate the more affordable levothyroxine. Using the plan coverage formulary exception, a person can request to lower the medicine. For instance, he or she can choose from tier 3 to tier 2.


Costs for Medicare drug coverage

You'll make payments throughout the year in a Medicare drug plan according to the drug coverage you choose:

  • Premium

  • Yearly deductible

  • Copayments or coinsurance

  • Costs in the coverage gap

  • Expenses if you get Extra Help

  • Fees if you pay a late enrollment penalty


Need help?

Call to speak with a licensed insurance agent now. With Medicare Geek, we can help you connect with an agent. They'll help you get the most out of your plan and answer any questions you have. We can also help you point in the direction of the plan that is right for you, even if it is a plan we don't represent or get paid for.


If you need a recommendation, reach out to us at themedicaregeek@gmail.com.

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