Part D Rx Prescriptions
Part D Rx
Part D Rx is practically mandatory. If you don’t have coverage when you are supposed to your premium is increased 12%/year when you eventually do.
Medicare Advantage plans generally include prescription drug coverage, including both brand-name and generic at participating pharmacies in your area.
Check out our webpages for more details, coverage and premiums.
The Annual Open Enrollment (AEP) is from October 15th to December 7 and then your coverage will begin January 1 (Medicare FAQ.)
Try turning your phone sideways to see the graphs & pdf's?
- Premiums for those with High Income Parts D Rx & B Doctor Visits
- Medicare Rules for High Income People Medicare Costs # 11579
- Our #High Income Surcharge Video Explanation
- Our webpage on High Income Surcharge IRMAA
- Kaiser Foundation Introduction - Overview
- Medicare Rx Benefit Manual Rev 1.2016 83 pages
- Network Pharmacies, Formularies & Common Coverage Rules # 11136
- Insulin Maximum Co Pay $35
- Graphic on Part D Premium Increases & Why?
- Maximus Appeals LEP Late Enrollment Penalty
- VIDEO How Part D Late Enrollment Penalty is calculated
- Shop & Compare Tools Part D Rx
- Get Instant Quotes, Information & Enroll online
- MANDATED wording!: ‘‘We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1–800–MEDICARE to get information on all of your options.’’
- We disagree with the above wording, as we can use the same tools on Medicare.gov as they do!
Do not enroll on the Governments site,
send us your results and we can enroll you
Here's the webpages for the Part D Rx plans we are agents for.
How to use the Rx & Plan Finder
- No extra charge for our services
- How to Create a My Medicare.Gov Account (nice but not mandatory)
- That way your Rx are automatically populated
- If you want us to shop for you... Send [email protected] a copy of your Medicare ID card and your user name & password or just a list of your Rx & Dosage
- Our email is encrypted sending & receiving by Paubox.com
Learn more on our webpage about the Shopping Tool along with Q & A or Ask your own question at the bottom of the Q & A section
- Medicare Plan Finder Overview
- Pointers – Plan Results
- Adding your Prescriptions – Rx List
- 2021 How to use Medicare Plan Finder, step-by-step 15 minutes VIDEO
BE CAREFUL OF THE #SNAFUS !!!
- Medicare Drug Plan Prices Touted During Open Enrollment Can Rise Within a Month
- But instead of the $70.09 she expected to pay for her dextroamphetamine, used to treat attention-deficit/hyperactivity disorder, her pharmacist told her she owed $275.90
- “The [Medicare] Plan Finder is an outside source and therefore not reliable information,”
- The “Total Yearly Cost of Care” does not provide personalized or transparent information. For example, when a consumer inputs or changes personal data, such as drug information, his or her total estimated costs do not change. This is not mathematically possible based on the plan benefits. Additionally, the tool does not share what is included in the total cost. As a result consumers will likely see the total cost and assume they are receiving a personalized and tailored estimate which may not be accurate.
- The estimated total yearly cost of care is flawed. On a plan that has reduced benefits year over year, the expectation would be that the “estimated total yearly costs” would increase. However the tool is inaccurately estimating the consumer’s costs will decrease. It doesn’t make mathematical sense. For consumers on a fixed income and cost conscious, this could be detrimental to their situation.
- Most supplemental benefits are not included in the total yearly cost of care. Over the past several years supplemental benefits have expanded and provided members with options that not only treat, but prevent illness and increase quality of life. We know the high value of benefits such as vision, dental and hearing to our consumers, and they are a key way we are partners in care with our members. Some of the benefits that are not included are:
- Transportation lists copay but not number of rides.
- Eyeglasses list copay but does not share if benefit covers frames, lenses or contacts.
- Wellness Programs include a long list of possible items including fitness, nurse hotline, Personal Emergency Response and telehealth, that can’t be lumped into a single “covered” or “not covered” benefit. Excerpt from UHC Agent Memo * Forbes * GAO 7.2019 Report *
See the links in the footnotes and brochures in the “margins”
InsureMeKevin.com on figuring all this out, even with mandatory agent training Rev 8.2015
- Q1 – competitor
- CMS – Credible Coverage Rx Plans Medicare Rx Drug Manual Chapter 14 – Co Ordination of Benefits
Medicare Prescription Drug, Improvement and Modernization Act of 2003 416 Page pdf gpo.gov
2017 Announcements 250 pages
Part D—Voluntary Prescription Drug Benefit Program
Subpart 1—Part D Eligible Individuals and Prescription Drug Benefits
Subpart 2—Prescription Drug Plans; PDP Sponsors; Financing
Subpart 3—Application to Medicare Advantage Program and Treatment of Employer-Sponsored Programs and Other Prescription Drug Plans
Prescription Drug Coverage – General Information
Click the selection that best matches your area of interest. Please check back, as we will continue to update these resources regularly.