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Medicare Part D Prescription Drug Plans

Medicare Part D plans help cover the out of pocket costs on drugs. Some policies have a higher premium and more comprehensive coverage. Although some policies boast a lower premium in exchange for less coverage, those with Medigap and Medicare should choose a stand-alone Part D plan.

Medicare Part D Plans for 2021

Most Part D plans are either basic or enhanced coverage. Since everyone has a different medication schedule, the best policy depends on the list of necessary prescriptions.

Someone with many brand name drugs would spend too much out of pocket on a standard policy; however, a basic plan could benefit many people across the nation.

There are many Part D plans available in the United States. The lowest costing policy isn’t always the best policy. Sometimes beneficiaries save more money annually by paying a higher monthly amount.

What is the Monthly Premium for Medicare Part D?

Part D plans can cost anywhere between $15-$90. A premium for someone who takes brand name drugs might have a higher premium. Also, your location is a factor that comes into play regarding the premium.
Average Monthly Premiums for Medicare Part D

When Can I Change Medicare Part D Plans?

Enrollment outside of the Initial Enrollment Period is between Oct. 15th through Dec. 7th, this is known as the Annual Enrollment Period.

Beneficiaries that delay enrollment will incur a penalty of 1% each month you could’ve had coverage. Recipients need to understand their Part D eligibility and enrollment periods.

Thankfully, beneficiaries won’t pay quite as much out of pocket on prescriptions if they end up in the donut hole.

However, these companies must tell you about upcoming policy updates. A document called the Annual Notice of Change reveals any new policies that will take effect in January. This allows you to switch plans.

How Do I Choose a Medicare Part D Plan?

When choosing a Part D plan, you should consider your current medications as well as any future medication you may need. Most drug plans have restrictions on pain medications, opiates, and narcotics. Those taking pain medication should regularly be ready to deal with extra paperwork. Almost all Part D policies require some kinds of quantity limits, step therapy, or prior authorization on these kinds of medications.

No matter which company you choose to enroll in, these restrictions are typical of these types of drugs. Choosing a policy with the lowest annual estimated spending can make it worth changing policies. After applying, the best way to get as much approval as possible is to file any exception forms immediately.

Some medications, such as a compound medication, won’t have coverage by Medicare Part D insurance plans. This is an instance when you must file an exception. All exceptions aren’t going to receive approval, so prepare to pay for medications out of pocket.

How to Compare Medicare Part D Prescription Drug Plans

Prescription drug plans can be challenging to navigate. Many beneficiaries unintentionally select a policy that doesn't cover the medication they need, or they choose a policy that has drug restrictions they weren't ready to handle.

Also, it's common for new Medicare beneficiaries to fail to enroll in a policy when first eligible. Well, here at MedicareFAQ, we're here to ensure the help is here for you when you need it. Our agents walk you through everything at the beginning of your policy. They will find you the best rated Medicare Part D Plans.

Then, once you have an active policy, our client care team offers their time and insurance knowledge to you at the sight of any Medicare hiccup. We want you to feel confident in your coverage at all times. Give us a call at the number above to get started! Or fill out an online rate form to compare rates online!

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Lindsay Malzone

Lindsay Malzone is the Medicare expert for MedicareFAQ. She has been working in the Medicare industry since 2017. She is featured in many publications as well as writes regularly for other expert columns regarding Medicare. You can also find her over on our Medicare Channel on YouTube as well as contributing to our Medicare Community on Facebook.


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