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PART D - Rx Drug coverage

Part B Costs:

  • Most drug plans charge a monthly fee that varies by plan.  You pay this in addition to the Part B premium.  If you belong to a Medicare Advantage plan (like an HMO or PPO) that includes Medicare prescription drug coverage, the monthly premium you pay to your plan may include an amount for prescription drug coverage.

  • A small percentage of Medicare beneficiaries with higher incomes will pay a higher monthly Part D premium.  If you must pay a higher premium, the Social Security office will send you a letter with your premium amount and the reason.

  •  In addition, there could be a yearly deductible amount and other costs (such as copayments or coinsurance per prescription).  Some Medicare drug plans have different levels or "tiers" of coinsurance or copayments, with different costs for different types of drugs. 

  • Helps cover the cost of prescription drugs.

  • May help lower your prescription drug costs and help protect against higher costs in the future.

  • Is run by Medicare-approved private insurance companies. 

  • There are two ways to get Medicare prescription drug coverage:  1) through a stand-alone plan that covers prescription drugs only, 2) through a Medicare Advantage plan that includes health care and prescription drug coverage.

Eligibility:

  • Anyone who has Medicare hospital insurance (Part A), medical insurance (Part B) or a Medicare Advantage plan (Part C) is eligible for prescription drug coverage (Part D).