What is Medicare Part D?
Medicare Part D helps pay for prescription medications not covered by Parts A or B. Standalone plans work with Original Medicare, or coverage may be included in a Medicare Advantage plan.
Covers:
Prescription Drugs
Tiered Drug Formularies
Mail Order Pharmacy
Pharmacy Network
Preventive Vaccines
Gap Coverage (Donut Hole)
FAQ
Who can enroll in Medicare Part D?
Anyone enrolled in Medicare Part A and/or Part B can join a Part D prescription drug plan or choose a Medicare Advantage plan that includes drug coverage.
Are all drugs covered?
Each plan has its own formulary (list of covered drugs), organized by tiers. Check your medications against the plan’s formulary before enrolling.
Can I change my Part D plan?
Yes, you can switch plans during the annual open enrollment period (October 15 – December 7) or after certain qualifying events.
What is the coverage gap or donut hole?
The “donut hole” is a temporary limit on what the plan pays for drugs. After you reach a spending threshold, you may pay a higher share until catastrophic coverage kicks in.