Prescription Drug Coverage / Medicare Part D

 

Anyone who has Medicare is eligible to receive prescription drug coverage by joining a Medicare drug plan. In order to obtain Medicare prescription drug coverage, you must join a plan that is run by an insurance company or other private company that has been approved by Medicare. To join a Medicare Prescription Drug Plan, you must have either Medicare Part A or Part B. For information on joining a Medicare drug plan, contact Pennsylvania’s State Health Insurance Assistance Program at 1-800-692-7462.

What you will pay will depend on the prescription that you use, the plan that you choose, whether you go to a pharmacy in your plan’s network, whether your drugs are on your plan’s drug list, and whether or not you qualify to get Extra Help paying for your Part D costs. If you have low income or foresee having difficulty paying for a drug plan, please ask about Extra Help. This is a Medicare program to help people with limited income to pay for a Medicare drug program.

What questions you should ask

Before choosing a plan make sure you look at the plan’s formulary (drug list). This will tell you what drugs are covered under the plan. Make sure you choose a plan that has the medications that you are taking listed on its formulary. You can visit www.medicare.gov/find-a-plan to view the plan’s formulary and to look at current plans that are available.


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