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. In order to view the plan’s formulary and to look at current plans that are available you can visit:

https://www.medicare.gov/find-a-plan/questions/home.aspx 


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