Prescription Drug

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Prescription Coverage

Anyone who has Medicare is offered Medicare prescription drug coverage (Part D). If they choose not to enroll in a drug plan when they are first eligible, then they will likely incur a late enrollment penalty (usually for as long as they have prescription drug coverage) if they decide to join later. There are exceptions to this rule however, such as:

  1. Having creditable drug coverage
  2. Receiving Extra Help

To get Medicare drug coverage, you must join a Medicare plan that offers prescription drug coverage. Each plan can vary in cost and drugs covered.

Two ways to get prescription drug coverage

  1. These plans (sometimes called “PDPs”) add drug coverage to Original Medicare, some Medicare Cost Plans, some Medicare Private Fee-for-Service (PFFS) Plans, and Medicare Medical Savings Account (MSA) Plans.
  2. Medicare Advantage Plan (like an HMO or PPO) or other Medicare health plan that offers Medicare prescription drug coverage. You get all of your Medicare Part A and Part B coverage, and prescription drug coverage (Part D), through these plans. Medicare Advantage Plans with prescription drug coverage are sometimes called “MA-PDs.” You must have Part A and Part B to join a Medicare Advantage Plan.

Learn more about Prescription Drug Coverage at medicare.gov

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