The prescription drug benefit is the part of Medicare that covers most outpatient prescription drugs. Part D is offered through private companies either as a stand-alone plan, for those enrolled in Original Medicare, or as a set of benefits included with your Medicare Advantage Plan.
Unless you have creditable drug coverage and will have a Special Enrollment Period, you should enroll in Part D when you first get Medicare. If you delay enrollment, you may face gaps in coverage and enrollment penalties.
Click link to view the official U.S. government Medicare handbook Medicare and You 2021
Each Part D plan has a list of covered drugs, called a formulary. If your drug is not on the formulary, you may have to request an exception, pay out of pocket, or file an appeal.
A drug category is a group of drugs that treat the same symptoms or have similar effects on the body. All Medicare drug plans generally must cover at least 2 drugs per drug category, but plans can choose which drugs covered by Part D they will offer.
You have two choices; a stand-alone Medicare Prescription Drug Plan (PDP) or a Medicare Advantage Plan that comes with prescription drug (Part D) coverage. You can only have one Part D drug plan.
Some Part D plans have preferred pharmacies where you can receive lower cost for the the same drug at other pharmacies.
Yes, if you have a Medicare Supplement Plan with an insurance company you can purchaser a Part D drug plan from any company that offers it in your service area.
You can apply online by copying and pasting:
https://secure.ssa.gov/iClaim/rib
Or call Social Security at: 800-772-1213
Prescription drug coverage is creditable if the value of the coverage equals or exceeds the value of standard prescription drug coverage under Medicare Part D, in accordance with Centers for Medicare and Medicaid Services (CMS)
The Medicare Modernization Act (MMA) requires entities (whose policies include prescription drug coverage) to notify Medicare eligible policyholders whether their prescription drug coverage is creditable coverage, which means that the coverage is expected to pay on average as much as the standard Medicare prescription drug coverage.
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