MedicarePartD.guide

A non-government resource built from CMS public data

How would I decide if a Medicare Part D plan is the right choice for me?


How would I decide if a Medicare Part D plan is the right choice for me?

Like any insurance coverage decision, the question of whether to join a Medicare Part D plan depends on your particular situation.

There are however, certain simple factors that you can consider in preparation for this question.

For instance:
  • How much do I spend each year on prescription drugs?
  • What does the Medicare Part D plan cost each month?
  • Does the Medicare Part D plan cover your particular prescription drugs?
  • What are the Medicare Part D plan's copayment and deductibles?
  • Is my favorite or nearby Pharmacy a member of this Medicare Part D plan's Pharmacy Network? And... is this pharmacy a preferred Network pharmacy that might have better pricing as compared to a standard network pharmacy?
  • Do you qualify financially for any "Extra Help" programs?
  • Are you already eligible for prescription drug coverage by your previous employer, union, or the VA?
Please note, as a rough guideline, it is estimated that if you spend as little as $68.00 per month on prescription drugs (or $810.00 per year), you could save money with a Medicare Part D plan (depending on the plan's monthly premium).


CMS Steps to Choosing a Medicare Drug Plan

The Centers for Medicare and Medicaid Services (CMS) notes: Follow the steps below to choose and join a Medicare drug plan, whether you’re joining for the first time or reviewing your plan options for coverage next year.

Step 1: Prepare—Gather information about your current drug coverage and needs.

Step 2: Compare—Compare Medicare drug plans based on cost, coverage, and customer service.

Step 3: Decide—Decide which plan is best for you, and join.

Tip: Before considering which Medicare drug plan to join, check out how any current health coverage you have could affect your drug coverage choices.