Medicare/Part D

What is Medicare Part D?

All Medicare recipients are eligible for Medicare Part D, which offers coverage for prescription drugs. To get prescription drug coverage from Medicare, you must join a plan run by a Medicare-approved company. It is important to compare plans, as each differs in cost and coverage.

When Can I Enroll in Medicare Part D?

Your initial eligibility begins with your Initial Enrollment Period (during the 7-month period that begins 3 months before the month you turn 65, includes the month you turn 65, and ends 3 months after the month you turn 65) and can extend depending on your current coverage timeline.

• During the Annual Election Period where anyone can join, switch or drop your Medicare drug plan. The change will take effect on January 1st the following year.
• If you receive Medicare due to a disability, you can join a prescription drug plan during the 7-month period that begins 3 months before your 25th month of disability, includes your 25th month of disability, and ends 3 months after your 25th month of disability. You will get another opportunity to join during the 3 months before the month you turn 65, the month you turn 65, and 3 months after the month you turn 65.
• You may join, drop, or switch a Medicare drug plan any time if you receive Extra Help.

What Drugs does Medicare Part D Cover

Medicare Part D offers coverage for many popular brand-name and generic prescription drugs. If you know you need coverage for a specific prescription, ensure that it will be covered before signing up for the plan.

Medicare Part D does not cover are drugs which would be covered by Medicare Parts A and B, drugs that have not been approved by the FDA, and drugs that are not available by prescription in the United States.

Also, Medicare Part D does not provide coverage for:

• Weight loss and weight gain drugs
• Fertility drugs
• Erectile dysfunction drugs
• Drugs for cosmetic purposes
• Barbituates or Benzodiazepines