Your prescription drug coverage can be included in a Medicare Advantage plan or a standalone plan. This page covers standalone Part D plans.
In our complementary Medicare 101 educational webinars, we discuss the several items you should consider when selecting your Medicare Part D Prescription Drug plan:
|Premium||Your Part D premium is paid to a private company and is separate from Part B which is paid to Medicare. [Note: If you are enrolled in Social Security Extra Help, the Part D premium may be partially or fully subsidized.)|
|Deductible||Your Part D plan may include a deductible, the amount you pay before the plan benefits begin. The deductible can range from $0 to $445 and can apply to some or all medications. You will want to know the deductible amount and which, if any, of your medications are subject to deductible. [Note: If you are enrolled in Social Security Extra Help, the deductible may be partially or fully subsidized.)|
|Formulary||Each Part D plan publishes a list of medications covered. Federal law requires plans to include at least two drugs from each class of drug category on their formulary – but not necessarily your medication. We want to make sure your current prescribed medications are included.|
|Tier Levels||Drug tiers are how prescription drugs are divided into different levels of cost; Tiers 1 and 2 are lower cost and Tier 3, 4 and 5 higher cost. The plan formulary will include the drug tier and may differ by dosage and form. Competing drug plans may include the same drug and dosage in their separate formularies however they could differ by tier designation. Double check this!|
|Cost||After the deductible, if applicable, is met a 30 day supply of medication will include cost sharing. The plan document will state whether your share is a fixed dollar cost (co-pay) or a percentage (co-sharing.)|
|Pharmacy||The drug copay costs, which differ by tier level, assume you are having your prescription filled at a preferred pharmacy, retail or mail order. It is true you can have your prescriptions filled at most pharmacies you will want to use the preferred pharmacy to lower your copay amounts.|
For your convenience, copies of plan details are available for your review. (Double click the link to open) Then, use the form below to contact an agent advisor for further discussion and enrollment assistance.
DGAlcorn & Associates Agent Advisors are licensed and appointed to represent several private companies offering Medicare Part D prescription drug plans in New York State.
Please complete the form below. After you click the blue submit button, your will see a confirmation page while your agent advisor is being notified to contact you by telephone or email.