Prescription Drug Plans

Approximately 90 percent of people over the age of 65 take at least one drug every week, yet Original Medicare does not provide coverage for most prescription medications. As a Medicare beneficiary, you have two primary options for obtaining coverage for prescription drugs 1) enroll in a Medicare Advantage plan that that provides coverage, 2) enroll in a standalone Medicare Part D (Prescription Drug) plan. Because these plans are sold by private insurers, each plan will include it’s own criteria concerning:

• Premiums

• Deductibles

• Copayments or coinsurance

• A list of drugs covered by the plan

Each plan is unique in terms of its cost and coverage, so it’s important to find a plan that fits your needs. There are many plan options for prescription drug coverage and each plan may provide a different premium, deductible, and formulary offering. With 30+ stand-alone plans to choose from, this can be overwhelming to do on your own.

Learn More:

  • Eligibility

    If you are enrolled in both Medicare Part A and Part B, you are eligible to enroll in a Part D plan or to enroll in a Medicare Advantage plan with prescription drug coverage.

    There are only certain times of the year in which you may sign up for a Medicare Part D plan or a Medicare Advantage plan, which are outlined on the next slide.

  • Initial Enrollment Period (IEP):

    Your seven-month Initial Enrollment Period (IEP) begins three months before your 65th birthday, includes the month of your birthday and continues for three months after you turn 65.

  • Annual Election Period

    The Annual Election Period occurs from October 15 to December 7 each year. During this time, you may enroll or disenroll in a Medicare Part D plan or switch from one plan to another. You can also enroll in a Medicare Advantage plan with prescription drug coverage, disenroll from a Medicare Advantage plan, or switch from one Medicare Advantage plan to another.

  • Special Enrollment Period

    A Special Enrollment Period may be granted under certain circumstances under which you can enroll in a Medicare Part D plan or in a Medicare Advantage plan. These specific circumstances can include but are not limited to: moving out of your current plan’s service area, losing your current coverage or moving into a long-term care facility.

  • Penalties

    It is important to understand that there is a Medicare Part D late enrollment penalty. You may incur this penalty if you go at least 63 continuous days without a Part D plan, a Medicare Advantage plan the offers prescription drug coverage, or other creditable prescription drug coverage.

As an independent agent, I have access to plans from most Medicare carriers. It is important to understand that individual insurance companies or TV 1-800 numbers have limited plans & will try to enroll you on their single-carrier plans which might not adequately cover your unique medical needs, thus leaving gaps in your coverage & care. Currently, I am licensed with 8 of the largest Medicare insurance carriers which offer over 70+ distinct plans depending on your zip code. This wide selection ensures you find the most comprehensive & tailored Medicare coverage available to you at the lowest cost. Most importantly, because I am an independent agent, I have no bias towards any company- my commitment is to you!

The Value of Enrolling with a Independent Agent

•Complexity of Choices•

Part D plans can vary significantly in terms of formularies and cost. An independent agent can help navigate these complexities by explaining the differences and assisting in finding a plan that best suits an individual's prescribed medication and financial situation.

•Personalized Analysis•

Independent agents can provide a personalized analysis of the available options, taking into account individual health requirements, medications, & financial circumstances. This tailored approach helps ensure that the chosen plan optimally aligns with the person's specific needs.

•Save Time and Effort•

Researching and comparing different Part D plans can be time-consuming and overwhelming. An independent agent can streamline this process by quickly presenting the most comprehensive option at the lowest cost & helping with the paperwork and enrollment process.

•Ongoing Support•

After enrollment, independent agents can continue to offer support, assisting with any issues that arise, answering questions about coverage, and helping with annual reviews of your prescriptions & plan formularies to determine if a different plan may be more suitable to your needs or the plans available change.

THERE IS NEVER A CHARGE FOR OUR SERVICES.

Our role is to ensure you receive the most comprehensive and tailored coverage at the lowest cost possible. We assist you by providing plan guidance, selection, management, and more. Each year, we will review your coverage during annual enrollment period to make any needed changes based on your evolving health situation. As an independent agent, the agency is not tied to any single insurance carrier, allowing us to focus on the unique needs of my clients without any conflict of interest- our commitment is to you! . Regardless if you use our services, we are always here with our experience and knowledge as a resource. We offer Medicare Beneficiaries information for FREE with no obligations. We are here to help guide you towards making an informed decision. It would be our privilege to connect you with a personalized Medicare plan.