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What is a Part D plan and how does it work?
Medicare Part D is your Medicare prescription drug coverage. Just as Medicare Part A covers your hospital services and Medicare Part B covers your doctor bills, Medicare Part D covers your prescription drugs. However, keep in mind that you do not automatically receive Medicare Part D when you sign up for Medicare. Medicare Part D is entirely voluntary. If you want Part D coverage, you must enroll through a health benefits company like Anthem.
Who is eligible for Medicare Part D?
If you’re eligible for Medicare, then you’re eligible for Medicare Part D coverage. That means that if you are age 65 or older or if you are on Medicare or Medicaid because of a disability, you’re eligible for Medicare Part D prescription drug coverage.
When can I sign up for Medicare Part D?
As soon as you turn 65 or if you’re eligible for Medicare due to disability you’re eligible for Part D prescription drug coverage. Your first opportunity to sign up will be three months before your 65th birthday. We recommend that you sign up no later than one month before your 65th birthday. This way, as soon as you’re eligible, you can take full advantage of all that Medicare Part D has to offer. Please note that there is a late penalty if you decide to enroll later.
What drugs are covered under Medicare Part D?
Every plan’s coverage will differ slightly so it’s important to check to see if the drugs you need are covered. Generally Medicare Part D covers drugs available only by prescription, approved by the Food and Drug Administration (FDA) and used and sold in the United States. Part D drugs include prescription drugs, biological products, insulin, vaccines and certain medical supplies associated with the injection of insulin (syringes, needles, alcohol swabs, and gauze). Any drug covered by Medicare Parts A or B will not be covered by Part D.
How much does Anthem’s Medicare Part D plan cost?
Each Anthem plan differs slightly, but you can expect to pay a small premium each month. You must also continue to pay your Medicare Part B premium. If you have a limited income, you may be eligible to receive extra help on premiums, deductibles and co-payments.
What pharmacies can I use?
You can use our large network of pharmacies to receive plan benefits. Our network pharmacies will also be happy to file your Medicare prescription drug claims for you. If, however, you use a pharmacy that’s not part of our network, unfortunately your drug prescriptions will not be covered, except in certain cases (examples are a medical emergency or urgent care or when a network pharmacy is unavailable.)
How do I choose a Medicare Part D Plan?
The best way to choose is by comparing the coverage and rates. You can do this by clicking here
for plan details and benefits.
CMS Approved Date 9/2008, Material Identification C0003_09_033
Last Updated 09/2008