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Part D Prescription Drug Plans

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Part D Prescription Drug Plans Provided By Our Agency

Turning 65 is a milestone, and along with it comes eligibility for Medicare. But Medicare doesn't cover everything, and prescription drugs can be a significant expense. That's where Part D Prescription Drug Plans come in. You can sign up for a Part D plan during a specific window - starting three months before your 65th birthday and lasting until three months after.

Why Timely Enrollment Matters

Enrolling on time is crucial. If you delay and don't have other qualifying drug coverage, you might face a permanent penalty in the form of a higher monthly premium for your Part D plan down the road.

Already Enrolled? Don't Forget Open Enrollment!


Even if you're already covered by a standalone Part D plan or a Medicare Advantage plan with drug coverage, you have the opportunity to switch plans during the open enrollment period every year. This window runs from October 15th to December 7th.

Understanding Part D Costs in 2023

There are different stages in Part D coverage, each with its own associated costs:

Deductible: This is the initial amount you'll pay for covered drugs before your plan starts sharing the cost. In 2023, the standard deductible has increased slightly to $505.
Initial Coverage Phase: Once you meet your deductible, you'll enter the initial coverage phase. Here, you'll share the cost of your medications with your plan, typically following a copayment structure. The initial coverage limit has also increased for 2023, reaching $4,660.
Coverage Gap (Donut Hole): After reaching the initial coverage limit, you'll enter the coverage gap, also known as the donut hole. During this phase, you'll shoulder a higher percentage of the drug costs (typically 25% for both brand-name and generic drugs).
Catastrophic Coverage: Once your total drug costs for the year surpass a specific threshold ($7,400 in 2023), you'll qualify for catastrophic coverage. At this point, your out-of-pocket expenses become significantly lower, with Medicare picking up most of the tab.

Choosing the Right Part D Plan: A Yearly Review is Key

Since your medication needs might change over time, it's wise to review your Part D coverage annually. Here are some resources to help you make informed decisions:

  • Medicare.gov: This official website provides a wealth of information about Part D, including plan basics and cost estimates.
  • Medicare Part D Plan Finder: This online tool allows you to compare plans available in your area based on your zip code and medications.
  • Formulary Finder: This handy tool within the Plan Finder helps you see how different plans cover your specific medications.
  • Speak with a Medicare Representative: Don't hesitate to reach out for assistance in understanding your options.

Financial Help for Part D Costs

If you have limited income and resources, you might qualify for Extra Help from Medicare. This program can significantly reduce your Part D premiums and out-of-pocket drug costs.

Additional Resources:

Download instructions on applying for Extra Help.
Explore six strategies for lowering your drug costs on Medicare.gov.
By understanding Part D and the available resources, you can make informed decisions about your prescription drug coverage and manage these costs more effectively.

Want to Learn More?

Visit medicare.gov or call the number provided to speak with a licensed agent.

Already have Medicare Supplement (Medigap) Insurance? Switching is easy

It might be time to switch insurers whenever the service that your existing insurer provides doesn’t meet your needs. For example, if you have a poor claims experience or an unexplained rate increase, it might be time to consider other options

If you cancel a previous policy before a new policy is effective, you could run into some serious financial problems.

Contact us today to help you with multiple options to choose from.
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Choice Benefit Services

We extend coverage to individuals and businesses in Auburn, New Hampshire and surrounding areas.
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Important notices regarding Medicare Plans: This information has not been endorsed or reviewed by Medicare. We are not affiliated with any United States Government or State agency. We may not offer every plan available in your area. The information we provide is limited to the plans we offer in your region. For information on all available options, please contact Medicare.gov or call 1-800-MEDICARE.
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