from Diane "Dee" Lee
Phone: (623) 251-6612 TTY:711
Serving all of PhoenixEmail: email@example.com
and the greater Phoenix area
Maricopa and Yavapai Counties
Part D Prescription Drug Plan
The Prescription Drug plan (Medicare Part D) is often
included with HMO, POS, PPO, PFFS, and Special Needs plans. This plan assigns medications
to tiers which determine the amounts you pay out of pocket for each
drug, while the plan pays for the rest of the cost.
Why would I want a Part D Plan?
- Tier 1 - The least expensive drugs, have the lowest copayments
- Tier 2 - Have fairly low copayment amounts
- Tier 3 - Have medium copayment amounts
- Tier 4 - Have the highest copayment amounts
- Tier 5 - You pay one third (33%) of the cost of the drug
Stand Alone Part D Plan
- Additional help covering the cost of your prescriptions.
These are prescription plans only. There is a monthly premium which sometimes includes the deductible or
it may not. There is usually a formulary (a list of drugs) that are covered under the various plans.
The majority of plans have a coverage gap or "donut hole" included. This is the time period when you are
responsible for more of the cost of your drugs until you have reached the maximum out of pocket
cost. Once that dollar amount is reached your drug cost will decrease significantly.
Why would I want a Stand Alone Part D Plan?
Be aware of the premium penalty for delaying Part D
Your Medicare Advantage plan does not include a Part D plan.
Your Medicare supplement does not include a part D plan.
Help with the cost of your prescription drugs.
You incur expenses only when you use the services.
plans are totally voluntary, but there is a penalty in the form of higher premiums for Part D if you do not select a Part D plan as soon as you are
eligible. (The penalty is
explained in Questions.)
More about how Medicare works is in the
Medicare Made Clear – Show Me Guide