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Part D Prescription Drug Coverage

Request a Medicare Part D Rx Quote, Compare Your Options, and Save on Your Prescription Drugs!

There are two options for obtaining a Medicare Part D Prescription Drug Plan (or PDP).  You can opt for a PDP only, with no other coverage, or you can purchase a Medicare Advantage (MA) plan.  A Medicare Advantage plan covers both medical services and prescription drugs.  Within these two categories, there are many different companies and plans to choose from.

Keep in mind that each insurance company has its own list of covered medications.  Therefore, it is crucial for you to make sure that you choose a plan that meets your needs by covering all or most of your recurring monthly prescriptions.

Cost for Medicare Part D Plan Coverage

  • Medicare Part D has monthly premiums
    Like Medicare Part B, Medicare Part D plans have monthly premiums.  The premium will vary depending on which plan you choose, your location, which insurance company is offering the plan and your income.

    When paying the monthly premium, you have the option to have the payment automatically deducted from your Social Security check.  The insurance company you choose can arrange this payment method.  You can also choose to have the premiums automatically deducted from a checking account, or pay through the mail.
  • Most Part D plans have annual deductibles
    The deductible amounts on Medicare Part D plans also vary according to which plan you choose.  The deductible is the annual dollar amount that you are required to pay before coverage kicks in.  For 2014, the maximum allowable deductible for Medicare Part D is $310.  For 2015, the initial deductible will increase by $10 to $320.
  • Medicare Part D “Donut Hole”
    Medicare Part D is infamous for its “donut hole” or coverage gap.  Once you are in the donut hole, you are responsible for paying your prescription drug costs.  However, there are discounts for both brand-name and generic drugs.  Once you reach the True Out of Pocket (TrOoP) amount of $4,700 in 2015 , your Part D plan will start covering your medications again.

    Once you are out of the coverage gap, you plan pays according to the Catastrophic Coverage Schedule.  This means you are responsible for a maximum of $6.60 for brand name medications and $2.65 for generic ones.
  • Closing the Part D “Donut Hole”
    The Affordable Care Act has made some changes to the Medicare Part D coverage amounts in an effort to reduce your prescription expenses while you are in the coverage gap.  Once you reach the donut hole, you will receive a discount on brand name drugs and generic drugs.  These discounts will gradually increase as you can see below until 2020.


    Come 2020, beneficiaries   who are in the Medicare coverage gap will receive a 75% discount on all prescriptions, which will in effect close the gap.

    Even though you only pay a portion of the cost for your prescriptions while in the donut hole, the original amount of the drug is applied to the TrOOP.  This helps you get out of the coverage gap sooner.

How to Save Money on Your Prescriptions

Since there is a late-enrollment penalty for delaying the purchase of a PDP, you may benefit from signing up for a Part D plan even if you are not currently on any medications.  In this way, you can choose the least expensive plan in order to avoid the penalty, with the option of switching to a more comprehensive plan if your needs change.

Even you do not purchase a Medicare Part D plan, you can still benefit by being a smart consumer.  Visit our page regarding How to Pay Less for Prescription Drugs and learn how to receive a free prescription drug discount card.  We also provide information about how purchase your monthly recurring medications at reduced prices via international pharmacies.

Quotes and How to Apply

If you are interested in receiving a quote on Part D prescription coverage, we can research your options and help you make a decision regarding which plan is right for you.  We are able to offer quotes from a variety of carriers, such as:

  • Blue Cross Blue Shield
  • Aetna
  • Humana
  • United Healthcare
  • Coventry
  • Cigna

Before we are allowed to provide information on these plans, Federal law requires that you fill out a Scope of Appointment Form.

After submitting the form, you will be taken to a page where you provide information on which medications you take and the pharmacy you use.  Once you have provided all of the requested information, we can obtain quotes and rate information designed for your specific situation.

If you are not comfortable with the online quote process, or if you have any other questions, please contact one of our MediGap Advisors at 866-323-1441.  You may also e-mail us at info@MediGapAdvisors.com.  Remember that our services are offered to you with zero cost and with no obligation.  Our goal at MediGap Advisors is simply to help you understand your Medicare Part D Prescription Drug Plan and help you make informed decisions regarding your coverage.


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Disclaimer: Medigap Advisors is not connected with or endorsed by the U.S. Government or the federal Medicare program. Medicare has neither reviewed nor endorsed the information contained on this website. This is not a complete listing of plans available in your service area. For a complete listing please contact 1-800-MEDICARE or consult www.medicare.gov (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week.