Medicare Part D
Medicare Part D plans offer coverage for prescription drugs. Medicare Part D is also known as Prescription Drug Plans or PDP, and it is provided by private insurance companies approved by Medicare.
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What Drugs Does Medicare Part D Cover?
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Part D plans cover many drugs, but they must meet the following criteria:
*They are available by prescription only
*They are FDA-approved
*They are sold in the United States
*They are used for a medically-accepted condition
*They are not covered by Medicare Part A or B.
Some of the drugs or medicines included in these plans are diabetes supplies, some vaccines, antidepressants, antipsychotics, anticonvulsants, immunosuppressants, cancer drugs, and HIV/AIDS drugs.
However, each Medicare Part D has its own list of covered drugs or formulary. You need to review this formulary before deciding which policy you want to get and each year before opting to renew the policy. Formularies may change, but you should be notified of the changes at least 60 days in advance.
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Part APart A covers inpatient hospital services, skilled nursing facilities, home health care and hospice. Remember Part A benefits have limits on the number of days covered. Medicare does not usually cover your care in full and you can be responsible for deductibles, coinsurance or copays. For most people Medicare Part A is $0. For some people if they did not work 40 quarters they may have to pay a premium. To enroll in Part A reach out to social security.
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Part BPart B covers outpatient services such as when you go to an office visit, get surgery (including in a hospital) and have labs done. Other coverages such as ambulance, preventative care, durable medical equipment and home health care also come under your Part B benefit. The monthly Part B premium you will pay changes annually. It is based on your modified adjusted gross income two years prior. Some people in higher income brackets will pay more. To enroll in Part B contact Social Security.
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Part CPart C is Medicare Advantage plans. These are available from private insurance companies. To enroll in a MedAdvantage plan you have to be enrolled in Medicare Part A and Part B and live in the plans service area. Medicare Advantage plans do not use the Medicare network instead they have their own networks and providers. The plans can be HMOs, PPOs, PFFS, or SNPs. These plans also can include Part D drug coverage. Once enrolled you will pay a fee for most services. Depending on where you live you may be able to purchase a Medicare Advantage plan Part C plan for $0 Part C is optional and some people choose to not enroll or enroll in a Medicare Supplement plan instead. We can help those in Washington enroll in Part C.
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Part DPart D is prescription drug coverage. These are available from private insurance companies. There are 20+ drug plans to choose from in Washington. Not every plan covers every drug. Our agents can help research and find the plan that meets your needs. Part D Plans change annually, but typically, in Washington you can purchase a Part D plan for less than $12 a month. Those with higher incomes may have higher premiums for their Part D. Part D is optional and some people choose to not enroll. However, if they want to enroll in the future they may have a Part D late enrollment penalty. McGregor Benefits can help you enroll in a Part D drug plan in Washington.
Contact Us Today
Call us today 214-603-5559, Calling this number will direct you to a licensed insurance agent.
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We provide expert guidance on available HMO, PPO, and Indemnity plan options. A licensed agent will educate you on plan features such as physician networks, and cost analysis for the following: premiums, copays, deductibles. Throughout the enrollment process and post-enrollment, you will have a personal contact to assist with questions, claims, or concerns, should any arise.