How Does Medicare Part D Coverage Work?

Articles

How Does Medicare Part D Coverage Work?
Each Medicare Advantage plan with prescription drug coverage or Part D plan has its own list of covered drugs, called a formulary. Our pharmacy department and doctors decide which drugs to include based on quality, safety, and how well they work. E...
What Is the Coverage Gap?
Medicare prescription drug coverage has 3 different phases of coverage — initial coverage, the coverage gap, and catastrophic coverage. Initial Coverage During initial coverage, your prescription drug coverage works like normal health insura...
What Is the Part D Late Enrollment Penalty?
The Part D late enrollment penalty is a an amount added to your Part D monthly premium because you didn't sign up for drug coverage when it was available to you. If you go without a Part D plan or a Medicare Advantage plan with drug coverage for...
Medicare Part D Transition Process
Within your first 180 days as a new member, you might be taking drugs that are not on our formulary, or list of covered drugs, that require you to meet certain requirements, like prior authorization, step therapy or quantity limits. If you're i...