Woman learning about drug coverage

6 Tips for Choosing Medicare Drug Coverage

August 12, 20241 min read

6 Tips for Choosing Medicare Drug Coverage

Choosing the right Medicare prescription drug plan can be overwhelming, but these six tips will help you make an informed decision. With the right coverage, you can ensure your medications are affordable and accessible.

1.Understand Your Options

There are 2 ways to get Medicare drug coverage. 

  1. Medicare Prescription Part D plans are offered by private insurance companies and provide coverage for prescription medications. Part D plans are combined with Original Medicare (Parts A and B).  

  2. Medicare Advantage Plans (Part C) or other Medicare health plans with drug coverage. This includes your Part A, Part B, and drug coverage.

2. Make a List of Your Medications

Before you start comparing plans, make a list of all the medications you currently take. This will help you determine which plans cover your prescriptions and at what cost.

3. Compare Plans and Costs

Use the Medicare Plan Finder tool to compare different plans in your area. Look at premiums, deductibles, and out-of-pocket costs for your medications. 

4. Check the Plan’s Formulary

A plan's formulary is a list of covered drugs. Make sure the plan you choose covers your medications and check if there are any restrictions or requirements, such as prior authorization or step therapy.

5. Consider the Pharmacy Network

Some plans have preferred pharmacy networks that offer lower costs for medications. Ensure your preferred pharmacy is in the plan’s network or consider switching to one that is.

6. Review the Plan’s Star Rating

Medicare assigns star ratings to plans based on their performance. Higher-rated plans may offer better service and coverage, so consider these ratings when making your decision.


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