Prescription Coverage
Part D
Prescription Coverage
Medicare Part D helps cover the cost of prescription drugs. Part D is optional and only provided through private insurance companies approved by the federal government. However, Part D is offered to everyone who qualifies for Medicare. Costs and coverage may vary from plan to plan.

There are 2 ways to get Prescription (Part D) Coverage:
- As a stand-alone prescription drug plan with Medicare: If you have Medicare Part A and Part B, you can add a Part D prescription drug plan to your existing coverage.
- As part of a Medicare Advantage Plan (Part C): Medicare Advantage plans include all your Part A and Part B coverage. They may also include prescription drug insurance. Not all Medicare Advantage plans include prescription drug coverage.
All plans must cover a wide range of prescription drugs that people with Medicare take, including most drugs in certain protected classes. This list is called a drug formulary. The formulary may differ from plan to plan. Many plans arrange their list of covered drugs in different levels, called “tiers”. Generally, drugs in a lower tier will cost less than drugs in a higher tier. Here is one example of a typical Medicare drug plan’s tier system (but remember, your plan may be different):
Tier 1: Preferred Generic
Tier 2: Generic
Tier 3: Preferred Brand
Tier 4: Nonpreferred Brand
Tier 5: Specialty
The 4 Stages of Medicare Part D Drug Coverage
Annual Deductible
You are responsible for 100% of your prescription drig costs until your deductible is met. Your plan may have an annual deductible of no more than $590, but plans vary.
Initial Coverage
You pay up to 25% of co-insurance for medication covered in your plan's formulary. Max out-of-pocket is $2,000, then your plan kicks in to pay the rest of the medication included in the plan's formulary.
Catastrophic Coverage
After you reach your Tru Out-of-Pocket (TrOOP) costs for prescriptions, you pay NOTHING and your medication is 100% covered. Everything resets January 1st, and you return to the deductible stage at the beginning of each year.
Phone : 833-628-0055
Email : info@thefinancialguys.com
We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options.
305 Spindrift Drive.,
Williamsville, NY 14221
345 Winton Place,
Suite 120
Rochester, NY 14623
Phone: 866-834-2886
Email : info@thefinancialguys.com
We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options.
305 Spindrift Drive.,
Williamsville, NY 14221
3445 Winton Place,
Suite 120
Rochester, NY 14623
319 West Main Street, Batavia, NY 14020