Medicare Part D Coverage
Every Part D plan has a formulary, which is a list of drugs that are covered. If the drug you require is not on the formulary, you may request an exception, pay out of pocket, or submit an appeal.
The formularies vary from plan to plan, so you should request a copy. But each plan has to cover all drugs in these categories:
- HIV/AIDS treatment
- Antipsychotic medications
- Anticonvulsive treatments for seizure disorders
- Anticancer drugs (unless they are being covered under Part B)
Also, Part D covers most vaccines unless they are already covered under Part B.
For more information about Medicare Part D coverage, look here.
Part D Cost
Monthly premiums and copayments for Part D vary from plan to plan.
However, as previously mentioned, every plan has a formulary that records the different drugs that are covered. The cheapest plan is not always the best plan. Talk with a Medicare agent like Ron Ray who will verify that the plan you want will cover 100% of your drugs.
If you have a low income or think you could have trouble paying Medicare premiums, you can check for helpful options in our blog about Medicare Savings Program.