Getting drug coverage with Medicare

As a Medicare user you probably know that Original Medicare Part A and Part B do not cover drug prescriptions and that you will have to pay for the medication your doctor prescribes you. If you would like to save some money, there are two ways in which you can get drug coverage with Medicare through some plans that Medicare offers. In this article you will find information about these and how to enroll on them.

     How to can I drug coverage with Medicare?

There are two ways in which you can get drug coverage with Medicare. The first one is through a Medicare Prescription Drug Plan (Part D), which adds drug coverage Original Medicare, some Medicare Cost Plans, some Medicare Private Fee-for-Service Plans, and Medicare Medical Savings Account Plans. You can get one of these through a private insurance company.

The second way in which you can get drug coverage with Medicare is through a Medicare Advantage Plan, like a Health Maintenance Organization plan.  With a Medicare Advantage Plan you get Medicare Part A (Hospital Insurance), Medicare Part B (Medical Insurance) and prescription drug coverage. These types of plans are also known as “MA-PDs” because they include the drug coverage. This plans are also gotten through a private insurance company.

     What do these plans cover?

Depending on the plan you get, the coverage will vary. However, each plan has a formulary, which is a list of covered drugs and they are placed in “tiers”, so each tier has a different cost. Medicare drug plans can make changes in their formularies, but they must inform you through a written notice at least 60 days before the changes become effective if you are taking a drug that is involved in them. Additionally, Medicare drug plans must cover all commercially available vaccines.

When and how can I enroll on a Plan with drug coverage?

You can enroll on one of these plans or make changes on the plan you already have on specific times.

The first moment in which you can get one is during the Initial Enrollment Periods for Part C & Part D, when you first get Medicare. In this case, there a few situations that influence the moment when you can get the plan.

If you are new eligibly because you just turned 65, you have a disability and you are under 65 or you have both a disability and just turned 65, you can enroll on a plan with drug coverage 3 months before you turn 65, during the month you turn 65 or 3 months after you turn 65. In case you are under 65, the month in which the person turns 65 will be replaced with your 25th month of getting disability benefits.

If you have Medicare Part A coverage and you enrolled in Mutual of Omaha Medicare Supplement during the Part B General Enrollment Period (January 1–March 31), you can sign up for a Medicare Advantage Plan between April 1 and June 30. If you do not have Medicare Part A coverage and you enrolled in Medicare Part B as previously mentioned, you can sing up for a Medicare Prescription Drug Plan between April 1 and June 30.

The second moment in which you can get a plan with drug coverage is during the Open Enrollment Period for Medicare Advantage and Medicare prescription drug coverage. The third moment in which you can get a plan with drug coverage is during the Medicare Advantage Disenrollment Period. If you do it during the MA disenrollment period, you will have to switch to Original Medicare and join a Medicare Prescription Drug Plan.

Choosing the Medicare Coverage

There are 2 fundamental approaches to choose your Medicare coverage i.e. Original Medicare (Part A and B) or a Medicare Advantage Plan (Part C). A few people get extra coverage, similar to Medicare prescription drug coverage or Medicare Supplement Insurance (Medigap). Keep reading this article and know how to choose the right Medicare coverage.

First, choose between Original Medicare and Medicare Advantage Plan:

·        Original Medicare:

Original Medicare is actually a part A (Hospital Insurance) and Part B (Medical Insurance). The coverage is provided by Medicare and an individual have a choice of choosing hospitals, doctors and different suppliers that accept Medicare.

In 2018, the amount of standard Part B premium is $134 (or higher relying upon your salary). A few people who get Social Security benefits pay not as much as this amount. Mostly, the individual has to pay a deductible and coinsurance for the services of part A and B. In case you purchase a Medicare Supplement plan (Medigap), your may have to pay some of these expenses.

·        Medicare Advantage Plan:

Medicare Advantage plan is also known as part C and it incorporates both Part A and Part B. The coverage is provided by the Private insurance agencies that are approved by Medicare. You generally have to pay a month to month premium for your MA Plan. You may pay a copayment or coinsurance for the services covered by the plan. Numerous MA plans offer vision, hearing, and dental coverage as well. Costs, additional coverage, and the regulations are different for each plan. The out-of-pocket costs are regularly lower in an MA plans. This choice and proved to be more financially savvy for you.

Then decide whether you want prescription drugs coverage:

In the event that you need doctor prescribed drugs coverage after choosing the Original Medicare plan then you should pick and join a Medicare Prescription Drug Plan which is also known as part D. These plans are controlled by privately owned businesses approved by Medicare.

On the other hand, if you have chosen Medicare Advantage plan then the prescribed drugs coverage is offered by your MA plan and you should get it through your plan.

Decide whether you want supplemental coverage:

In case you chose original Medicare then you might need to get supplemental coverage in order to help pay some of the social insurance costs that Original Medicare doesn’t cover, similar to copayments, coinsurance, and deductibles. You can purchase a Medigap policy from a privately owned company.

However, if you have chosen Medicare Advantage Plan then your cost sharing is lower. You can’t utilize a supplemental coverage or a Medigap policy in case you’re in a Medicare Advantage Plan.

Go to medisupps.com/united-healthcare-medicare-supplemental-insurance-2018/to learn more about Medigap.

A few other choices:

Along with the Original Medicare or the Medicare Advantage Plan, you can also join different kinds of Medicare policies. You can spare cash or have different options on the off chance that you have restricted income and assets. You may likewise have other coverage, similar to union or employer, military, or veterans’ advantages.