3 Questions to Ask When Choosing a Medicare Part D Plan

  • By William Bryant
  • 21 Apr, 2017

Make the right choice for your drug coverage

Choosing a Medicare Part D Plan?

No matter your age, health insurance plans can be confusing. But if you're a senior over the age of 65, it becomes increasingly important for you to make the right choices with your healthcare. By the year  2030, Medicare enrollment  is expected to rise to 79 million people across the nation. With so many participants, there are bound to be folks who make the wrong decision as to which Medicare policies and Medicare supplement plans they choose.

For many seniors, one of the most pivotal parts of their medical care may be their prescription drug plan. Most seniors will have to determine whether Medicare Advantage (known as Medicare Part C) or the Medicare Prescription Drug Plan (known as Medicare Part D) is the best fit for their needs. If you want to determine whether Medicare Part D is the right choice for you, you'll want to ask your provider the following three questions.

1. Will Medicare Part D cover the prescriptions I currently take?

The drugs covered by Part D and by Medicare Advantage plans will often vary from year to year. The last thing you want is to sign up for or continue with a plan and find out later that necessary medications aren't covered. Your plan will have an Evidence of Coverage, which provides information on some of the most common medications covered by the plan, but you can also access a complete list of all medications. Your doctor or provider will be able to tell you whether your current medication is covered. If it's not, there could be another covered drug that you can take instead. When this is not possible, you'll need to investigate a different plan.

2. Is my current pharmacy within my plan's network?

Not only can drug coverage change on a yearly basis, but so can pharmacy network coverage. That's because certain pharmacies are contracted to set pricing for different medications. You might save quite a bit of money by using a pharmacy that's within your plan's network, but sometimes, it may not make a huge difference. Regardless, you'll want to check on this prior to enrolling in a plan. Otherwise, you may get an unwelcome surprise when you go to pay for your prescription.

3. Will the cost of my prescriptions change?

Yes, the costs of your prescriptions can vary from year to year, too. Most Medicare drug plans will split the cost of these medications with you through your co-pays, while others have deductibles you must meet before that happens. These terms are subject to change every year, so co-pays, deductibles, and premiums may not stay the same. So too can your drug costs, if the particular medication you take is moved to a different tier in your plan. Low tiered medications usually cost less. While your insurance company will be required to notify you, it's better to check on this yourself -- ideally, before you enroll in a plan.


At S2S Silver Services, we understand how complex  finding a drug coverage plan  can be. We'll take the guesswork out of the equation and match you with an insurance company that fits your needs. For more information or to obtain a quote, get in touch with us today.


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