Arizona Prescription Health Insurance For Seniors

You may want to enroll in a Medicare Part D prescription drug plan to help pay for your outpatient prescription drugs that neither Medicare A now Medicare Part B cover. Since Medicare Part D prescription drug plans vary from one location to another, there are several Medicare Part D prescription drug plans available to you or your aging loved one. You will need to know what plans are sold and which plan fits your needs the best. There are a few key things you should know about senior elder prescription health insurance.

For information on all Medicare Part D drug plans sold where you live, you can visit Medicare’s official website to help you sort through the plans by matching the drugs you take regularly and the plans’ lists of covered prescription drugs. Getting extra help you choose the best plan for yourself or your senior loved one. You can choose to get free expert help from the State Health Insurance Assistance Program.

No Medicare Part D prescription drug plan covers all prescription medicines and only covers a selected list of drugs (the formulary drugs). If you enroll in a plan and it does not include the prescriptions you normally take, then that plan is not a good plan for you. Double-check the Medicare website’s information to make sure that the plan you choose includes the drugs you normally take before you enroll. The Medicare website will have the most up to date information on the prescriptions that they cover.

Since prescription drug plans are permitted to place restrictions on the drugs that are covered, make sure to check with the plan to see which restrictions apply to any other the prescriptions you or your senior loved one regularly use. Some restrictions can include: generic only prescriptions, substituted drugs, tiered drugs, prior authorization, or step therapy. Sometimes restrictions, such as prior authorization, include getting the plan to approve a drug before the plan pays for it, which can create a delay in receiving the drug, or you may have to use a different prescription all together. Make sure you pay attention to the plan’s restrictions before you enroll.

To figure out the total cost of a Medicare Part D prescription drug plan, add the Part D drug plan’s initial costs including the monthly premium and the deductible. In addition to premiums, most Part D plans have a yearly deductible which you must spend this money before the plan begins to pay anything. Therefore, you will need to add the plans deductible to the amount of the monthly co-payment in order to get the complete plans costs. You will also want to add the monthly co-payments the Part D plan would charge for your regular medicines and the co-payment that most Part D plans charge. Check how many doses of your medicine the plan covers in a filled prescription and calculate how often you would need to fill the prescription based on the amount of doses you take.

Also, you will need to see if the prescription plan you chose offers and coverage in the “doughnut hole”, which is the large gap in coverage between the total drug costs cutoff point and the out of pocket costs. A few Medicare Part D plans cover some percentage of those costs. You will need to find out if the pharmacy where you get your prescriptions from participates in the plan. As most pharmacy chains participate in most Medicare Part D plans, you will usually have no problem. However, some pharmacies may not participate in the particular Medicare Part D plan you choose. Make sure to check your plan, call your pharmacy, and verify that your plan will be accepted into your local pharmacy; if not, you may be going to another pharmacy which does participate in you Part D plan.

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