How Do Prescription Drug Plans Work?

Here is some important information you need to know about owning a prescription drug plan:

Annual Deductible — There is a deductible you must pay for a Part D plan. Your deductible may be different, or waived entirely, but the max amount you can be charged is $415 in 2019. You will pay a discounted price for your medications until you have satisfied the deductible. After that, you can begin the initial coverage.
Initial Coverage — During initial coverage, you pay a copay for your medications based on your plan’s formulary. Each prescription drug plan separates its medications into tiers. Each tier has a copy amount for which you are responsible. They are typically separated by generic drugs, preferred name brands, even more specialized medications, etc. In 2019, the initial coverage cap is $3,820. Once you and the insurance company together have paid this amount, then you enter the coverage gap.
The Coverage Gap – During the coverage gap, you will still generally have significant discounts for generic medications. Typically, you will pay 25% for name brand medications and 37% for generics. Your gap spending will continue until you have paid $5100 out of your own pocket in 2019.
Catastrophic Coverage – If you spend past the coverage gap, your plan will begin to pay 95% of the costs of your formulary medications for the rest of the year.

How would I enroll?

Fill out the form and we will be in contact soon or press the "Click to Call" button above to call us today!

Check your own plan?

You will be taken to another website. You will need to choose "Medicare Part D plans" after entering your zip code and clicking on "see plans and prices."

Click for Prescription Plans

See Which Plans Are In Your Area Today

North Carolina: We do not offer every plan available in your area. Currently we represent 23 organizations which offer 121 products in your area. Please contact Medicare.gov, 1‑800‑MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options.

South Carolina: We do not offer every plan available in your area. Currently we represent 21 organizations which offer 107 products in your area. Please contact Medicare.gov, 1‑800‑MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options.

Georgia: We do not offer every plan available in your area. Currently we represent 20 organizations which offer 103 products in your area. Please contact Medicare.gov, 1‑800‑MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options.

Tennessee: We do not offer every plan available in your area. Currently we represent 18 organizations which offer 98 products in your area. Please contact Medicare.gov, 1‑800‑MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options.

Florida: We do not offer every plan available in your area. Currently we represent 25 organizations which offer 152 products in your area. Please contact Medicare.gov, 1‑800‑MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options.

Virginia: We do not offer every plan available in your area. Currently we represent 19 organizations which offer 105 products in your area. Please contact Medicare.gov, 1‑800‑MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options.

Maryland: We do not offer every plan available in your area. Currently we represent 17 organizations which offer 89 products in your area. Please contact Medicare.gov, 1‑800‑MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options.

Kansas: We do not offer every plan available in your area. Currently we represent 12 organizations which offer 67 products in your area. Please contact Medicare.gov, 1‑800‑MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options.

Texas: We do not offer every plan available in your area. Currently we represent 28 organizations which offer 164 products in your area. Please contact Medicare.gov, 1‑800‑MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options.

Ohio: We do not offer every plan available in your area. Currently we represent 23 organizations which offer 133 products in your area. Please contact Medicare.gov, 1‑800‑MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options.

Michigan: We do not offer every plan available in your area. Currently we represent 15 organizations which offer 92 products in your area. Please contact Medicare.gov, 1‑800‑MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options.

California: We do not offer every plan available in your area. Currently we represent 33 organizations which offer 178 products in your area. Please contact Medicare.gov, 1‑800‑MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options.

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