Medicare Prescription Drug Plans

Medicare Prescription Drug Plans (Part D) are optional policies offered by private insurance companies that are approved by Medicare, designed to help beneficiaries cover the cost of outpatient self-administered prescription drugs. You can get this coverage either as a standalone Prescription Drug Plan (PDP) to go with Original Medicare or a Medigap plan, or it may be included as part of a Medicare Advantage Plan (MA-PD). Each plan maintains a specific list of covered drugs, called a formulary, often structured in tiers that dictate your cost-sharing (copayments or coinsurance), and enrollees' costs typically move through annual stages: a deductible phase, an initial coverage phase, and a Catastrophic Coverage phase, where your spending is capped for the year. Enrollment is voluntary, but a permanent late enrollment penalty is usually applied to your premium if you delay joining and lack other creditable drug coverage.