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Medicare Part D Benefit Summary  |  Medicare Benefits for Low-Income Individuals

Medicare Part D Benefit Summary

Things to Know About Medicare Part D

  • Medicare Part D is the Medicare Prescription Drug Plan.
  • Medicare Part D works with Medicare Parts A and B. Or, you can sign up with a Medicare Advantage plan that offers a Part D Prescription Drug Plan. Individuals entitled to Part A or enrolled in Part B can receive help paying for prescription drugs. In general, Medicare Part D will become more beneficial to the enrollee as prescription drug costs increase. (In case you are wondering, Medicare Part C referred to the Medicare + Choice plans, which are now known as Medicare Advantage.) Also, note that under Medicare Part D, when you use the plan's network pharmacies, you can purchase prescriptions at discounted prices negotiated by the plans with the drug companies. So, when you pay for drugs within the Prescription Drug Plan, you will benefit from discounted prices even when you are responsible for paying some or all of the cost under the Plan.
  • Assistance is available for individuals with limited income and resources can get financial help for Medicare Part D, including no monthly premiums, no deductibles and no gap in coverage for qualified individuals.

For more information about your options under Medicare prescription drug coverage…

More detailed information about Medicare plans that offer prescription drug coverage is available in the Medicare & You handbook (English or En Espanol). You will get a copy of the handbook in the mail from Medicare. You may also be contacted directly by Medicare prescription drug plans. You can also get more information about Medicare prescription drug plans from these places:

  • Visit www.medicare.gov for personalized help.
  • Call your State Health Insurance Assistance Program (see your copy of the Medicare & You handbook for their telephone number).
  • Call 1-800-MEDICARE (1-800-633-4227). TTY user should call 1-877-486-2048.

For people with limited income and resources, extra help paying for a Medicare prescription drug plan is available. Information about this extra help is available from the Social Security Administration (SSA). For more information about this extra help, visit SSA online at www.socialsecurity.gov or call them at 1-800-772-1213 (TTY 1-800-325-0778).