Medicare Prescription Drug Coverage

• Available to everyone with Medicare
• Insurance companies and health plans work with Medicare to provide choice of drug plans
  • Variety of options with different coverage and different costs
• Enrollment is voluntary

Notes:

• Enrollment period generally starts 3 months before month person turns 65 and ends 3 months after that month.
  • Disabled enrollees may have different periods.
  • May be higher premium if person doesn’t join when first eligible and doesn’t already have drug coverage that, on average, is at least as good as the standard Medicare prescription drug coverage.
• Enrollees pay a monthly premium, varying by plan, a yearly deductible and part of the cost of prescriptions, including a copayment or coinsurance.
  • If enrollee has limited income and resources and qualifies for extra help, may not have to pay premium or deductible.
• More information is available from Centers for Medicare & Medicaid Services (CMS) publications Medicare and You and Your Guide to Medicare Prescription Drug Coverage, available at www.medicare.gov or by calling 1-800-MEDICARE (1-800-633-4227).
  • Free personalized information is available by contacting CMS or a State Health Insurance Assistance Program (SHIP).