Explaning Medicare Part D
What is Medicare?
Medicare is a United States federal health insurance
program. It is for people age 65 and older and for people
with disabilities.
What is Medicare Part D?
Medicare Part D is a short way of referring to “Medicare
Prescription Drug Coverage.” Medicare Part D is pre-
scription drug insurance for all people with Medicare. It is
voluntary. It became effective January 1, 2006.
This year the deadline to sign up for Medicare Part D
without a financial penalty is May 15, 2006.
Most people who enroll in Medicare Part D will pay a
monthly premium for their drug insurance and a co-pay-
ment when they fill a prescription.
How do I get Medicare Part D?
Private health plans provide Medicare Part D coverage.
There are two ways to get this coverage:
a. You can add a separate Prescription Drug Plan
(PDP) to Medicare. OR you can add a separate
Prescription Drug Plan (PDP) to a Medicare Supple-
mental plan.
What is a Prescription Drug
Plan (PDP)?
Prescription Drug Plans are the insurance plans that offer
the Medicare Part D drug benefit. The plans vary by:
• The prescription drugs that are covered (brand
name drugs will be covered)
• How much you have to pay monthly to be a part of
the plan
• The amount you have to pay out of pocket before
your plan begins (deductible) and
•The pharmacies you can use.
Several options are available to Medicare beneficiaries
in each geographic area (there are 48 PDPs available in
California)
.
Do I need to enroll in Medicare
Part D if I am already enrolled in a
Medicare Advantage (MA-PD) plan?
If you are currently enrolled in a Medicare Advantage Plan,
you might already have Part D coverage through your MA-
PD. Your MA-PD drug benefit will be at least as good as
Medicare Part D. MA-PD plans will vary by:
• Which prescription drugs are covered (brand name
drugs are now covered in these plans)
• The amount of your monthly premiums and co-pay-
ments and
• Which pharmacies can be used.
What happens if I do not enroll in a
Medicare Part D plan?
Medicare Part D is a voluntary program. If you want to en-
roll, you must enroll before May 15, 2006, or you will have
to pay penalties for late enrollment.
If you sign up for Medicare Part D at a later date, your
premium will increase by 1% per month (based on the
national average premium for that year) for every month
you were eligible but did not join. This penalty is a lifetime
penalty. It will be added to your drug plan premium for the
entire time you are enrolled in a Medicare Part D plan.
If you have prescription drug coverage through your previ-
ous employer or union, please see #8. 1. What is Medicare?
Medicare is a United States federal health insurance
program. It is for people age 65 and older and for people
with disabilities.