Prescription Drug Coverage
Extra Help with Medicare Prescription Drug Plan Costs
Medicare beneficiaries can qualify for Extra Help with their Medicare prescription drug plan costs. The Extra Help is estimated to be worth about $4,000 per year. To qualify for the Extra Help, a person must be receiving Medicare, have limited resources and income, and reside in one of the 50 States or the District of Columbia.
Medicare Part D Prescription Drug Coverage
A copayment/coinsurance: This is the amount you pay out of pocket each time you buy a prescription; it’s your share of the cost after Medicare has paid its part and you’ve reached your plan’s deductible (if any). A copayment is typically a flat amount that you pay (for example, you may pay a $10 copayment when you fill a prescription), while a coinsurance is a percentage you may owe (for example, you might pay a 10% coinsurance for generic medications). These costs can vary from plan to plan, and also vary depending on drug tiers and which stage of the benefit you are in at the time that you fill the prescription. Medicare Prescription Drug Plans and Medicare Advantage plans with prescription drug coverage place covered medications into different cost tiers, and the prescription drugs in higher tiers tend to cost more than those in lower tiers.
The Medicare Prescription Drug Coverage and Your Rights notice
If the plan tells you your drug has been denied for one of these reasons, ask your doctor to write a letter of support to send to your plan requesting an exception to the plan’s rules. This letter should explain that another medication would be dangerous or less effective for you. You should get a decision from the plan within 72 hours. If you need your drug immediately because your health would be jeopardized by a long appeal process, your doctor can request an
Medicare Prescription Drug Plans
UnitedHealthcare’s pharmacy network offers limited access to pharmacies with preferred cost sharing for the 2017 AARP MedicareRx Walgreens plan in urban West Virginia and North Dakota, suburban Maine, New York, Maryland, Pennsylvania, West Virginia, North Dakota, California, Hawaii, and rural Maine, New York, Pennsylvania, West Virginia, Virginia, Kentucky, Missouri, Arkansas, Mississippi, Texas, Oklahoma, Kansas, Iowa, Minnesota, Montana, Nebraska, South Dakota, Wyoming, Washington, Idaho, Utah, Hawaii and Alaska. There are an extremely limited number of preferred cost share pharmacies in urban Vermont and rural North Dakota. The lower costs advertised in our plan materials for these pharmacies may not be available at the pharmacy you use. For more information, please call 1-800-753-8004 (TTY 711), 8 a.m.–8 p.m. local time, 7 days a week.