- Medicare Part D prescription drug coverage
- Special things people with cancer need to think about
- Who should enroll in Medicare Part D?
- Making a Part D plan decision
- Getting help to pay Medicare Part A and/or Part B premiums (the Medicare Savings Programs)
- Formularies and drug coverage
- Where can I use my Part D drug coverage to fill my prescriptions?
- How much will the Part D drug plan cost?
- Things to know once you’ve chosen a Part D drug plan
- Switching drug plans in the future
- Frequently asked questions
- Where can I get more help?
- Are you ready to get started?
- More information from your American Cancer Society
Are you ready to get started?
Now that you have a better understanding of how the Medicare Part D prescription drug plan works, you may be ready to look at your options and make a decision. This list can help you be sure you’ve done all you can to choose the best plan for you.
- Check the plan formularies to figure out which plans cover all or most of your drugs
- Check how the formulary tiers affect what you have to pay
- Compare the plan premiums and other cost-sharing requirements (such as deductibles, co-insurance, and co-pays)
- Check for drug conditions or restrictions, such as limits, prior authorization, and step therapy requirements
- Look into whether you qualify for Extra Help (the low-income subsidy)
- Find out which of your cancer drugs are still covered under Part B
- Understand how off-label drug uses are treated under Part D
- Understand your appeal rights
- Check to see which plans offer the best drug coverage (brand name or generic) in the coverage gap (donut hole)
- Check with your doctor to see if you can use a generic drug instead of a brand name drug to reduce costs. Some plan formularies may cover the generic version of a drug, but not the brand name drug.
Last Medical Review: 01/22/2014
Last Revised: 01/23/2014