Medicare plans

Medicare Part D Prescription Drug Coverage

Part D covers prescription drugs. Every plan has its own formulary, its own tiers and its own preferred pharmacies, which means the cheapest premium is very often not the cheapest plan for you. The only honest way to choose is to price your specific medication list, at your specific pharmacy, across every plan available in your ZIP.

The short version

  • Standalone drug plans that pair with Original Medicare or a supplement
  • Every plan uses a different formulary and tier structure
  • Preferred pharmacies can change your cost dramatically
  • A late-enrollment penalty applies for life if you delay without other coverage
  • Plans change every January — a yearly review is not optional

How we handle it

Choosing part d without guessing.

There is one honest way to pick a drug plan, and it is arithmetic. Take your exact medication list with dosages, take your pharmacy, and calculate the full year on every plan available in your ZIP: premium, plus deductible, plus what each drug costs on that plan's tier structure.

The plan with the lowest premium is very often not the winner. I have seen a $600 annual difference between two plans whose premiums were four dollars apart, purely because one put a common generic on tier 3 and the other put it on tier 1.

Two things people get caught by

  • The late enrollment penalty. Going without creditable drug coverage for more than 63 days after your Initial Enrollment Period adds a surcharge to your premium permanently. Not for a year — permanently.
  • The January reset. Formularies, tiers and preferred pharmacy agreements all change on 1 January. The plan that was right last year is a question, not a given.

Questions

Part D, answered.

I barely take any medication. Do I still need Part D?

Usually yes. If you go more than 63 days after your Initial Enrollment Period without creditable drug coverage, Medicare adds a penalty to your premium for as long as you have Part D. A low-cost plan now is almost always cheaper than the permanent penalty later.

Why did my drug plan cost go up in January?

Formularies, tiers and preferred pharmacy agreements reset every plan year. A drug that was tier 2 can move to tier 3, and your pharmacy can drop out of the preferred network. This is the most common reason people call me in January — and the reason we re-price your list every fall.

Can you actually check my specific medications?

Yes, and it is the whole point. Bring your list with dosages and your preferred pharmacy, and we compare total annual cost — premium plus deductible plus copays — across the plans in ZIP 85086.

Also worth reading

The other three.

These decisions interlock. A supplement without a drug plan leaves a hole; an Advantage plan changes what long-term care planning has to cover.

Next step

Let's see whether part d is actually your answer.

One conversation, no cost, no obligation. Bring your prescription list and your doctors — that is all it takes to do real work. You’ll speak to Brian Penner directly.

Book a free review Call (623) 555-0100

Monday – Friday, 8:00 AM – 5:00 PM MST