All Peoples Health Medicare plans include Medicare Part D prescription drug coverage.

Original Medicare does not include outpatient prescription drug coverage. To get it, you need a prescription drug plan such as a Medicare Part D plan. If you don’t get drug coverage when you are first eligible, you may face a penalty if you want to sign up for it later.

what about drug coverage

Part D plans are available as “stand-alone” plans, not including other Medicare Advantage benefits. Since the introduction of Part D in 2006, the average stand-alone Part D plan premium has increased by some 50 percent — from about $25 per month to about $38 per month.*

With Peoples Health, you don’t have to pay for a separate prescription plan. Part D drug coverage is included in all of our Medicare Advantage plans.

A word of warning: If you are in a Medicare Advantage plan with prescription drug coverage and you sign up for a separate Part D plan, you will be disenrolled from your Medicare Advantage plan.

You cannot be enrolled in two Part D plans at once.


Part D Insight

The doughnut hole is another name for the Part D coverage gap. It’s a period where you’re responsible for a larger percentage of the cost of your drugs. The amounts may change from year to year, but for 2017, it starts after you and your plan have spent $3,700 and lasts until your out-of-pocket costs reach $4,950.

Peoples Health covers all tier 1 and tier 2 generics through the doughnut hole.


Extra Help

You may be able to get Extra Help to pay for your prescription drug premiums and costs.

Medicare
1-800-MEDICARE (1-800-633-4227)
24 hours a day, 7 days a week
TTY users should call 1-877-486-2048

Social Security Administration
1-800-772-1213
Monday through Friday,
7 a.m. to 7 p.m.
TTY users should call 1-800-325-0778

Louisiana Medicaid
1-888-342-6207
Monday through Friday, 6:30 a.m. to 4:30 p.m.
TTY users should call 1-800-220-5404

Or call Peoples Health, and we will help you find out if you qualify for extra help.


*  Henry J. Kaiser Foundation: “Medicare Part D: A First Look at Plan Offerings in 2015,” October 10, 2014.