Posted by Sharon Nuttall on Wednesday, September 21, 2011 Under: Medicare
If you or a loved one are eligible for Medicare soon, you're probably
feeling overwhelmed at this point with all the "stuff" that's come in
the mail. You may have figured out that you'll need a Medicare
supplement (also called Medigap) policy to cover the things that
original Medicare doesn't cover.
But you may be feeling a little
confused about the prescription drug part. The short answer is this:
You'll also need to purchase a separate plan for prescription drug
coverage (a PDP, for short), also called Medicare Part D.
I know
this sounds a little clunky, as in, "Why the heck isn't it just part of
the Medicare supplement?" and I really can't tell you why the
government opted to do it this way, but they did. The good news is that
Medicare didn't offer ANY prescription drug coverage until 2004, so
having the coverage at all is a great help to many people.
Since
there are a multitude of plans offered by a host of different insurance
company, the best way to figure out which plan will work best for you
is to use the Plan Finder Tool on the Medicare.gov website.
I recommend using the Personalized Search, since this lets you enter
your medications. It will take into account the PDP's monthly premium,
the tier(s) of your drugs, copays, deductibles, and other parameters
that will affect your overall costs.
Because the plans that are
offered change constantly, not to mention that people's medication needs
are always subject to change, each year a Medicare recipient has an
opportunity to change PDPs. The enrollment period for that is from
October 15 - December 7th. The effective date for all PDP changes is
1/1/12.
So I recommend using Medicare's Plan Finder Tool when you're first eligible for Medicare Parts A & B, and then again
during the PDP special enrollment period toward the end of each year,
especially if your plan or your drugs have changed during the year. If
you're happy with the plan you have and it's working, you can do nothing
and stay on the same plan.