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Drug coverage -- via Advantage or Part D. Tips&Traps. (Whether or not receiving benefits subsidized by HPInc or HPE.) Menu of Benefits Enrollment pages: Enrollment Menu Based on member reports. Join forums: https://www.hpalumni.org Not officially endorsed or supported. Question? Email us: hpalumni.info@gmail.com (Updated Dec 25, 2025) Some Advantage plans do not include drug coverage. Some may charge a drug deductible. You can choose to enroll in either a Medicare Advantage drug plan (MA-PD) that includes drug coverage and all other Medicare-covered benefits -- or in a stand-alone prescription drug plan (PDP) to supplement traditional Medicare. If you have a Medigap plan, you also need a Drug plan, as covered in the very clear official "Medicare & You" book. https://www.medicare.gov/publications/10050-medicare-and-you.pdf Pages 9-12 explain Parts A, B, C, D, and Supplemental (Medigap) plans. Pricing games. Why are some Part D plans very inexpensive? The government is paying an average of $1,710/year for your Part D coverage. Insurers play tricky pricing games You choose among stand-alone prescription drug plans (Part D) offered in your county. Often have introductory prices to capture market share. Member reports: $0.40/month Wellcare Part D went up to $17.40/month. A Humana Part D went up dramatically -- next year, they had a new very-low-cost Part D plan with a different name and plan number. To see all Medicare plans available in your county from any source -- go to the official Medicare Plan Finder, and enter your ZIP code and county. The genuine site: https://www.medicare.gov/plan-compare For Advantage and Drug plans, the site lists all plans offered in your county -- with plan details and Medicare's official "Star" quality rating. For Medigap plans -- which are available state-by-state -- the site lists all insurers who offer plans in your state. Some plans are limited to specific geographic areas or specific groups; some only sell direct or through a single agency. Price, drug, and provider information on any site -- whether the official Plan Finder, a sales agency such as AlightRHS, or a insurer's website -- may be incorrect. Verify with primary sources. For retirees and covered family members not yet eligible for Medicare, including surviving spouses, start at the federal marketplace https://www.healthcare.gov
Use the insurer's drug "formulary" database, if possible. Other sources, such as sales agency databases are not reliable -- fragile, constantly-changing, second- or third-hand information. ????? Medicare maintains a central "Enrollment DataBase" to ensure that someone cannot be enrolled in multiple Advantage or Drug plans for the same time period. Insurers automatically report new enrollment approvals to Medicare, which continuously checks for coverage overlap. If a new policy that covers the same time period is found, Medicare causes the previous policy to be canceled. Verify the starting date entered by the agent (or yourself) when you are applying for a new policy. One member discovered that their current plan had been cancelled when picking up a prescription. If a problem, contact the insurance sales agency that sold you the misdated plan. Or contact Medicare. Next step: Menu of key Enrollment issues: https://www.hpalumni.org/enroll-menu (Membership not required.)Link to this page: https://www.hpalumni.org/enroll-drug-plans |
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