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Henderson Nevada Medicare Part D – Prescription Drug Coverage

Medicare Part D prescription drug coverage, often referred to as Part D, is provided and coordinated by Medicare-approved private insurance companies. Any beneficiary who is eligible for Original Medicare, Part A and/or Part B, and permanently resides in the service area of a Medicare Prescription Drug Plan, can sign-up for Medicare Part D.

Medicare Part D coverage is optional, but if you don’t enroll in Part D as soon as you’re eligible, you might pay a late-enrollment penalty if you enroll later.

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Key Points to Part D – Prescription Drug Plan:

  • Medicare Part D is simply insurance for your medication needs
  • Beneficiaries can enroll in a standalone Part D drug plan that goes alongside your Original Medicare benefits
  • Some Medicare Advantage plans have a built-in Part D drug plan
  • You pay a monthly premium to an insurance carrier for your Part D plan. In return, you use the insurance carrier’s network of pharmacies to purchase your prescription medications. Instead of paying full price, you will pay a copay or percentage of the drug’s cost. The insurance company will pay the rest.

 

Below is the current Prescription Drugs Statistics in our Nation (according to Kaiser as of 2019):

  • 58%of Seniors are currently taking at least one prescription medicine
  • 27%say they take four or more prescription drugs
  • 35%of those taking 4 or more prescription drugs say it is difficult for them to be able to afford prescription medication
  • 30%claim they did not take any prescription medication as directed due to cost
  • 45 Millionbeneficiaries have prescription drug coverage through medicare
  • 6 Millionare in Stand-Alone Part D plans as a supplement to traditional Medicare
  • 4 Millionare enrolled in a Medicare Advantage Prescription Drug Plans

 

Enrollment in Medicare Part D plans is voluntary, with the exception of seniors who are eligible for both Medicare and Medicaid and certain other low-income beneficiaries who are automatically enrolled in a prescription drug plan if they do not choose a plan on their own. Unless you have drug coverage from another source that is at least as good as standard Part D coverage also known as “creditable coverage”, you could face a penalty equal to 1% of the national average premium for each month you delay enrollment.

To learn more about how Part D works and what it covers including the 3 levels of assistance programs available to Nevada beneficiaries please go to What is Part D in Learn About Medicare.

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