Prescription Drug Coverage Made Clear
Medicare Part D helps pay for your prescription medications. Choosing the right plan depends on which drugs you take and which pharmacy you use — and I can help you find the best match.
How Part D Works
Part D plans are offered by private insurance companies approved by Medicare. Each plan has a formulary — a list of covered drugs organized into tiers that determine your cost.
Important: Not every drug is covered by every plan. Before enrolling, always check that your specific medications are on the plan's formulary — and at what tier (cost level).
Understanding Drug Tiers
Plans organize drugs into tiers — lower tiers cost less. Generic drugs are almost always cheaper than brand-name drugs.
Preferred Generics
Lowest copay (~$0–$5)
Generics
Low copay (~$10–$15)
Preferred Brand-Name
Moderate copay (~$40–$50)
Non-Preferred Drugs
Higher copay (~$90–$100)
Specialty Drugs
25–33% coinsurance
When Can You Enroll?
Missing your enrollment window can result in a permanent late enrollment penalty — so timing matters.
Initial Enrollment Period
The 7-month window around your 65th birthday. Best time to enroll to avoid late penalties.
Annual Enrollment Period
October 15 – December 7 each year. Switch plans or enroll for the first time.
Special Enrollment Period
If you lose other creditable drug coverage (like employer insurance), you have 63 days to enroll penalty-free.
The Late Enrollment Penalty
If you don't sign up for Part D when you're first eligible and don't have other creditable drug coverage, you'll pay a penalty of 1% of the national base premium for every month you went without coverage. This penalty is added to your premium permanently.
Let Me Find the Best Plan for Your Medications
Share your drug list with me and I'll compare plans to find the one that covers your medications at the lowest total cost.