How do I shop and compare Part D Rx Prescription plans?
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Prescription Drug Plans - Video
Medicare made clear
The four main tools to shop and compare Medicare Part D Rx plans are:
- Blue Cross Learning & Enrollment Portal
- Blue Shield Learning & Enrollment Portal
See below for more details on how to work the tools. If you prefer, you can email us [email protected] your medication list and we can do the comparisons for you.
Here’s the results of a hypothetical person with
diabetes taking 8 medications.
If you are low income you might check out LIS – Low Income Subsidy – Extra Help to pay the Rx costs that are not covered. LIS may also pay your Part D and Part B premiums and you might also qualify for Medi-Cal.
Scroll down to the glossary for definitions.
Medicare and You 2019 #10050
Everything you want to know
My Drug List
The list of your prescription drugs previously entered on the site to help generate better estimates of annual and monthly costs under the available plans, and also see which plans cover your drugs.
The site doesn’t show pricing for over the counter drugs or diabetic supplies (e.g. test strips, lancets, needles). For more information, you may contact the plan.
for Shopping Tool
An amount you may be required to pay as your share of the cost for health care services or prescriptions after you pay any deductibles. Coinsurance is usually a percentage (for example, 20%).
The amount you must pay for health care services or prescriptions each year, before your Medicare drug plan, your Medicare Health Plan, or your other insurance begins to pay. These amounts can change every year.
The prescribed strength or amount of therapeutic ingredient(s) administered at prescribed intervals.
This tells you that a plan offers coverage of prescription drugs.
The plan may have certain coverage restrictions (including quantity limits, prior authorization, and step therapy) on a prescription drug.
Estimated Annual Drug Costs
This is an estimate of the average amount you might expect to pay each year for your prescription drug coverage. This estimate includes the following costs, as applicable:
- Monthly premiums
- Annual deductible
- Drug copayments/coinsurance
- Drug costs not covered by prescription drug insurance
If you entered your drugs into the Medicare Plan Finder, then this estimate includes the cost of those drugs.
If you selected "I don’t take any drugs," then this amount includes only the cost of the monthly premiums that you would pay for the plan and it does not include any drug costs.
If you selected "I don’t want to add drugs now," then this estimate includes the average drug costs for people with Medicare and may differ depending on your age and health status.
Your expenses may be lower if you have limited income and resources.
A list of prescription drugs covered by a prescription drug plan offering prescription drug benefits.
The periodic payment to Medicare, an insurance company, or a health care plan for health or prescription drug coverage. In a few cases, a note will say "Under Review" instead of a premium amount. This means Medicare and the company are still discussing the amount.
Medication Therapy Management (MTM) Programs offer free services to eligible members of Medicare drug plans. These services help make sure that medications are working to improve their members' health. Members can talk with a pharmacist or other health professional and find out how to get the most benefit from their medications. Members can ask questions about costs, drug reactions, or other problems. Each member gets their own action plan and medication list after the discussion. These can be shared with their doctors or other health care providers. Members who take different medications for more than one health condition may contact their drug plan to see if they're eligible.