Medicare Step 3
Understanding Drug Coverage Options
Choose the Right Medicare Part D Plan for Your Medications
What is Medicare Part D?
Standalone Prescription Drug Plans That Fit Your Needs
Medicare Part D is prescription drug coverage offered by private insurance companies approved by Medicare. If you have Original Medicare or a Medigap plan, a standalone Part D policy helps cover the cost of medications.
Most Medicare Advantage (Part C) plans already include drug coverage. But if you’re using Original Medicare, or a supplement without drug benefits, Part D helps ensure your prescriptions are affordable.
What to Look For in a Part D Plan
Every Plan Covers Different Drugs at Different Prices
-
Confirm your prescriptions are in the plan’s formulary
-
Check pricing at your preferred pharmacy
-
Understand drug tiers and co-pays
-
Review premium vs deductible trade-offs
Medicare Part D plans can change each year. Our Kerrville-based agents provide complimentary annual reviews to make sure you’re on the most cost-effective plan for your prescriptions.
Understand Costs and Coverage Gaps
From Deductibles to the Donut Hole
-
Standard deductible and initial coverage limits
-
Donut hole phase with partial cost-sharing
-
Catastrophic coverage for high annual expenses
-
Varies by plan and carrier
Part D has multiple stages of coverage that impact your out-of-pocket costs. We’ll explain these in simple terms and recommend plans that minimize your expenses.
Local Experts, Personalized Help
- Choosing a drug plan can be confusing—especially when plans change yearly. That’s why we offer free consultations and annual reviews to keep you informed and covered.
- Whether you take one prescription or many, our advisors work with you to make sure your coverage fits your needs and your budget.
We’ll Help You Stay on Track
Honest Answers
FAQs About Medicare Drug Coverage
Curious about how Medicare Part D works? These are some of the most common questions we hear from Texas clients each fall.
FAQs
Do I need Part D if I don’t take medications now?
Yes—if you don’t enroll when eligible, you could face a lifetime penalty later. Consider a low-cost plan to avoid the fee.
Can I change Part D plans outside of Annual Enrollment?
Only in certain cases, like moving, qualifying for Extra Help, or other special enrollment periods.
Will all my prescriptions be covered?
Not necessarily. Each plan has its own formulary. We help compare plans to find one that covers your medications affordably.
Do I need Part D if I have a Medicare Advantage plan?
No—most Advantage plans already include drug coverage. If yours doesn’t, you may be able to add Part D, but it depends on the plan.