Prescription Drug Options



 MEDIGAP PART D &

PRESCRIPTION DRUG HELPLINE
1-855-67PARTD
(1-855-677-2783)

The Medigap Part D & Prescription Drug Helpline is a free, confidential counseling service for Medicare beneficiaries aged 60 and over. Prescription drug counselors can help with questions about prescription drug options.
​Medicare Prescription Drug Plans (Part D) help Medicare beneficiaries pay for outpatient prescription drugs. It's available to people who have Medicare Part A and/or Part B and living in a Part D plan’s service area. The Part D benefit is provided through private insurance co​mpanies using plans that are approved by Medicare. Even if a beneficiary does not take prescription drugs now, they should still consider joining a Medicare drug plan if they do not have other creditable coverage. If not enrolled in a Medicare drug plan when first eligible without being covered under other “creditable” prescription drug coverage, there may be a late enrollment penalty assessed if enrolled in a Part D plan later.

Each Part D plan may vary in cost and the formulary of the medications covered. Plans may change from year to year. A plan that covers certain prescriptions this year may change and not cover them the following year. The only effective tool to determine an "estimate" of a person’s drug costs is using the Medicare Plan Finder found on Medicare.gov.​



SeniorCare is a prescription drug program for Wisconsin residents who are age 65 or older and meet other enrollment requirements. There is no monthly premium but there is an annual enrollment fee (currently $30 per year). The level of coverage a person has depends upon their income level. All levels of the SeniorCare program are considered “creditable coverage," ​meaning SeniorCare coverage is as good as the standard Medicare Part D plan.


 

Other prescription drug coverage options may be available to individuals such as Employer/Union sponsored plans, Veterans benefits, or discount programs. Some of these coverages may be considered “creditable” and others not.