Medicare Part D coverage includes:
Medicare Part D plans publish a list of all the drugs they cover called a formulary. This list is updated every year to make sure it includes the most effective drugs available.
Your prescriptions need to be on the formulary to be covered by insurance. Some drugs come with additional requirements:
If your medication is not on the formulary, your provider may be able to help you find a similar drug that will work just as well. Your provider can also apply for an exception if he or she believes a specific drug is important to your health.
Medicare Part D plans also have a list of pharmacies – including mail order options – that are in the plan’s network. You can get your medications from the pharmacies on the list from any location in the United States.
Medicare Part D plans offer free Medication Therapy Management (MTM) services to help you use your prescriptions safely. MTM is for individuals who are taking more than one drug.
In a one-on-one appointment, a doctor or pharmacist will review your prescriptions and answer any questions you have. They will also make sure you know how to use your prescriptions safely and check to make sure the medications are working together to improve your health.
To enroll in Medicare Part D, you have to be enrolled in Original Medicare or a Medicare Advantage Plan that doesn’t include prescription drug coverage. Your costs will include your premiums for those plans plus a Part D premium. You may also have a yearly deductible and copayments or coinsurance for your prescriptions.
Learn more about the costs for Medicare Part D.
If you enroll in Medicare Part D, you can also enroll in:
Or, you can consider another option:
Learn about Banner Medicare’s Part D Plan.
See Banner Medicare’s Formulary.
See Banner Medicare’s Pharmacy Directory.
Contact Banner Medicare so we can answer any questions you may have and even help you enroll.
Call (888) 788-1931 (TTY 711) to speak with a licensed sales agent.
Use our online form to have a licensed sales agent contact you.
Have questions or need help enrolling?
Call (833) 516-1007 (TTY 711) to speak with a licensed sales agent.
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