At HRBC we want to make sure you know everything about Prescription Drug Coverage, Medicare Part D. Medicare Part D is the most recent addition to the Medicare program; and anyone with Medicare Parts A and B is also eligible for Medicare Part D. To get Medicare Part D drug coverage, you must join a plan through a private health insurer approved by Medicare. Each plan can vary in cost and the drugs covered; as each specific health insurance company has their own drug formulary.
There are two different ways to get Medicare prescription drug coverage:
- Medicare Part D Prescription Drug Plans. These plans (sometimes call “PDPs”) add drug coverage to original Medicare coverage, some Medicare Cost Plans, some Medicare Private Fee-for-Service (PFFS) Plans, and Medicare Medical Savings Account (MSA) Plans.
- Medicare Advantage Plans (MAPD) (like an HMO or PPO) or other Medicare health plan that offers Medicare prescription drug coverage. Through an MAP, you get all of your Part A, Part B coverage and prescription drug coverage, Part D, through these plans.
Medicare Part D Eligibility
Eligibility for Medicare Part D is also for those who do not already have “creditable” prescription drug coverage. Creditable prescription drug coverage (for example, from an employer or union) is coverage that is expected to pay at least as much as Medicare’s standard prescription drug coverage.
FAQ’s About the Donut Hole
Calling the numbers above will direct you to a licensed insurance agent/broker Monday – Friday: 8am – 5pm. For more information, call toll free 1-877-651-7526 TTY 711 (national relay). HRBC Insurance represents various Medicare Advantage (MA) and Prescription Drug Plans (PDPs) as well as other types of health plans. Each of these Medicare Advantage plans has a separate contract with Medicare to offer Medicare Advantage plans. Enrollment in one of these Medicare Advantage plans depends on contract renewal. The benefit information provided is a brief summary, not a complete description of benefits. For more information contact the plan. Benefits, formulary, pharmacy network, premium and/or co-payments/ co-insurance may change on January 1 of each year. Limitations, copayments, and restrictions may apply. This plan is available to anyone who has both Medical Assistance from the State and Medicare. Premiums, co-pays, co-insurance and deductibles may vary based on your Medicaid eligibility category and/or the level of “Extra Help” you receive. Please contact the plan for further details.
By providing my e-mail address or telephone number, I agree to allow an HRBC agent to contact me regarding:
1) Information related to plans and products indicated above.
2) Scheduling an in-home visit to discuss these plans or products indicated above