Prescription Drug Plan – Part D (PDP)


Medicare offers prescription drug coverage to everyone with Medicare. If you decide not to get Medicare drug coverage when you're first eligible, you'll likely pay a late enrollment penalty unless one of these applies:

  • You have other creditable prescription drug coverage

  • You get extra help

To get Medicare drug coverage, you must join a plan run by an insurance company or other private company approved by Medicare. Each plan can vary in cost and drugs covered.

 

Two ways to get drug coverage

  1. Medicare Prescription Drug Plan (Part D). These plans (sometimes called "PDPs") add drug coverage to Original Medicare, some Medicare Cost Plans, some Medicare Private Fee-for-Service (PFFS) Plans, and Medicare Medical Savings Account (MSA) Plans.

  2. Medicare Advantage Plan (Part C) (like an HMO or PPO) or other Medicare health plan that offers Medicare prescription drug coverage. You get all of your Medicare Part A (Hospital Insurance) and Medicare Part B (Medical Insurance) coverage, and prescription drug coverage (Part D), through these plans. Medicare Advantage Plans with prescription drug coverage are sometimes called “MA-PDs.” You must have Part A and Part B to join a Medicare Advantage Plan.

Joining A Medicare Drug Plan May Affect Your Medicare Advantage Plan

Your Medicare Advantage Plan (Part C) will disenroll you and you'll go back to Original Medicare if both of these apply:

  • Your Medicare Advantage Plan includes prescription drug coverage.

  • You join a Medicare Prescription Drug Plan (Part D).

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