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En español | Your goal in choosing a Part D plan is to pick a plan that covers all of your drugs with the lowest out-of-pocket cost, provides good service, and meets your own needs and preferences. You can do this in three ways:
Use the online plan finder on Medicare’s website. Enter your zip code, then enter the name of each prescription drug you take, plus its dosage and how often you take it. The plan finder does the math to identify the plan in your area that covers your drugs at the lowest cost.
You can also:
And much, much more.
Call Medicare’s help line. If you call Medicare at 800-633-4227 (available 24/7), you can ask a customer service representative to perform the same search for you. Be sure to make a list of the drugs you take, their dosage and how often you take them, so the rep can feed them into the online plan finder. You can ask for the results to be mailed to you.
Contact your state health insurance assistance program (SHIP). This provides personal help from trained counselors on all Medicare and Medicaid issues, free of charge. A counselor can use the plan finder to review your options and identify the plan that suits you best. SHIPs go by different names in some states; to find yours, go to the SHIP website and select your state.
This may seem a lot of work, but it’s important to compare drug plans carefully if you want to find the one that’s best for you. For example, plans can and do charge widely different copays — a variation that in some cases has exceeded $100, $300 or even $500 for a 30-day supply of the same drug, analyses have shown. Ideally, you need to do this comparison every year during Medicare open enrollment (October 15 to December 7) because plans can change their costs and formularies (the lists of drugs they cover) every calendar year.
To understand how Part D works, see AARP’s consumer guide to the program.
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