Prescription Drug Plans (Part D)
Your Prescriptions. Your Peace of Mind. Stand-alone Medicare drug coverage compared against your actual medication list and pharmacy.
What is Medicare Part D?
Medicare Part D is a voluntary prescription drug benefit available to all Medicare beneficiaries. It helps cover both brand-name and generic medications through private, Medicare-approved insurers.
Original Medicare doesn't cover most outpatient prescriptions, which is why many beneficiaries add a stand-alone prescription drug plan. These Medicare-approved drug plans are offered by private insurers and help reduce out-of-pocket pharmacy costs for both generic and brand-name medications.
At CoverCare Insurance, we compare Part D plans against your actual medication list and preferred pharmacy — so you're not choosing a plan on paper and finding out later it doesn't cover what you need.
How Part D costs work: Costs include a monthly premium, an annual deductible, and copayments or coinsurance. Under the Inflation Reduction Act, all Part D plans also include an annual out-of-pocket cap on covered prescription drugs — the exact amounts are set by CMS each year.
Medicare Part D FAQs
Medicare Part D is a voluntary prescription drug benefit available to all Medicare beneficiaries. It helps cover both brand-name and generic medications through private, Medicare-approved insurers.
Anyone enrolled in Medicare Part A, Part B, or both can sign up for a stand-alone Part D plan (PDP) or get it bundled with a Medicare Advantage plan (MAPD).
You can enroll during your Initial Enrollment Period, the Annual Enrollment Period (Oct 15–Dec 7), or a Special Enrollment Period (SEP) if you lose other creditable drug coverage.
If you delay enrolling without having creditable drug coverage, you'll pay a permanent penalty — a percentage added to your premium based on how long you delayed.
Costs include a monthly premium, an annual deductible, and copayments or coinsurance. Under the Inflation Reduction Act, all Part D plans also include an annual out-of-pocket cap on covered prescription drugs — the exact amounts are set by CMS each year.
Historically there was a gap where beneficiaries paid more. Now, due to the ACA and Inflation Reduction Act, after initial costs you pay 25% until reaching your out-of-pocket limit.
Each plan has a formulary (drug list) organized into tiers. Part D plans cover FDA-approved medications in-network; coverage can change annually.
Yes — Part D covers recommended adult vaccines (like shingles and pneumonia) when not covered by Part B.
Yes, but ensure other drug coverage is creditable. If not, you may owe a penalty later. Employer or VA coverage can count if it's deemed creditable.
Medicare offers the Extra Help program for low-income individuals (under ~150% FPL), which may eliminate premiums and deductibles and waive late penalties, with year-round plan changes allowed.
Part D plans must offer MTM services at no extra cost to eligible beneficiaries with multiple chronic conditions and high drug use, helping manage medication regimens.
Many Part D plans feature preferred pharmacy networks offering lower copays — great for cost savings if you use covered pharmacies consistently.
Yes — if you qualify for a Special Election Period (SEP) (e.g., loss of creditable coverage, change in residence, etc.), you can change plans outside the annual enrollment period.
What Medicare clients say about the CoverCare process
Jonathan came to our home and was very insightful with all of his information regarding Medicare plans and the supplemental programs. His patience was outstanding... he helped us with all of our paperwork and is the type of person that I would like to have back in my home anytime. We highly recommend him and trust his opinions and his judgments.Verified Google Reviewvia Google Business Profile
As a new Medicare member I had many questions. Jonathan came to our home and answered all my questions and helped me sign up for the right Medicare plan and choose the right supplemental programs. It was a very educational and informative session. Thank you!Verified Google Reviewvia Google Business Profile
I've been a client of Jonathan's for many years and he's always been available when I've needed him. I always recommend him to my family and friends and I can say that if you're looking for someone to guide you and educate you on the insurance options that are available, look no further.Hector ArellanoVerified Google Review
All testimonials and Reviews in this website correspond to verified clients enrolled in a plan with CoverCare Insurance Inc.
We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1‑800‑MEDICARE to get information on all of your options.