Medicare Part D Prescription Plans

As of October 1, 2024 – I will no longer be accepting new clients looking strictly for a Medicare Prescription Drug Plan. With the changes in Medicare’s Drug Plans and new rules where carriers are no longer paying agents commissions – I cannot take the time to analyze plans and not be paid. For those of you that have only a Drug Plan with me – I will not be able to help you for 2025 as I will not be paid. Many carriers are dropping some of their plans and merging other plans into the only plan they are offering for 2025. I am sorry – but this is something I have no control over. If you need to change your plan – GO TO www.Medicare.gov and enter your drugs and the program will tell you which plans are available based on your drug list. GOOD LUCK!

Medicare offers prescription drug coverage to everyone with Medicare. If you decide not to join a Medicare Prescription Drug Plan when you're first eligible, and you don't have other creditable prescription drug coverage, or you don't get Extra Help, you'll likely pay a late enrollment penalty. 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.

Drug coverage is only available during open enrollment Oct. 15th thru Dec. 7th each year. (aka AEP)

What drug plans cover

Each Medicare Prescription Drug Plan has its own list of covered drugs (called a formulary). Many Medicare drug plans place drugs into different "tiers" on their formularies. Drugs in each tier have a different cost.

A drug in a lower tier will generally cost you less than a drug in a higher tier. In some cases, if your drug is on a higher tier and your prescriber thinks you need that drug instead of a similar drug on a lower tier, you or your prescriber can ask your plan for an exception to get a lower copayment.

PART "D" - Prescription Drug Plans (PDP)

  • Annual Deductible for 2025 is $590.00 for Most Plans – Several Plans offer other deductibles and some offer a Zero Deductible, but the premiums are higher, but also the cost of drugs “MAY” be lower overall.
  • Some Plans in 2025 will offer the “Insulin Savings Program” where your Insulin is limited to only a $35.00 maximum charge per Insulin Drug per month.
  • The Donut Hole or Coverage Gap has been eliminated for 2025
  • Once you reach the $2,000** (This amount may change each year) of out of pocket drug expenses – Your drugs are all free for the rest of the 2025 calendar year.
  • There are approximately 20-25 Available Drug Plans in South Florida for 2025 and they vary in premiums. Average was about $35.00 per mo. in 2024 and that is likely to be higher in 2025

*Subject to change each year

*IMPORTANT: DO NOT PICK A PLAN THAT HAS LESS THAN A 3 STAR RATING OR IS LISTED AS “TOO NEW TO BE MEASURED” AS IT IS NOT RECOMMENDED.