If you have a Medicare Advantage Plan, most of them cover Parts A, B and D - 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.”
Medicare Prescription Drug Plan (Part D) (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.
One major reason it is important to compare Medicare plans is the constantly changing formularies. Medicare plans update their formularies, drug costs and reimbursements every two weeks. Usually these changes are not too drastic, but over a full year, small changes in pricing or coverage could cause immense differences in costs for an individual. You may find that a drug that had a $10 co-pay last year, may have a much larger co-pay this year, or maybe it’s not even covered any longer by your current Medicare coverage.
Each year during Open Enrollment, everyone who is Medicare eligible has the opportunity to make changes to their plans. Outside of the Open Enrollment period, there are other situations that may allow you to make changes to your Medicare plan, such as:
- 90 days before or after turning 65
- Moving to another State or even County
ADDITIONAL INFORMATION
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