What are you looking for?

Part D (Prescription Drug Program)

  • Guide to Medicare Part D
    On January 1, 2006, Medicare benefits expanded into the world of prescription drug coverage. This new benefit, often called "Part D," is highly technical and complex. We've designed this website to help you better understand how to make Par...


  • Guide to Medicare Part D: What is Medicare Prescripton Drug Coverage?
    This page is part of our Guide to Medicare Part D.

    Medicare prescription drug coverage is a new, voluntary benefit under the Medicare program. The Medicare prescription drug coverage program is sometimes called "Par...



  • Guide to Medicare Part D: Who Is Eligible For Part D Coverage?
    This page is part of our Guide to Medicare Part D.

    Anyone entitled to Medicare Part A (whether actually enrolled or not) or anyone currently enrolled in Medicare Part B (may join to get help paying for pre...



  • Guide to Medicare Part D: If I Have Medicaid and Medicare, Do I Need Part D coverage?
    This page is part of our Guide to Medicare Part D.

    If Medicaid pays for your drugs and you have Medicare, your prescription drug coverage changed on January 1, 2006. At that time, your Medicaid drug coverage ended. ...



  • Guide to Medicare Part D: What If I Already Have Prescription Drug Coverage From Another Source?
    This page is part of our Guide to Medicare Part D.

    If you have prescription drug coverage through a private insurance company, or an employer/retiree plan, or VA, or a union plan, or a supplemental (Medigap) policy, you ...



  • Guide to Medicare Part D: Where Do I Go For Help With Part D?
    This page is part of our Guide to Medicare Part D.

    For more information on Part D:

    • The first place to start is with the Medicare website. You can use the ...


  • Guide to Medicare Part D: What Part D Plans Are Available In Kentucky?
    This page is part of our Guide to Medicare Part D.

    To learn about the Part D plans in your area:

    • The Medicare website has a breakdown...



  • Guide to Medicare Part D: How Do I Enroll For Part D Coverage?
    This page is part of our Guide to Medicare Part D.

    First, make a list of your drugs and dosages, as well as your preferred pharmacy. After you have completed this step, you are ready to enroll.

    There are several w...



  • Guide to Medicare Part D: Is There a Deadline To Enroll For Part D Coverage?
    This page is part of our Guide to Medicare Part D.

    Yes. If you are not yet eligible for Medicare, when you become eligible, you will also be able to enroll for Part D coverage at that time.

    The annual enrol...



  • Guide to Medicare Part D: How Much Does Part D Coverage Cost?
    This page is part of our Guide to Medicare Part D.

    There are three categories of out-of-pocket expenses associated with each Part D drug plan: Monthly Premium, Yearly Deductible, and Co-Payments. There also exist coverag...



  • Guide to Medicare Part D: Will Part D Pay For All Of My Prescriptions?
    This page is part of our Guide to Medicare Part D.

    Not necessarily.

    Each plan covers only the drugs that are included on its "formulary," which means its list of covered drugs.

    In a...



  • Guide to Medicare Part D: What If I Can't Afford Part D Coverage?
    This page is part of our Guide to Medicare Part D.

    If you have limited income and assets (i.e. savings and stocks), you may qualify for "extra help" with the cost of the Monthly Pre...



  • Guide to Medicare Part D: My Part D Plan Denied Coverage Of My Drug. How Do I Find Out Why I Was Denied Coverage?
    This page is part of our Guide to Medicare Part D.

    To find out why your prescription was not filled:

    • You could ask the pharmacist for an explanation.

      The pharmacist may or may not be able ...



  • Guide to Medicare Part D: What if My Part D Plan Determined That My Drug Was Not Medically Necessary?
    This page is part of our Guide to Medicare Part D.

    First, contact your doctor.

    Explain to your doctor that your Part D plan determined that your drug was not medically necessary.

    If your doctor belie...



  • Guide to Medicare Part D: What If My Drug Is Not On My Part D Plan's Formulary?
    This page is part of our Guide to Medicare Part D.

    First, contact your doctor. Explain to your doctor that your Part D plan refused to cover your drug because it was not on its formulary. Find out whether your do...



  • Guide to Medicare Part D: What If I Can't Get My Drug Because My Doctor Did Not Obtain Prior Authorization From My Part D Plan?
    This page is part of our Guide to Medicare Part D.

    First, contact your doctor. Explain to your doctor that your Part D plan refused to cover your drug because he/she did not obtain prior authorization. Find out wh...



  • Guide to Medicare Part D: What If My Doctor Prescribed a Dosage That Is Not Covered By My Part D Plan?
    This page is part of our Guide to Medicare Part D.

    First, contact your doctor. Explain to your doctor that your Part D plan refused to cover your drug because the prescribed dosage is not on the plan's formulary. ...



  • Guide to Medicare Part D: What If My Doctor Prescribed a Form Or Type Of Drug, That Is Not Covered By My Part D Plan?
    This page is part of our Guide to Medicare Part D.

    First, contact your doctor. Explain to your doctor that your Part D plan refused to cover your drug because the form or type prescribed is not on the plan's formu...



  • Guide to Medicare Part D: What If I Can't Afford My Drug?
    This page is part of our Guide to Medicare Part D.

    If you have limited income and assets (i.e. savings and stocks), you may qualify for "extra help" with the cost of your drug.

    ...


  • Guide to Medicare Part D: What If My Part D Plan Removes My Drug From Its Formulary?
    This page is part of our Guide to Medicare Part D.

    Your Part D plan must provide written notice to you at least 60 days prior to the effective date of the change in its formulary.

    If your Part D plan fails t...



  • Guide to Medicare Part D: Can I Get My Prescription Filled At a Pharmacy That Is Not Within my Part D Plan's Network?
    This page is part of our Guide to Medicare Part D.

    Each plan has a list of participating pharmacies. You should always try tostay within the network of participating pharmacies.

    You may be able to obtain your drug ...



  • Guide to Medicare Part D: What If My Drug Is Not Covered By Part D?
    This page is part of our Guide to Medicare Part D.

    You may need to pay out-of-pocket for drugs specifically excluded from Medicare Part D coverage, which include the following:

    • Over-the-counter drugs, with t...


  • Guide to Medicare Part D: Can I Change Plans?
    This page is part of our Guide to Medicare Part D.

    If you enrolled in a Part D plan that you are not happy with or if the plan is not meeting your prescription and other medical needs, you may be able to change from one ...



  • Guide to Medicare Part D: Requesting an Exception
    This page is part of our Guide to Medicare Part D.

    Contact your Part D plan to request an Exception.

    Your request for ...


  • Guide to Medicare Part D: Appeals
    This page is part of our Guide to Medicare Part D.

    See Medicare Part D Appeals [PDF], a guide to navigating the Medicare private drug plan appeals ...