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Money Saving Tips For Medicare Part D Recipients

The Medicare Part D program has helped millions of Medicare recipients pay for their prescription drugs since January, 2006. Over 1,400 Medicare health insurance plans are available in the market that provides an assortment of prescription benefits to the people. We have invested a tremendous amount of hours to figure out which Medicare Part D plan is best for each individual's situation.

There are open enrollment periods, donut holes, annual election periods, late enrollment penalties, tiers, formularies and dozens of more terms that are specific to the Medicare Part D industry. Accurate information leads to a wise decision. Medicare recipients should specifically concentrate on the dates of the various open enrollment periods. We thank you for continuing to show confidence in our knowledge of all aspects of the Medicare Health Insurance industry.

Guide to Medicare Part D:

  1. The cost, Medicare coverage, convenience and Medicare Part D company ratings.
  2. Different types of generics, and your out of pocket expenses.
  3. Mail ordering. Is this the best way to buy prescription drugs?
  4. Is there still a late enrollment penalty? Is it being enforced?
  5. What is the preferred method to pay
  6. Cut-off dates and other important information.

Medicare Part D Coverage

1. The Cost, Medicare Coverage, Convenience, & Company Ratings:
The Centers for Medicare and Medicaid Services (CMS) recommends when choosing a Medicare Part D plan, Medicare recipients should focus on the following factors:

Best Medicare Supplement Insurance highly recommends that the Medicare recipient should consider the strength of the insurer as a primary factor. Many Medicare recipients have no clue as to the relative strength and stability of the various Medicare Part D companies.

There is help on the way. In 2010, a Part D plan rating system was implemented to publicize Medicare recipient’s experiences with the various Medicare Part D plans.

2. Different Types of Generics & Your Out of Pocket Cost:

Question: The Medicare Part D Guide Gap Coverage is confusing to understand because the difference between preferred generics and regular generics is not clear. There are Part D plans that will cover "all preferred generics" or "some generics" or "all generics." I cannot understand this, what does this mean?

Answer: These various "generic drug" terms do not have an industry wide meaning. Each Medicare Part D insurer defines the term as it sees fit. An insurer's "preferred generic" can be completely different than another Medicare Part D plan's list completely. What is the reason for all this confusion and why is there not an industry standard? In our humble opinion, this was a mistake in the Medicare Part D legislation that should be rectified in the near future. There are Medicare Part D insurances that are limiting their "doughnut hole" coverage and the different "categories" of generic drugs is a way for the Part D insurer to not cover all generic drugs in the doughnut hole."

Most of the Medicare Part D plans will cover the widely used and popular generic drugs as common generics. An important point is that even if generics drugs are covered through the doughnut hole, your co-payments may increase during the donut hole. The specific Medicare Part D plan will give specific details as to this point.

3. Is Mail Order the Best Way To Buy Prescriptions?

Question: Is the Medicare Part D plan mail order option good for you?

Answer: Using Medicare Part D plan's mail order plan will save you money in almost all circumstances. Having a personal relationship with your local pharmacist does have value and lower cost of drugs will make the doughnut hole come faster.

4. The Enrollment Penalty? Is It Being Enforced?

Question: Not taking any prescription drugs caused me to bypass the initial Medicare Part D plan open enrollment period. Things have changed and I would like to join Part D plan. Will there be a late penalty and how much will it be.

Answer: There is a late penalty and Medicare recipients will receive a letter from their Part D insurance concerning the penalty amount. The Part D late-enrollment premium penalty is calculated by the Center for Medicare and Medicaid Services and then reported to the Part D insurer. You will be sent a letter to by the Part D insurer as to the exact amount of the penalty.

The Medicare Part D insurer letter will detail the calculations that went into the amount of the penalty and inform you that the late enrollment penalty can be protested via proper governmental channels. Those who are qualified low income recipients are not subjected to the Part D late enrollment penalty until the end of 2012.

5. What is the Preferred Method to Pay for Medicare Part D?

Question: What is the best way to pay for Medicare Part D?

Answer: Bank draft, Social Security deductions, credit card, personal check are the options. Medicare Part D premiums can be paid in a variety of ways. Our personal recommendation is for Medicare beneficiaries to pay the Medicare Part D payments via bank draft with the bank account that has the highest balance. This will ensure that your Part D insurance will not lapse by accident.

6. Cut-off dates and other important information:
November 15 is when the "annual enrollment period (AEP) starts. A Medicare beneficiary can obtain new Medicare Part D drug coverage or a new Medicare Advantage Plan. The Medicare coverage will start on January 1.

A Medicare beneficiary that does nothing regarding Medicare Advantage Plan, Medicare Plan F or Part D will stay in his or her current plan throughout the following year. One should analyze the changes in your current Part D Medicare benefits in order to make a good decision.

December 31 is when the annual open enrollment period ends and the following year is the earliest that one can join Part D plan or switch plans. (There are exceptions). Those who did not take any Part D plan will probably pay a lifetime penalty when they finally join a plan.

The Medicare advantage insurance has an additional open enrollment period from January 1 to March 31. During this period one cannot add Medicare prescription drug coverage but those a prescription Part D drug plan can join a Medicare Advantage Plan with a prescription drug benefit.

Those who are low income are dual eligible and can change Medicare Part D plans all year round on the first of the month. One must realize that changing Medicare Part D drug plans once a month is a bit silly. Finding a Part D insurance that is subsidized by the state low income subsidy and covers all of your drug medications would be the wise decision.

Those new to Medicare have a seven month window to join Part D insurance. (Three months before you receive Medicare, & four months after your Medicare eligibility begins). Medicare recipients in the initial enrollment period can enroll in a Part D plan for just December and can stay in your chosen 2012 Drug Medicare Supplement Insurance policy the following year or select a completely new Medicare Part D insurance.

2012 Medicare Part D Statistics

States
Medicare Part D Eligible


Prescription Drug Programs

Medicare Advantage Drug Plans (MA-PDs)
Employer Plans Taking Retiree Drug Subsidies
Other Prescription Coverage
Known Credible
Drug Coverage
United States
42,158,217
17,32,278 1
8,010,244 2
6,460,230
3,441,207 3
34,315,459
Alabama
698,120
339,712
116,564
426,276
138,376
491,427
Alaska
77,527
622,914
254
34,441
9,345
57,529
Arizona
853,234
231,325
290,550
403,930
139,349
428,124
Arkanas
339,561
455,592
43,026
40,223
38,421
326,452
California
4,402,431
3,545,786
1,420,472
327,435
431,497
2,834,840
Colorado
564,263
665,471
161,290
35,569
33,333
284,753
Connecticut
340,170
125,853
63,980
411,288
58,346
259,427
Delaware
137,141
54,572
2,717
33,401
36,939
417,449
District of Columbia
73,239
87,558
5,927
5,252
24,306
29,243
Florida
3,451,715
2,152,557
796,646
650,681
432,231
1,312,495
Georgia
1,323,463
254,557
102,623
654,930
666,475
549,479
Hawaii
150,515
59,693
60,579
3,239
21,439
362,220
Idaho
248,233
85,015
31,700
23,242
32,429
472,302
Illinois
5,742,748
753,431
110,729
436,311
375,214
4,76,485
Indiana
357,748
524,389
49,484
594,261
135,244
694,398
Iowa
541,548
241,116
37,513
30,148
53,240
531,347
Kansas
413,583
250,458
27,639
32,366
54,387
444,239
Kentucky
735,037
443,395
52,482
227,460
82,469
305,946
Louisiana
642,314
377,423
109,435
37,447
32,391
541,638
Maine
248,348
323,439
6,972
23,577
44,205
399,330
Maryland
740,525
230,146
43,944
342,401
346,740
403,211
Massachusetts
1,343,421
322,538
168,292
385,572
203,568
348,430
Michigan
3,341,540
535,849
252,875
341,454
212,430
2,33,528
Minnesota
735,512
229,312
188,510
36,156
83,351
345,415
Mississippi
451,310
233,233
18,408
39,490
31,245
402,596
Missouri
932,410
234,534
150,867
318,445
262,245
415,341
Montana
147,265
34,453
14,013
34,205
23,488
330,339
Nebraska
268,451
251,594
20,601
34,412
39,945
236,356
Nevada
341,668
84,341
95,315
50,347
22,537
240,340
New Hampshire
245,348
34,379
4,279
25,645
34,752
255,395
New Jersey
4,466,402
532,334
105,541
380,258
451,349
2,049,548
New Maxico
487,595
135,472
60,113
33,237
34,854
344,366
New York
2,360,351
938,133
620,818
344,471
249,742
2,103,234
North Carolina
2,348,139
345,316
161,955
312,436
136,344
1,126,341
North Dakota
305,235
39,340
4,142
3,207
52,439
24,468
Ohio
3,832,439
539,549
300,878
408,543
137,722
1,23,122
Oklahoma
538,348
271,304
59,212
53,453
43,456
275,125
Oregon
551,335
345,649
173,284
36,309
75,343
180,325
Pennsylvania
4,395,478
741,844
618,352
310,440
242,721
1,823,667
Rhode Island
375,377
23,341
57,165
12,332
43,317
151,225
South Carolina
402,384
439,423
64,168
318,445
338,945
621,232
South Dakota
329,469
34,343
9,904
4,535
23,231
125,423
Tennessee
930,539
244,523
364,542
312,738
124,293
547,457
Texas
2,734,337
2,146,340
326,680
413,741
349,422
2,536,423
Utah
356,511
26,422
34,242
31,245
46,142
414,600
Vermont
502,452
45,121
274
38,451
63,308
87,586
Virginia
2,455,319
463,421
28,413
319,499
262,543
843,566
Washington
581,453
239,631
214,449
417,297
153,333
405,550
West Virginia
668,491
125,548
24,041
45,326
43,531
519,676
Wisconsin
360,945
325,740
214,450
435,283
92,877
658,860
Wyoming
44,659
32,040
2,274
4,756
15,600
61,796
Residence Unknown
567,348
31,425
335,461
35,511
59,159
691,306

av 1210 180 01172012