What is Medicare Part D?

Answer:
Medicare, a federal health insurance program, covers

individuals age 65 and above and other qualified people. This program has several different parts: Part A, Part B, Part C, and Part D. Part D is the portion of the Medicare program dedicated to prescription drug coverage.

Part D provides prescription drug coverage to Medicare recipients regardless of their income level, prescription drug usage, or health status. The coverage is provided by private insurers and insurance companies who offer a variety of different plans from which to choose. If you currently have Medicare Part A and/or Part B, you are eligible to enroll in Part D coverage. Other drug coverage plans are available under Medicare Advantage or other Medicare health plans.

The Medicare Part D program features a coverage gap known as the “donut hole.” This gap means that when you reach a pre-determined limit for covered drug prescriptions, you will be responsible for the full cost of the drugs until you reach another pre-determined cost point, the “catastrophic” level. When this happens, the insurance company begins paying a portion of the prescriptions again. Each year, these limits and levels are adjusted. Not all Medicare recipients (such as low-income recipients with a subsidy) are subject to the coverage gaps.


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