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  • Medicare Supplement Coverage
  • Medicare Advantage Plans
  • Medicare 101
    • Medicare Part A (Hospital)
    • Medicare Part B (Outpatient)
    • Medicare Part C (Advantage Plans)
    • Medicare Part D (Prescription Plans)
    • Medigap Plans (Supplement Plans)
  • Resources
    • Medicare Enrollment
    • Centers for Medicare and Medicaid Services
    • Medicare.gov
    • Annuity Information
    • Health & Human Services – Aging
  • About
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Medicare Part D (Prescription Plans)

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What is Medicare Part D (Prescription Plans)?

These plans (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.

What do 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.

A Medicare drug plan can make some changes to its formulary during the year within guidelines set by Medicare. If the change involves a drug you’re currently taking, your plan must do one of these:

Provide written notice to you at least 60 days prior to the date the change becomes effective.
At the time you request a refill, provide written notice of the change and a 60-day supply of the drug under the same plan rules as before the change.

Contact us to learn more about the right Medicare Part D Prescription Plan for you.
(844) 779-5010​
39 Court Street
Freehold, NJ 07728​
Click Here to Email Us

Licensed in: New Jersey and Pennsylvania


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Seniorstar Insurance Group​
1405 Route 18
​Old Bridge, NJ  08857
(844) 779-5010
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