Medicare Part D Plans in Maryland

Maryland Medicare
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What are Medicare Part D plans in Maryland?

Prescription drug coverage is available to Maryland beneficiaries through different options, including a Maryland Medicare Part D plan . Also referred to as Prescription Drug Plans (PDPs), this stand-alone coverage is designed to be used in combination with other Medicare plans that do not include prescription drug benefits. Original Medicare and some Medicare Advantage plans fit this bill.

A Medicare Part D plan is available to beneficiaries who become eligible for benefits based on age or disability. Enrollment is available for those with Original Medicare or a Medicare Advantage plan that does not include prescription drug coverage. Beneficiaries that currently have prescription drug coverage through a Medicare Advantage plan or another coverage source are not eligible for Medicare Part D plans in Maryland.

Enrolling in a Medicare Part D plan in Maryland

There are a number of times when beneficiaries might be able to enroll in a Medicare Part D plans in Maryland plan , including:

  • Initial Enrollment Period: Occurs when first enrolling in Original Medicare or a Medicare Advantage plan
  • Annual Election Period: Occurs once a year from October 15 to December 7, during which beneficiaries may make changes to a Medicare Advantage or Prescription Drug Plan
  • Special Enrollment Period: Occurs when changes take place like a move or loss of current coverage

Beneficiaries that switch to a new Medicare Part D plan in Maryland do not need to cancel their current Medicare drug plan. The old plan will automatically end when the new coverage begins.

Choosing Medicare Part D plans in Maryland

Medicare Part D plans in Maryland are offered by private companies in the state that have agreed to follow federal regulations involving Prescription Drug Plans. The state currently has 29 such plans, offered by 15 different organizations. It is important for beneficiaries to shop around to find the best plan for their medical needs and budget.

Most PDPs are equipped with a formulary, or list of medications covered under the plan. Formularies may be tiered, meaning some medications will offer better coverage than others. Beneficiaries should peruse formularies to determine which plan will offer the best coverage for their immediate medical needs and potential future needs.

Trends in Medicare Part D plans in Maryland in 2012

  • There were 327,041 beneficiaries enrolled in a Prescription Drug Plan in the state
  • That number made up 40% of the total Medicare population in Maryland
  • The average monthly premium for a Prescription Drug Plan was $56.10
  • Of all the Prescription Drug Plans offered, 45% offered a $0 deductible
  • More than two-thirds (69%) of Prescription Drug Plans included a coverage gap

Data provided by the Henry J. Kaiser Family Foundation.

Medicare has neither reviewed nor endorsed this information.