Medicare Part D Plans in Rhode Island

Rhode Island Medicare
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About Medicare Part D plans in Rhode Island

Beneficiaries with Original Medicare (Part A and Part B) are covered for hospital and medical benefits, but Medicare does not offer much prescription drug coverage. Original Medicare only offers prescription coverage for medications like immunosuppressant drugs for organ transplant patients, some oral anti-cancer drugs, and prescriptions used in nebulizers and external infusion pumps.

Beneficiaries in Rhode Island have options when it comes to receiving prescription medication benefits. One is enrolling in a stand-alone Medicare Part D plan , also known as a Prescription Drug Plan (PDP). PDPs are offered through private insurance companies and provide valuable prescription medication benefits on eligible brand name and generic medications.

Medicare Part D plans are stand-alone plans, meaning that beneficiaries can enroll in a PDP alongside their Original Medicare plans. Some Medicare Advantage plans that cover only health and medical benefits may also allow for PDP enrollment, but that is not guaranteed.

Other Medicare Advantage plans, called Medicare Advantage Prescription Drug plans (MAPDs), combine health benefits with prescription drug coverage.

Medicare Part D plan statistics in Rhode Island

  • Overall number of PDP plans available (2013): 30
  • Overall number of organizations offering PDPs (2013): 15
  • Number of PDPs that are eligible for low-income subsidies (2013): 6
  • Percent of PDPs with a coverage gap (2013): 67%
  • Average monthly premium for PDPs in Rhode Island (2012): $52.16
  • Percent of PDPs with a new standard deductible of $325 (2013): 43%
  • Percent of PDPs with a deductible of $0 (2013): 47%

  • Total enrollment in stand-alone PDPs (2012): 67,294

  • PDP enrollment as a percent of total Medicare population in Rhode Island (2012): 36%

Comparing Medicare Part D plans in Rhode Island

Since Original Medicare does not usually cover prescription medication, it is important for beneficiaries in Rhode Island to consider prescription drug coverage. Even if no prescription medications are currently needed, it may be wise to enroll in a Medicare Part D plan to help protect against future needs.

You should compare all available PDPs available to you since the cost and availability will vary from county to county. Also, insurance companies who are contracted to provided Medicare Part D plans can determine their own list of eligible brand name and generic drugs to cover (called a formulary), and under what level of copay tier to cover them.

Data provided by the Henry J. Kaiser Family Foundation.