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Medicare Part D in Idaho


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The population of Idaho is about 1.7 million in 2017 according to the United States Census Bureau. About 311,000, or 18% of the population are Medicare beneficiaries, according to the Centers for Medicare and Medicaid Services (CMS). Medicare beneficiaries in Idaho who are enrolled in Medicare Part A (hospital insurance) and/or Medicare Part B (medical insurance) may also be eligible for Medicare Part D (prescription drug coverage).

How can I get Medicare Part D in Idaho?

Medicare Part D prescription drug coverage in Idaho is offered through private insurance companies regulated by Medicare. How you get Medicare Part D in Idaho depends on how you get Medicare Part A and Part B benefits. If you stay with Original Medicare, you can get a stand-alone Medicare Part D Prescription Drug Plan. According to CMS, about 58% of Medicare beneficiaries with Part D in Idaho in 2018 opt for stand-alone Medicare Part D Prescription Drug plans. Twenty-five stand-alone Medicare Part D Prescription Drug plans are available in Idaho in 2018, according to CMS.

If you get your Part A and Part B benefits through a Medicare Advantage plan, you can get Part D coverage through the same plan. Medicare Advantage plans are offered by private insurance companies contracted with Medicare. They must offer everything Original Medicare offers with the exception of hospice care, which is still covered by Part A. As well as prescription drug coverage, Medicare Advantage plans often offer additional benefits, such as routine vision coverage, routine hearing coverage, routine dental coverage and fitness benefits. About 42% of people covered by Medicare Part D in Idaho have Medicare Advantage Prescription Drug Plans. Forty-three Medicare Advantage plans are available in Idaho in 2018, according to CMS.

Why would I need Medicare Part D in Idaho?

When you are enrolled in Original Medicare (Part A and Part B) you may think that you will have all your health care needs covered. Unfortunately Original Medicare doesn’t cover most prescription drugs you take at home. Medicare Part A may cover prescription drugs you receive as a hospital or skilled nursing facility inpatient and Medicare Part B may cover infusions and injections you receive in a doctor office. However, if you want coverage for your routine medications for conditions such as arthritis, thyroid disease, high blood pressure, or depression, you may need Medicare Part D in Idaho.

When can I enroll in Medicare Part D in Idaho?

You’re first eligible to sign up for Medicare Part D coverage during your Initial Enrollment Period (IEP) for Part D.

Your IEP typically takes place during the same seven-month period as your Initial Enrollment Period for Original Medicare. This is the seven-months that starts three months before you turn 65, includes your birthday month, and ends three months later. A good time to sign up for Medicare prescription drug coverage is usually as soon as you’re enrolled in Original Medicare.

You can also sign up for Medicare Part D coverage during the Annual Election Period (AEP), sometimes called the Fall Open Enrollment or Open Enrollment Period for Medicare Advantage and Medicare prescription drug coverage. This takes place from October 15 to December 7.

What else should I know about Medicare Part D in Idaho?

Medicare Part D is optional, meaning you can forgo coverage if you don’t take prescription drugs or if you want to pay for prescription drugs out-of-pocket. However, if you change your mind and decide you want Medicare Part D in Idaho after your Initial Enrollment Period is over, you may pay a late-enrollment fee.

You can start comparing Medicare Part D plan options in Idaho today. Simply enter your zip code where indicated on this page, and we will display a customized list of plan options available to you.

This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments, and restrictions may apply.

Benefits, and/or copayments/co-insurance may change on January 1 of each year.

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