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Medicare Part D in Washington DC


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If you live in Washington DC, you may run into tourists trying to catch a glimpse of the White House. If you live in Washington DC, you may be one of more than 92,000 people enrolled in Medicare, according to the Centers for Medicare and Medicaid Services (CMS).

Medicare beneficiaries in Washington DC may want Medicare Part D coverage because Original Medicare (Part A and Part B) generally doesn’t cover the prescription drugs you take at home. If you take three, four, or five prescription medications that retail for $100 or more each, you could face hundreds of dollars of prescription drug costs a month without prescription drug coverage.

How can I get Medicare Part D in Washington DC?

You can get Medicare Part D in Washington DC in two ways. The first way is through a stand-alone Part D Prescription Drug Plan. A stand-alone Part D plans goes alongside Original Medicare.

The second way to get Medicare Part D in Washington DC is through a Medicare Advantage plan. Medicare Advantage plans combine your Part A (hospital) Part B (medical) and Part D (prescription drug) benefits all together in one convenient plan. Medicare Advantage plans are offered by private companies contracted with Medicare. They must cover everything Original Medicare covers with the exception of hospice care, which is still covered by Part A.

How much does Medicare Part D in Washington DC cost?

Medicare Part D costs in Washington DC vary from plan to plan, but some costs are regulated by Medicare.

The first cost you may pay is a premium. A premium is the amount you pay monthly to have the plan. Premiums may vary among plans. Some Medicare Advantage Prescription Drug plans may have premiums as low as $0.

Another cost you may pay is a deductible. A deductible is the amount you pay before the plan begins to pay. Medicare regulates that a Part D deductible can be no more than $415 in 2019.

A third cost is a copayment or coinsurance, which you pay when you fill your prescription. A copayment is a dollar amount, e.g. $15, while a copayment is a percentage, e.g. 15%.

When can I sign up for Medicare Part D in Washington DC?

There are certain time periods when you can sign up for Medicare Part D in Washington DC, whether you decide on a stand-alone Medicare Part D Prescription Drug Plan or a Medicare Advantage Prescription Drug plan.

When you’re first eligible for Medicare, you can sign up for a Medicare Prescription Drug Plan at the same time that you enroll in Medicare. Another time you can sign up for coverage under Medicare Part D in Washington DC is during the Annual Enrollment Period (October 15 – December 7). You can also switch plans, drop plans, and more during that time.

What else should I know about Medicare Part D in Washington DC?

If you are already taking prescription drugs, you can check that your specific medications are covered by looking at the plan’s formulary. The formulary is the list of covered prescription drugs. The formulary may change at any time, but the plan will give you notice when necessary.

To start searching for Medicare prescription drug coverage in Washington DC now, enter your zip code on this page.

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

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

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eHealth's Medicare website is operated by eHealthInsurance Services, Inc., a licensed health insurance agency doing business as eHealth. The purpose of this site is the solicitation of insurance. Contact may be made by an insurance agent/producer or insurance company. eHealth and Medicare supplement insurance plans are not connected with or endorsed by the U.S. government or the federal Medicare program. We offer plans from a number of insurance companies.