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Medicare Part D Plans in Alabama


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A Medicare Prescription Drug Plan or Medicare Advantage Prescription Drug plan provides Alabama beneficiaries with prescription drug coverage. Beneficiaries can choose between Medicare plans that offer stand-alone prescription drug coverage or incorporate that coverage into a Medicare Advantage plan. Medicare plans that cover prescription drugs are available through a variety of private companies contracted with Medicare. Coverage and cost of the plans can vary from company to company.

Medicare Part D coverage in Alabama can be purchased by beneficiaries who currently have Original Medicare and want to also add stand-alone prescription drug coverage with a Medicare Prescription Drug Plan. Original Medicare offers limited prescription drug coverage, making it important for beneficiaries to find the best option for adding prescription drug coverage to their plan. Even beneficiaries who are not currently taking prescription medications may want to consider getting this additional coverage, so they are prepared for any possible future needs. In addition, Medicare beneficiaries who do not enroll in Medicare Part D coverage when they are first eligible and go without creditable prescription drug coverage for 63 consecutive days or more may have to pay a late-enrollment penalty if they decide to get this coverage later on. Creditable prescription drug coverage is insurance that is expected to pay, on average, as much as standard the Medicare Part D benefit.

Medicare Part D coverage in Alabama is also available through Medicare Advantage plans that includes prescription drug coverage. If you currently are enrolled in a Medicare Advantage plan that doesn’t include prescription coverage, you can switch to a Medicare Advantage Prescription Drug plan at the next Annual Election Period (which occurs annually from October 15 to December 7). You may be able to switch Medicare Advantage plans any time of the year if you are eligible for a Special Election Period. You may qualify for a Special Election Period in certain situations; for example, moving out of your Medicare Advantage plan’s service area may make you eligible to make changes to your Medicare coverage.

Keep in mind that if you have Medicare Part C, you should get prescription coverage through a Medicare Advantage plan that includes drug coverage, not a stand-alone Medicare Prescription Drug Plan. If you are currently enrolled in a Medicare Advantage Prescription Drug plan and enroll in a separate Medicare Prescription Drug Plan, you’ll be automatically disenrolled from your Medicare Advantage plan and returned to Original Medicare.

Finding Medicare Part D coverage in Alabama

If you’re interested in Medicare Part D coverage, you can enroll in a Medicare plan that covers prescription drugs during your Initial Enrollment Period for Part D (IEP), which generally takes place during the same seven-month period as your IEP for Part B, starting three months before you turn 65, including your birthday month, and ending three months later. You can also sign up for Medicare prescription drug coverage, switch plans, or disenroll from your plan during the Annual Election Period (AEP) that takes place each year from October 15 to December 7. If you disenroll from your Medicare Advantage plan during the Medicare Advantage Disenrollment Period (January 1 to February 14), you will be returned to Original Medicare, and you have the option to enroll in a stand-alone Medicare Prescription Drug Plan, since Original Medicare doesn’t include prescription benefits.

Beneficiaries may enroll in a Medicare Prescription Drug Plan or Medicare Advantage Prescription Drug plan during a Special Election Period (SEP) if they have a qualifying situation, such as the loss of other insurance coverage.

Medicare Part D coverage in Alabama can vary based on plans available and the cost of the plan. In addition, each individual insurance company determines which prescription drugs to cover and how much of the cost they wish to cover. This means that beneficiaries with two different Medicare Prescription Drug Plans might have different cost sharing for the exact same medications. Always check the formulary (or list of covered drugs) for the Medicare Prescription Drug Plan or Medicare Advantage Prescription Drug plan that you’re considering. Also keep in mind that the formulary may change at any time. You will receive notice from the plan when necessary.

Because Medicare plans in Alabama may vary in costs and covered prescription drugs, it is important to compare plan details very carefully before enrolling in a plan. If you need help determining your Medicare Part D coverage options, feel free to contact eHealth and speak to a licensed insurance agent.

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