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Medicare Part D Prescription Drug Plans in Indiana

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Whether you’re enrolled in Original Medicare or a Medicare Advantage plan, Medicare Part D coverage in Indiana can help with prescription drug costs. If you have Original Medicare, Part A and Part B, this coverage isn’t included automatically; you have to sign up for it. Original Medicare beneficiaries can get prescription drug coverage through a stand-alone Medicare Prescription Drug Plan that works alongside their Part A and Part B coverage.

For beneficiaries enrolled in Medicare Part C, prescription drug coverage is available through a Medicare Advantage Prescription Drug plan. Not every Medicare Advantage plan includes prescription drug coverage, so be sure to double-check that the plan you’re considering includes this benefit. Medicare Advantage plans must offer at least the same level of coverage as Original Medicare, but can also cover extra benefits like prescription drugs, routine vision or dental, and health wellness programs.

Both Medicare Prescription Drug Plans and Medicare Advantage Prescription Drug plans are available through private companies that are contracted by Medicare. If you enroll in a Medicare Advantage plan that includes prescription drug coverage, you shouldn’t enroll in a Medicare Prescription Drug Plan as well; if you do, you’ll be automatically disenrolled from your Medicare Advantage plan and returned to Original Medicare.

Enrolling in Medicare Part D coverage in Indiana

Like other parts of Medicare, there are certain rules when it comes to enrollment and when you can sign up for this coverage. You’re eligible for Medicare Part D when you have Medicare Part A and/or Part B and live in the service area of a Medicare plan that covers prescription drugs. To be eligible for Medicare Part A or Part B, you must be an American citizen or legal permanent resident of at least five continuous years.

There are several times when you can enroll in Medicare Part D coverage in Indiana:

  • Initial Enrollment Period for Part D: This is the period when you’re first eligible for Medicare Part D. It typically coincides with your seven-month Initial Enrollment Period for Part B, starting three months before you turn 65, including your birthday month, and continuing for three months after. If you get Medicare because of disability, your IEP for Part D would start three months before your 25th month of disability benefits and last seven months.
  • Annual Election Period: This period occurs from October 15 to December 7 of each year. During this time, you can enroll in a Medicare Prescription Drug Plan or Medicare Advantage Prescription Drug plan for the first time, change Medicare plans, or disenroll from your plan.
  • Medicare Advantage Disenrollment Period: From January 1 to February 14, you can disenroll from a Medicare Advantage plan and return to Original Medicare. Regardless of whether your Medicare Advantage plan had prescription drug coverage, you can also use this period to enroll in a Medicare Prescription Drug Plan, since Original Medicare only offers limited prescription drug benefits.
  • Special Election Period: In certain qualifying situations, you can make changes to your Medicare coverage outside of the regular periods. For example, if you’ve recently moved out of your Medicare plan’s service area or become eligible for Medicaid, you may qualify for a Special Election Period.

Choosing Medicare Part D coverage in Indiana

All of the Medicare plans that include prescription drug coverage in Indiana may vary slightly in terms of the medications covered and cost-sharing requirements. Before enrolling in a Medicare Prescription Drug Plan or Medicare Advantage Prescription Drug plan, make sure to check that your medications are in the formulary, which is a list of prescription drugs covered by the plan. Keep in mind that formularies can change from year to year. Your plan will notify you if necessary.

Another factor to remember is that Medicare Part D costs can vary, depending on the plan. Medicare plans that cover prescription drugs usually place covered medications into cost tiers, with different copayments and coinsurance for the medications on each tier. Depending on which tier your medications fall into for a particular Medicare plan, your costs can be very different. Because of this, it’s a good idea to carefully compare Medicare plan options to find the Medicare Prescription Drug Plan or Medicare Advantage Prescription Drug plan that covers your medications with the lowest cost sharing.

If you’re not currently taking prescription medications, you may want to consider enrolling in a Medicare Part D if you don’t have other creditable prescription drug coverage. Creditable prescription drug coverage is coverage that’s expected to pay, on average, as much as the standard Medicare Part D benefit. If you don’t enroll in Medicare Part D when you’re first eligible and go without creditable prescription drug coverage for 63 days in a row or more, you could face a late-enrollment penalty if you decide to get Medicare Part D later.

Need help finding Medicare plan options that cover your prescription drugs? That’s what we’re here for. Contact eHealth for help finding Medicare coverage that may fit your health needs and budget. See contact information below.

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