Medicare Prescription Drug Coverage – Massachusetts

Below is a guide for Medicare prescription drug coverage.

Overview of Medicare coverage –  Medicare is a federal health insurance program for retirees age 65 or older and certain disabled people. Medicare Part A covers inpatient hospital care, some skilled nursing facility care and hospice care. Medicare Part B covers physician care, diagnostic x-rays and lab tests and durable medical equipment. Medicare Part D is a federal prescription drug program.

Medicare Prescription Drug Coverage (Part D) –  Massachusetts: Medicare Part D offers prescription drug coverage to everyone with Medicare.To get Medicare drug coverage, you must join a plan run by an insurance company or other private company approved by Medicare. Each plan can vary in cost and drugs covered. The Medicare Plan Finder is a search tool can help you do a general program search or find a personal plan for you.

How to get Medicare Drug Coverage –  Read about the 2 ways to get Medicare prescription drug coverage–either through adding a Medicare Prescription Drug Plan (Part D), or getting a Medicare Advantage Plan (Part C) such as an HMO or PPO that offers Medicare prescription drug coverage.

What Medicare Patr D  Drug Plan Covers – Each Medicare prescription drug plan has a list of covered drugs. A drug in a lower tier generally will cost you less than a drug in a higher tier. In some cases, if your drug is on a higher tier and your provider thinks you need that drug instead of a similar drug on a lower tier, you or your provider can ask your plan for an exception to get a lower co-payment.

Medicare Part D for People with an Intellectual Disability –  Department of Developmental Services (DDS) information about Medicare Part D coverage for people who receive DDS services.

Joining  Medicare Health or Drug Plan? –   Information on how to sign up for Medicaid drug plans.

How Medicaid Prescription Drug Plan Works with Other Coverages –   Look here to find out how Medicare Part D works with other insurance.

Medicare Forms, Help and Resources – Information and help from Medicare.

Fact Sheet last updated on: 5/8/2020