Manage your prescriptions with Medicare Part D Plans
Medicare Part D plans are offered by insurers and other private companies to help cover a wide range of brand-name and generic prescription drugs. Anyone who's eligible for Medicare may enroll in a Medicare Part D plan. This includes those who are 65 years of age and older, and those under 65 with certain disabilities such as end-stage renal disease and/or Lou Gehrig's disease.
You can select a Medicare Part D plan up to three months before you turn 65 years old.
Switching to generic drugs may help you avoid the coverage gap, also known as "the doughnut hole." Talk to your doctor about your options.
Medicare drug plans must cover all commercially available vaccines (such as the shingles vaccine) when medically necessary to prevent illness. This excludes vaccines covered under Medicare Part B (medical insurance).
Medicare Prescription Drug Plans
A Medicare prescription drug plan or PDP, also known as Medicare Part D, is offered by insurers and other private companies. It's a type of insurance that provides coverage for prescription drugs and may help protect Medicare beneficiaries from high-prescription drug prices.
Walmart offers preferred cost sharing for Medicare PDPs offered by these insurance providers:
Anthem BlueCross BlueShield
BlueCross BlueShield of New Mexico, Georgia, Illinois, Montana, North Carolina, Oklahoma and Texas
First Health Part D from Coventry Health Care
Empire BlueCross BlueShield
AARP MedicareRx Plans through United Healthcare
United American Part D Prescription Drug Plans (PDP)
Symphonix Health Insurance
The Humana Walmart Rx Plan
The Humana Walmart Rx Prescription Drug Plan has one of the lowest national monthly plan premiums in the U.S., with no deductible for most covered generic drugs. The current plan for 2017 offers a number of features to help you save money:
$17 premiums per month in most states
No deductible on Tier 1 (preferred generics) and Tier 2 (generic) medications
Annual $400 deductible on Tiers 3 (preferred brands), 4 (non-preferred drugs) and 5 (specialty)
In-store copays are as low as $1 on certain generic drugs at Walmart, Sam's Club and Walmart Neighborhood Markets, all of which are preferred, cost-sharing pharmacies
No cost for mail-order copays in most states on a 90-day supply of Tier 1 generics from Humana Pharmacy
More than 1,500 generics included on an official list of medications that may be prescribed to help you save money
Preferred cost sharing is available at over 5,000 Walmart, Walmart Express, Walmart Neighborhood Market and Sam s Club (no membership required) pharmacies. You can use other pharmacies within the network, but the cost is higher for drugs at these pharmacies. If you don t live in an area where preferred cost-sharing pharmacies are easily accessible, your cost-sharing benefit will be limited.
who's eligible for coverage?
Everyone with Medicare, regardless of their income, health status or the prescription drugs they use, can get prescription drug coverage. Medicare Part D plans are available to people who get benefits through Medicare, a Medicare private, fee-for-service plan with no drug benefit, a Medicare cost plan or a Medicare medical savings account plan.
There are three periods during the year in which to enroll in a Medicare Part D plan:
Initial Enrollment Period: This is the period of time when you first become eligible to enroll in a Part D plan. This time frame begins three months before the month you become eligible for Part D and ends three months after your eligibility date. (This is a one-time, non-recurring enrollment period.)
Medicare Advantage and Prescription Drug Plan Annual Enrollment Period: This enrollment period occurs from October 15 to December 7, for a plan-effective date of January 1 and each year thereafter.
Special Enrollment Period: This period is available to enroll or remove yourself from a prescription drug plan in certain cases. Examples include a change of residence or loss of creditable coverage.
Extra help paying for a prescription drug plan
If you have a limited income, you may qualify for more help to pay for your prescription drugs. Medicare could pay for all of your drug costs, including monthly prescription drug premiums, annual deductibles and coinsurance. Also, if you qualify, you'll not be subject to any coverage gaps or penalties for late enrollment. Many people are eligible for these savings and aren't even aware of it. Check your status if you feel you might qualify. For more information about this extra help, contact your local Social Security office, or call 1-800-MEDICARE (1-800-633-4227).