What does Medicare Part D Cover?

Рет қаралды 6,762

Күн бұрын

Watch as Danielle breaks down the key components of Medicare Part D, including the enrollment process, plan options, and the confusing DONUT HOLE. Whether you're a Medicare beneficiary or a caregiver helping someone navigate their Medicare Part D coverage, this video will equip you with the knowledge and tools necessary to make informed decisions and maximize your prescription drug benefits.
We are ending our series on Medicare coverage with, What Does Medicare Part D Cover? This includes 2023 Updates! We hope this series has helped you master your Medicare knowledge.
00:00 Introduction
00:21 How to get coverage
00:38 What does it Cover?
01:22 4 Drug Plan Stages
01:45 Deductible Stage
02:38 Initial Coverage Stage
03:19 Coverage Gap Stage
03:44 Catastrophic Coverage Stage
03:57 Changes for 2024 & 2025
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Пікірлер: 19

@user-mr9zh6id1x Жыл бұрын

Do I have to meet the Part D deductible before Medicare covers any of my medications? What if I just take generic cholesterol medication?

@BoomerBenefits Жыл бұрын

the deductible only applies to certain medication. Typically you will see this apply on tier 3, tier 4 and tier 5. If you are taking a generic medication, this is typically tier 1 or tier 2 and should not be applied to the deductible!

@79jrnygrl Жыл бұрын

I’ve been a pharmacy technician since 1995 and have worked retail pharmacy for a good portion of that. When Medicare Part D came out in either 2007 or 2008, I was appalled to learn that Congress and the GWB administration forbade Medicare to bargain with the pharmaceutical industry! I heard that it was Bush’s gift to the pharmaceutical industry and I totally believe it as most of Congress is bought and paid for by the Big Pharma lobbyists. I have 3 years until I have to go on Medicare and I am not looking forward to it.

@markmccrimmon8479 Жыл бұрын

Well good to know how the government continues to screw us over.

@79jrnygrl Жыл бұрын

@@tsx3214 I can’t say that the thought hasn’t crossed my mind a time or two. Luckily, I know how to get cheap drugs by crossing the border into Mexico. A lot of snowbirds do it and also get cheap(Dr) dental work.

@BoomerBenefits Жыл бұрын

Hi Mary - we understand how frustrating Part D can be. We are here to help break it down and give you information on it. We hope to see some changes on it as well!

@79jrnygrl Жыл бұрын

@@tsx3214 I totally understand your point but unfortunately you are only hurting yourself. Congress is comprimised by the Pharmaceutical Lobbyists. One of the worst offenders is Sen Joe Manchin (D of WV) Did you hear about the hoopla several years back when Mylan Pharmaceuticals jacked up the price of the life saving Epi-Pen? Mylan made untold amounts of money doing that, but they did not change the drug, epinephrine. All they did was redesign the plastic injector and started selling 2 doses for about $500! Well, Joe Manchin’s daughter was the CEO of Mylan and she made millions. And to make matters worse, Joe’s wife, was on the board of the national PTA and she lobbied to make mandatory the use of Epi-Pen in school nurses offices. You cannot make this shit up! Greed is a real problem for these asshats! Anyway, I hope your health allows you to do the things that you wanted to do in retirement. I’m retiring at age 62 due to an injury but I don’t have to deal with Medicare for another 3 years.

@buttegowda 2 ай бұрын

Thanks madam. All these videos are so useful 🙏

@BoomerBenefits Ай бұрын

My pleasure 😊

@carolinagirl220 Жыл бұрын

I chose a different carrier for my part D coverage back in October 2022 to begin in 2023 because it was a cheaper one than in 2021. The only medication I was on was for high BP. April of this year I was diagnosed with fibromyalgia and was prescribed pregabalin a generic form of Lyrica. W....rt sent me a text letting me know that my order was ready for pickup. The text also gave me the total of my medication. My eyes rolled right out of my head as it said $122.00 after insurance. I went to Goodrx and got a coupon and ended up paying $17.00 and, it will be $17.00 each month this year. I am very thankful!

@79jrnygrl Жыл бұрын

Yes! GoodRx has been a lifesaver to many people on Medicare Part D. It’s also ridiculous how much drug stores charge for certain drugs but businesses try to make unGodly amounts of money by overcharging people that don’t know any better. My pregabalin prescription only costs me $5 per month as I have Kaiser Permanente insurance now and use mail order. Luckily the medications that I am on now are all Tier One generics. Not looking forward to when I turn 65.

@BoomerBenefits Жыл бұрын

Hi Joyce - so glad you were able to get a coupon for it! We recommend this to everyone as another option. Unfortunely, its good to have the drug plan so that you don't end up with the penalty in the future. Here is a video we made on Goodrx coverage - kzfaq.info/get/bejne/q8Cji91zv5bDdWw.html

@79jrnygrl Жыл бұрын

@@BoomerBenefits Very good and accurate video!

@carolinagirl220 Жыл бұрын

@@BoomerBenefits thank you!

@sct4040 9 ай бұрын

Thanks to Good Rx.

@latriciapowell3283 Жыл бұрын

so in the coverage gap, is the 25% completely out of pocket like the deductible stage? Or is it still a kind of copay since the plan is paying for a portion of the cost at least?

@BoomerBenefits Жыл бұрын

great question! When you hit the coverage gap, you will pay 25% of the cost. This cost can vary by pharmacy!