MEDICARE PART D

Medicare Part D in Eastern Pennsylvania’s Lehigh Valley and Pocono Regions, as Well as in Central New Jersey.

Medicare Part D can be a complicated topic. Our experts can help you to determine which Medicare plan is the best fit for you.

Medicare Part D is the Medicare Prescription Drug Plan that provides prescription drug coverage. To enroll in Medicare Part D, the beneficiary must be entitled to Medicare Part A and/or be enrolled in Medicare Part B and must live in the Medicare plan’s service area. If the individual is enrolled in Original Medicare only or in Original Medicare and a Medigap plan, the beneficiary can enroll in a stand-alone prescription drug plan. If the individual wants a Medicare Advantage plan and prescription drugs, he/she must enroll in a Medicare Advantage plan with drug coverage.

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Medicare Part D plans typically charge a premium and vary by plans. Beneficiaries with a higher income must pay a premium adjustment based on their income. This is known as the Income-Related Monthly Adjustment Amount (IRMAA), and it is paid directly to the federal government.

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If the beneficiary does not sign up for Part D when he/she is first eligible or if he/she drops Part D and then gets it later, the individual may have to pay a late enrollment penalty for as long as he/she has Part D. The cost of the late enrollment penalty depends on how long the individual went without creditable prescription drug coverage.