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WHAT’S PART D

Medicare Part D (prescription drug coverage)...

Part D is an optional prescription drug plan that can be added to original Medicare (Parts A & B) and provides prescription drug coverage. Part D can be purchased in addition to regular Parts A and B, some Medicare Cost plans, some Medicare Private-Fee-for-Service plans, and Medicare Medical Savings Account plans. These plans are offered by insurance companies and other private companies approved by Medicare. Prescription drug coverage may also be included in some Medicare Advantage plans and follow same rules Medicare Prescription Drug plans.

Am I eligible for Medicare Part D?

In order to qualify for a Medicare Part D you must meet the following criteria:

  • You must have Medicare Part A (Hospital) & Medicare Part B (Medical)
  • You must live in a service area covered by the Medicare Advantage plan
  • In most cases you cannot have End Stage Renal Disease (ESRD)

When Can I enroll?

Initial Enrollment period.
If you have Medicare Part A or Part B (or Both), you can get Part D coverage. Your Initial Enrollment Period will begin 3 months before the month of your 65th birthday, and 3 months after your 65th birthday.

Open Enrollment Period for Medicare Advantage and Medicare Prescription Drug Coverage (AEP)

If you’re enrolling in Medicare Part D for the first time, normally you would do so during Initial Enrollment Period (IEP), Fall Open Enrollment Period (OEP) or Special Enrollment Period (SEP) if you qualify.

For more information about Medicare, please go to the website at *www.medicare.gov or call Medicare at 1-800-Medicare (TTY users call 1-877-486-2048) 24 hours a day/7 days a week.

*Disclaimer: When clicked you’ll be leaving SBHIS.net website and are going to a website that is not operated by SBHIS.net. We are not responsible for the content or availability of linked sites.

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SBHIS Insurance Services, is a licensed and certified representative of Medicare Advantage [HMO, PPO and PPFS] organizations [and stand-alone prescription drug plans] with a Medicare contract. Enrollment in any plan depends on contract renewal.