How to Get Prescription Coverage Under Medicare
Though prescription drug coverage is not included in Original Medicare, there are ways to cover the cost of your medications. Two options available through BlueCross that include prescription coverage include:
Option 1: A Stand-Alone Medicare Part D prescription drug plan, best for people with Original Medicare
Option 2: A Medicare Advantage plan with included drug coverage
Part D Plans
If you have Original Medicare, not Medicare Advantage, you'll want to look into Part D plans.
Part D prescription drug plans help people with Original Medicare (Parts A + B) to more easily afford prescription drugs. It's a separate drug plan that you purchase in addition to Original Medicare. This coverage can help reduce your costs for medications and is available only from private companies like BlueCross BlueShield.
How Stand-Alone Prescription Drug Plans Work
You’ll usually pay a portion of the cost for your covered medication and your plan will pay the rest. Part D plans have a monthly plan premium and some may also have a deductible — an amount you will have to pay before your cost sharing starts. Part D plans have a list of covered drugs called a formulary and a network of participating pharmacies.
Medicare Advantage Plans
Medicare Advantage (Part C) plans offer a simple way to roll prescription coverage into your health insurance plan. Medicare Advantage combines Hospital (Part A), Medical (Part B), and Prescriptions (Part D) into one package. This option offers predictable out-of-pocket costs with low monthly plan premiums.
How Medicare Advantage Works
With a Medicare Advantage plan, you will receive coverage for all Part A & B covered services. Most Medicare Advantage plans also include Part D drug coverage. You can only get Medicare Advantage plans from private insurance companies like BlueCross BlueShield. You'll have the option to choose from different kinds of Medicare Advantage plans that include various Health Maintenance Organization (HMO) and Preferred Provider Organization (PPO) options.