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Medicare Part D

Medicare Part D provides additional prescription drug coverage to your Original Medicare and Medicare Advantage plan(s). Medications are incredibly expensive, and prices are only continuing to rise.

You will likely want (if not need) a prescription drug plan to contribute to these costs. With Part D, you know exactly how much you will pay for each drug based on how it is categorized. There are five categories, or tiers, of prescriptions, each with different required copayments. 

To help you better understand your coverage with a Part D plan, here are each of these tiers explained.

Part D Tier 1: Preferred Generic

Tier 1 has the lowest overall copayment. A copayment is a fixed amount you pay for a covered health care service after you’ve paid your yearly deductible.

To understand how copayments are determined, think of it relative to the type of drug. Generic prescriptions are the least expensive and are essentially the “off-brand” version of more expensive drugs. You will typically pay around $1 to $3 for drugs in this tier.

Part D Tier 2: Non-Preferred Generic

Non-preferred generic drugs are a step above preferred generic in cost. If there is not a preferred generic version of the drug you need, it will likely fall in this category. Drugs in this tier will cost you $7 to $11.

Tier 3: Preferred Brand-Name

Preferred brand-name drugs are your next option if no generic versions are available. They will still cost less than tier 4 drugs because they are preferred but are still more costly than the previous two tiers. You will pay around $38 to $42 for drugs in this tier.

Tier 4: Non-Preferred Brand-Name

Non-preferred brand-name drugs are the most expensive version of prescriptions. They are still not as costly as the specialty tier, but these are your last resort for your standard options. You will pay around a 45% to 50% coinsurance fee for this tier.

Tier 5: Specialty

Specialty drugs will also cost you a 45% to 50% coinsurance fee. However, due to their production and targeted illnesses, they will cost more than non-preferred brand-name drugs. So, the percentage you have to pay will be overall greater.

We Will Ensure Your Prescription Needs Are Taken Care Of

No want wants to pay for coverage they don’t need. Even worse, you do not want to lack in coverage when you really need it. How, then, can you make sure you have a plan that is right for you?

With Weller Insurance Services, you will receive a personalized consultation and quote. When you’re ready to get started, give us a call at 405-721-2021.

We Will Ensure Your Prescription Needs Are Taken Care Of

No want wants to pay for coverage they don’t need. Even worse, you do not want to lack in coverage when you really need it. How, then, can you make sure you have a plan that is right for you? With Weller Insurance Services, you will receive a personalized consultation and quote. When you’re ready to get started, give us a call at 405-721-2021.
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