Medicare Part D Coverage

Medicare Part D: Prescription Drug Coverage

At Teton Medicare, we understand the importance of affordable prescription drug coverage for Medicare beneficiaries. Our expert team is here to guide you through the complexities of Medicare Part D, ensuring you have the right plan to meet your medication needs. We offer comprehensive consulting services for:

• Medicare Part D plans
• Prescription drug coverage options
• Plan comparisons and analysis
• Enrollment assistance
• Annual plan reviews

Contact Teton Medicare today to explore your Medicare Part D options and find the best coverage for your needs.

Why Medicare Part D Matters

Medicare Part D is a crucial component of your health coverage, providing essential prescription drug benefits. Here's why it's important to have the right Part D plan:

• Helps manage medication costs
• Provides coverage for both brand-name and generic drugs
• Protects against high out-of-pocket expenses
• Offers peace of mind for future medication needs
• Can be tailored to your specific prescription requirements

Our experienced consultants can help you navigate the various Part D plans available, ensuring you're not overpaying for coverage you don't need or underinsured for your current medications.

Drugs That Are and Are Not Covered Under Plan D

Prescription drug plans and Medicare Advantage prescription drug plans cover all necessary vaccines. Other than that, you will have a formulary unique to your plan which details what drugs are covered. 

Depending on your plan, certain drugs are not covered. The following are usually not covered by Plan D at all:

• Drugs for erectile dysfunction
• Drugs for hair growth
• Fertility drugs
• Over-the-counter drugs
• Weight loss or weight gain drugs

If your Medicare Part A or B plan covers the bill already, Part D does not offer coverage.

You Will Be Notified of Any Changes

All Medicare prescription drug plans are required to publish any changes to their formulary on the plan’s website. Your insurance company must also tell you if any drugs are removed from the Part D formulary.

All plans are restricted from making changes to the drugs provided as well as price changes between the beginning of the annual election period until 60 days after coverage begins. The only exception is if the FDA determines a drug is unsafe or the manufacturer ceases to make the drug.

Any changes must include the name of the drugs removed, if the drug changes tiers, the reason for the change, any alternate drugs available, any cost-sharing, and if there are exceptions available. Contact Teton Medicare for answers to any questions you have.

Know Your Rights

Once you purchase a Medicare prescription drug plan, you have the right to: 

• Receive a written explanation about your benefits
• Ask for exceptions if a drug you need is not covered
• Ask for exceptions to waive coverage rules
• Ask for lower copayments for higher-cost drugs if you cannot take lower-cost drugs for your condition

Why Choose Teton Medicare

When it comes to Medicare Part D, you need a trusted partner who understands the intricacies of prescription drug coverage. Teton Medicare stands out as your ideal choice for several reasons:

• Locally owned and serving Southeast Idaho
• 50 years of combined Medicare experience
• Free same-day consultations
• Se habla español
• National certifications for Medicare
• Licensed in 9 states for Medicare
• Immediate response to inquiries
• Established in 2016 with a strong local presence

Our team's extensive knowledge and commitment to personalized service ensure that you'll receive the guidance you need to make informed decisions about your Medicare Part D coverage.

Contact Us

Don't let the complexities of Medicare Part D overwhelm you. Teton Medicare is here to simplify the process and help you find the right prescription drug coverage. Our team of experts is ready to provide you with a free, same-day consultation to discuss your Medicare Part D options. Whether you're new to Medicare, considering a change in your coverage, or simply want to ensure you're getting the best value for your needs, we're here to help.

Reach out to us today and take the first step towards optimal prescription drug coverage that fits your lifestyle and budget.