Idaho Medicare: Part D Plans
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Additional Prescription Drug Coverage
Medicare Part D is Medicare’s prescription drug plan that provides outpatient drug coverage. It is provided through private insurance companies contracted with the federal government. If you want Part D coverage, you must either buy a standalone plan or get it through a Medicare Advantage plan.
Drugs That Are and Are Not Covered Under Plan B
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.
- Drugs for erectile dysfunction
- Drugs for hair growth
- Fertility drugs
- Over-the-counter drugs
- Weight loss or weight gain drugs
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.
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.
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
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