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Idaho Medicare: Part D Plans

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Additional Prescription Drug Coverage

idaho medicare part d plans - medicare drug plan for prescription medications

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.

Teton Medicare gives you the guidance you need to determine the right Medicare coverage for your specific needs. Contact us to get the individual attention you deserve.

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. 

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

medicare advantage plans for prescription drugs & original medicare beneficiariesAll 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.

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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