Medicare Part D
Medicare Part D prescription drug plans help lower the cost of prescriptions. Beneficiaries can pay copayments instead of paying the full price of prescribed medications. For over 40 years, beneficiaries had no options for retail prescription drug coverage. Medicare can be challenging to understand. Part D is no exception; here is what you need to know!
Medicare Part D Specialty Tiers
Every insurer has a list of drugs that it covers. Insurance companies often classify drug costs into multiple tiers. High-tier drugs have more significant co-pays. However, insurers make exceptions from time to time. A company might pay a more huge portion of a drug’s cost if a doctor convinces them that a less expensive drug could not treat your condition.
Doctors, pharmacists, and patients must follow the rules to maximize benefits. For instance, a Part D plan may limit you to buying a smaller number of pills in each purchase. Insurers often require doctors to ask before ordering certain high-cost drugs. The insurance company could require you to try a less expensive drug before covering a more costly drug.