Prescription Drug Plans (Part D)

Standalone Medicare Part D plans that help cover prescription drug costs and work alongside Original Medicare.

Coverage for Prescription Medications

Prescription Drug Plans (Part D) help cover the cost of medications for individuals enrolled in Original Medicare. These plans are offered by private insurance companies approved by Medicare and are designed to reduce out-of-pocket expenses for both routine and high-cost prescriptions.

Part D plans can be paired with a Medicare Supplement (Medigap) plan to provide more complete coverage. Choosing the right plan depends on current prescriptions, preferred pharmacies, and cost considerations throughout the year.

Carriers Offering Prescription Drug Plans

We work with a range of national and regional carriers offering Medicare Part D plans. Availability varies by state and service area.

Understanding How Part D Coverage Is Structured

Prescription Drug Plans use a tiered system to determine costs for medications. Each plan has its own formulary (list of covered drugs), pharmacy network, and cost-sharing structure.

Key Components Include:

  • Formulary:
    A list of covered medications, typically organized into tiers that affect pricing.
  • Pharmacy Network:
    Preferred and standard pharmacies may have different cost levels.
  • Monthly Premium:
    A fixed monthly cost that varies by plan.
  • Deductible and Cost Sharing:
    Some plans include a deductible before coverage begins, followed by copays or coinsurance.
  • Coverage Phases:
    Costs may change throughout the year based on total drug spending.
Prescription Drug Plan Part D

Factors That Impact Plan Selection

Because each Part D plan differs, reviewing options annually is important to ensure coverage aligns with current needs.

Key Considerations:

  • Current prescriptions and dosage
  • Preferred pharmacy usage
  • Total estimated annual cost (not just premium)
  • Formulary changes from year to year
  • Travel or multi-state needs

Selecting a plan based only on premium can lead to higher overall costs depending on medication needs.

Tools and Guidance for Part D Plan Selection

New Horizons provides agents with tools and support to help evaluate and present Prescription Drug Plan options.

Agents have access to quoting and enrollment platforms, including IntegrityCONNECT, allowing for side-by-side comparisons of plans based on a client’s specific prescriptions and pharmacy preferences.

Training resources and support are available to help agents stay current on plan changes and confidently guide clients through the selection process.

IntegrityCONNECT screen
agent meeting with client

Products That Work Alongside Part D

Prescription Drug Plans are often part of a broader Medicare strategy. Depending on the client’s situation, they may also consider:

Help Clients Choose the Right Drug Coverage

Prescription Drug Plans can vary significantly in cost and coverage. Having the right tools and support helps ensure clients are matched with plans that fit their needs.