Texas Medicare Part D Drug Plans help Medicare recipients control their retail prescription drug costs. We are very lucky to have this coverage. Prior to 2006, Medicare beneficiaries did not have outpatient drug coverage under Medicare.
Medicare Part D covers most types of prescription drugs in the U.S., with just a few exceptions. All drug plans include certain medications such as anti-cancer and anti-seizure medications. All plans must also include at least two medications from each therapeutic class. If you develop new health conditions that require medications mid-year, your doctor will be able to find drugs on the formulary to help you.
Medicare does NOT require plans to cover the following drugs:
- Drugs for cosmetic purposes or hair growth or fertility
- Barbiturates & Benzodiazepines
- Most prescription vitamins & mineral products
- Drugs for anorexia, weight loss or weight gain
- Drugs for symptomatic cold & cough relief
- Erectile dysfunction drugs
Part D drug plans work differently than other types of prescription drug insurance. It’s important to understand the Coverage Gap and how it may affect you. These rules are put in place to encourage consumers to use generic medications whenever possible. This helps to reduce Medicare expenditures and save money for you too.
To learn how Texas Medicare Part D drug plans work, please view our Texas Medicare Part D Basics outline.
For 2018, there are over 20 Texas Medicare Part D drug plans to choose from. It is important that all people with Part D review their coverage every year. The plan’s benefits, formulary, pharmacy network, premium and/or copayments and coinsurance may change on January 1st of each year.
Your insurance company will send you an annual notice of change around September of each year. Review it carefully to see the upcoming year’s changes.
For help understanding Medicare Part D, please call us or request online help here: