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What’s the Medicare Prescription Payment Plan?

What to know before participating ; Will this payment option help me ; What to know if I'm participating

Your health plan options

Medicare Advantage, and other health plans, are another way to get your Part A and Part B benefits instead of Original Medicare.

Explore your Medicare coverage options

Find Medicare health and drug plans in your area and compare costs. To get started enter a ZIP code or log in.

Compare Original Medicare & Medicare Advantage

Original Medicare, Medicare Advantage ; You can go to any doctor or hospital that takes Medicare, anywhere in the U.S., In many cases, you can only use doctors and other providers who are in the plan’s network and service area (for non-emergency care). ; In most cases you don’t need a referral to see a specialist., You may need to get a referral to see a specialist.

Health & drug plans

Learn about Medicare health plans, Medigap, how Medicare works with other insurance, and Drug coverage.

What Medicare Part D drug plans cover

Overview of what Medicare drug plans cover. Learn about formularies, tiers of coverage, name brand and generic drug coverage. Official Medicare site.

Medicare Advantage & other health plans

Medicare Advantage plans provide Part A (Hospital Insurance) and Part B (Medical Insurance) benefits to people with Medicare.

Compare Medigap Plan Benefits

The chart below shows basic information about the different benefits Medigap policies cover. ; = the plan covers 100% of this benefit = the plan doesn't cover this benefit % = the plan covers that percentage of this benefit and you’re responsible for the rest N/A = not applicable ; The Medigap policy will only pay your coinsurance after you’ve paid the deductible (unless the Medigap policy also covers your deductible).

What Original Medicare covers

Medicare coverage is based on 3 main factors: ; Federal and state laws. ; National coverage decisions Medicare makes. ; Local coverage decisions made by Medicare claims processing companies in each state. These companies decide if something is medically necessary and Medicare should cover it in their area.

How to drop your Medicare drug plan

How to drop your Medicare drug plan (Part D) without joining a new plan during Open Enrollment, special circumstances.

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