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Prescription coverage

A little foresight.
More peace of mind.

Prescription coverage matters, even when your medicine cabinet is quiet.

A little clarity. More room for life.

At a glance

Start with these three things.

Your coverage now

Confirm whether existing drug coverage is creditable.

Your timing

A gap in creditable coverage can lead to a penalty.

Your prescriptions

Compare medications, pharmacies, and total costs.

Your questions, unpacked

Prescription coverage: your questions, answered.

01Look at the coverage you already have

Creditable prescription coverage is expected to pay, on average, at least as much as Medicare drug coverage. Your plan should tell you whether your coverage is creditable.

Do not assume that medical insurance automatically includes creditable drug coverage. Check the prescription benefit separately.

02Understand the risk of a gap

After you are eligible, going 63 days or more in a row without Medicare drug coverage or other creditable prescription coverage may result in a late enrollment penalty if you enroll later.

The rules include exceptions, such as qualifying for Extra Help. Ask about your circumstances before making a decision.

03Compare the whole prescription picture

When comparing drug plans, look at covered medications, dosage, pharmacy choice, premiums, and what you would pay when filling prescriptions.

If you choose Medicare Advantage, check whether the plan includes Part D and understand the rules before adding a separate drug plan.

Sources & further reading
Creditable prescription coverage Late enrollment penalties Coverage options

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