Medicare prescription drug coverage is insurance run by an insurance company or other private company approved by Medicare. There are two ways to get Medicare prescription drug coverage:
  1. Medicare Part D Wisconsin Prescription Drug Plans. These plans (sometimes called “PDPs”) add drug coverage to Original Medicare, some Medicare Cost Plans, some Medicare Private Fee-for-Service (PFFS) Plans, and Medicare Medical Savings Account (MSA) Plans.
  2. Medicare Advantage Plans (like an HMO or PPO) are other Medicare health plans that offer Medicare prescription drug coverage. You get all of your Part A and Part B coverage, and prescription drug coverage (Part D), through these plans. Medicare Advantage Plans with prescription drug coverage are sometimes called “MA-PDs.”
Enrolling in prescription drug coverage is completely voluntary for most people unless you are currently getting your drugs through Medicaid. If you already have sufficient prescription drug coverage through another service, it is not necessary to enroll in a Part D plan. Remember, you will most likely have to pay a premium for your Part D coverage, although there are subsidies available for people with limited incomes.

If you decide not to join a Medicare drug plan when you’re first eligible, and you don’ have other credible prescription drug coverage, you will likely pay a late enrollment penalty.

Part D plans only cover medically necessary drugs. Part D plans across the board do not offer coverage for cosmetic uses, over the counter drugs, weight loss, or other drugs that are not deemed medically necessary. Drug cost and coverage varies from plan to plan, so it is important to select a plan based on your own personal needs.

How Do I Get a Medicare Prescription Drug Coverage?

To join a Medicare Prescription Drug Plan, you must have Medicare Part A or Part B. To join a Medicare Advantage Plan, you must have Part A and Part B. You must also live in the service area of the Medicare drug plan you want to join.

Not all Medicare Part D Wisconsin Plans work the same way, so before you join, take the time to find and compare Medicare Prescription Drug (Part D) Plans in your area. Once you understand the plan’s rules and costs, you can join by clicking the link below or contact us directly at 866.575.3313 to speak directly with a specialist. If you are not satisfied with your plan, you can switch to another Medicare Prescription Drug Plan during the next enrollment period. If the plan opts to end its involvement with Medicare, you will need to choose another plan.

Wisconsin Medicare:
Learn More About Your Options