Articles
How does Medicare Part D coverage work?
Each Medicare Advantage plan with prescription drug coverage or Part D plan has its own list of covered drugs, called a formulary. Our pharmacy department partners with physicians from other health systems who are specialized in their field to dec...
What is the coverage gap?
An exciting change has been made to your coverage – here’s what you need to know. Starting January 1, 2025, there is no longer a “Coverage Gap,” also called the “Donut Hole” Phase, in your prescription drug plan. This means that once you reach t...
What is the Part D late enrollment penalty?
The Part D late enrollment penalty is a an amount added to your Part D monthly premium because you didn't sign up for drug coverage when it was available to you. If you go without a Part D plan or a Medicare Advantage plan with drug coverage for 6...
Medicare Part D Transition Process
Within your first 108 days as a new member, you might be taking drugs that are not on our formulary, or list of covered drugs, that require you to meet certain requirements, like prior authorization, step therapy or quantity limits. If you're in ...