Medicare Part D prescription drug plans are also known as PDPs. Medicare Part D is a government program that offers prescription drug insurance to everyone who is entitled to Medicare Part A and/or enrolled in Medicare Part B.
When you are ready to decide on a plan, take the time to understand how the plans work. That way, you can make an informed decision and choose the plan that's right for you.
Different PDPs Cover Different Drugs
The federal government has specific guidelines for the types of medications we must cover as well as a minimum standard of benefits we must follow.
Each plan has a Formulary (a list of covered drugs) that meets these requirements as required by law. Keep in mind, not all plans are the same. They may vary in cost and/or specific drugs covered.
If you enroll in a Medicare Part D plan, please review the plan's Formulary to ensure it will meet your prescription drug coverage needs.
If You Have a Current Medicare Advantage Plan
If your Medicare Advantage Plan includes prescription drug coverage and you join a Medicare PDP, you will be disenrolled from your Medicare Advantage Plan and returned to Original Medicare with your Medicare PDP.
Medicare Drug Coverage (Part D) Late Enrollment Penalty
The late enrollment penalty is an amount that’s added to your monthly Medicare drug plan (Part D) premium. You may owe a late enrollment penalty if at any time after your Initial Enrollment Period is over, there’s a period of 63 or more days in a row when you don’t have Medicare drug coverage or other credible prescription drug coverage. You will generally have to pay the penalty for as long as you have Medicare drug coverage. Learn more about late enrollment penalties.
When It Comes to Coverage, You Have Options:
- You can get Medicare prescription drug coverage through a Medicare PDP (Part D).
- You can sign up for a Medicare Advantage plan (HMO or PPO) or other Medicare health plan that offers Medicare prescription drug coverage.
More Savings. More Coverage. Caring Service.
- Wellcare offers plans designed to help those eligible for Extra Help (Low Income Subsidy) where members may pay no or low premiums and copays if enrolled
- Affordable coverage options to choose from with plans that may offer some of the lowest premiums available in your area and copays starting at $0 at preferred retail pharmacies.
- Extensive Pharmacy Network with access to thousands of pharmacies nationwide. We partner with some pharmacies to offer a Preferred Network that includes many well-known national and regional chain pharmacies and most grocers to help our members save money.
Use our Find a Provider tool to find a preferred pharmacy closest to you.
Member Services representatives are ready to help you with any questions about your coverage or medications. For a complete list of drugs covered by our plan, please review our website, contact our Member Services department by calling 1-888-550-5252, or utilize our online chat option within the member portal. We are open from 8 a.m. to 8 p.m. 7 days a week between October 1 and March 31 and from 8 a.m. to 8 p.m. Monday through Friday between April 1 and September 30. (TTY users can dial 711).
