Medicare Part D Eligibility – Prescription Drug Coverage

Medicare Part D eligibility isn't automatic

Wondering if you’re Medicare eligible for Medicare Part D prescription drug coverage? Just because you turn 65 doesn’t necessarily mean you’ve got eligibility for Medicare part D. In order to be eligible for a Medicare Part D prescription drug plan, there are some criteria that must be met.

Part D prescription drug coverage is not available to everyone. Similar to with Medicare Parts A and B, you must meet the following factors:
⦁ You are age 65 or over, or you are under the age of 65 and you qualify for Medicare coverage based on a disability.
⦁ You are entitled to Medicare Part A and / or enrolled in Medicare Part B.

There are special enrollment periods for Medicare Part D. In this case, your Initial Enrollment Period is a 7-month window of time that starts three months prior to the month in which you turn age 65, includes the month of your 65th birthday, and ends three months after the month of your 65th birthday.

There is also an Annual Enrollment Period each year for Medicare prescription drug benefits. This period begins on October 15th, and it ends on December 7th. Your Part D coverage will then begin on January 1st of the following year.

Unlike Medicare Part A and Part B – which are offered directly through the Medicare program – Part D prescription drug plans are sold via private insurance companies. Because of that, the actual benefits that are available, as well as the premium cost, can differ from one plan to another. So, before you commit to purchasing Medicare Part D coverage, be sure that you compare several different options to make sure that the plan meets your specific needs and budget.

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Author Bio: Ben started Prepare for Medicare in 2014 to help people help people get objective answers to questions about Medicare. He’s held leadership roles at numerous Fortune 500 Medicare health insurers in product development, sales, marketing and strategy for over 20 years.