Medicare Blog

how do yoi sign up for medicare part d but you have a and b

by Prof. Reynold Blanda I Published 3 years ago Updated 2 years ago

To sign up for a Part D plan, click Enroll. You’ll need your Medicare number and the date that your Parts A and B coverage started. You may be able to enroll with an insurance agent or by calling 800-MEDICARE (800-633-4227).

You can also call or visit your local Social Security office, or call Social Security at 1-800-772-1213 for more information about Part A and Part B eligibility. TTY users can call 1-800-325-0778. If you get benefits from the Railroad Retirement Board (RRB), call your local RRB office.

Full Answer

How do I register for Medicare Part D?

The most common enrollment periods are:

  • Your Medicare Initial Enrollment Period. ...
  • The Annual Election Period (AEP), also called Fall Open Enrollment, October 15 – December 7 every year.
  • The 5-Star Special Enrollment Period. ...
  • You might qualify for a different Special Enrollment Period (SEP) in some cases. ...

What are the requirements for Medicare Part D?

  • Prior to the individual’s initial period of entitlement for Medicare Part D
  • Prior to the effective date of the individual’s enrollment in the employer’s prescription drug plan
  • Upon any change in the employer’s prescription drug coverage as creditable or non-creditable
  • Annually, on or before October 15 of each year
  • Upon an individual’s request.

Who is eligible for Medicare Part D?

Medicare Part D is an outpatient prescription drug benefit available to people who have Medicare (Part A and/or Part B). While technically Part D is optional coverage, Medicare “encourages” you to enroll in Part D by assessing a late penalty if you don ...

When to enroll in Part D?

You can enroll in Medicare Part D during any of these times:

  • Initial Enrollment Period
  • Annual Election Period
  • Medicare Advantage Open Enrollment Period
  • Five Star Special Enrollment Period
  • Special Enrollment Period

Do I need Medicare Part D if I have Medicare Part A and B?

You must be enrolled in Medicare Part A and/or Part B to enroll in Part D. Medicare drug coverage is only available through private plans. If you have Medicare Part A and/or Part B and you do not have other drug coverage (creditable coverage), you should enroll in a Part D plan.

Does Medicare automatically enroll you in Part D?

Enrollment in a Part D prescription drug plan is not automatic, and you still need to take steps to sign up for a plan if you want one. Part D late penalties could apply if you sign up too late. If you want a Medicare Advantage plan instead, you need to be proactive. Pay attention to the Medicare calendar.

When can I add Part D to my Medicare coverage?

The first opportunity for Medicare Part D enrollment is when you're initially eligible for Medicare – during the seven-month period beginning three months before the month you turn 65. If you enroll prior to the month you turn 65, your prescription drug coverage will begin the first of the month you turn 65.

Can you be turned down for Medicare Part D?

To disenroll from a Medicare drug plan during Open Enrollment, you can do one of these: Call us at 1-800 MEDICARE (1-800-633-4227). TTY: 1-877-486-2048. Mail or fax a signed written notice to the plan telling them you want to disenroll.

Can you get Medicare Part D through Original Medicare?

Original Medicare includes Medicare Part A (Hospital Insurance) and Part B (Medical Insurance). You can join a separate Medicare drug plan to get Medicare drug coverage (Part D).

What is the main problem with Medicare Part D?

The real problem with Medicare Part D plans is that they weren't set up with the intent of benefiting seniors. They were set up to benefit: –Pharmacies, by having copays for generic medications that are often far more than the actual cost of most of the medications.

Is it worth getting Medicare Part D?

Most people will need Medicare Part D prescription drug coverage. Even if you're fortunate enough to be in good health now, you may need significant prescription drugs in the future. A relatively small Part D payment entitles you to outsized benefits once you need them, just like with a car or home insurance.

What is the most popular Medicare Part D plan?

Best-rated Medicare Part D providersRankMedicare Part D providerMedicare star rating for Part D plans1Kaiser Permanente4.92UnitedHealthcare (AARP)3.93BlueCross BlueShield (Anthem)3.94Humana3.83 more rows•Mar 16, 2022

Do I need Part B for Part D?

Part D is the outpatient prescription drug benefit for anyone with Medicare. You must have either Part A or Part B to be eligible for Part D. Part D is only available through private companies.

How are Part D premiums determined?

The income that counts is the adjusted gross income you reported plus other forms of tax-exempt income. Your additional premium is a percentage of the national base beneficiary premium $33.37 in 2022. If you are expected to pay IRMAA, SSA will notify you that you have a higher Part D premium.

What is the Part D penalty?

Medicare calculates the penalty by multiplying 1% of the "national base beneficiary premium" ($33.37 in 2022) times the number of full, uncovered months you didn't have Part D or creditable coverage. The monthly premium is rounded to the nearest $. 10 and added to your monthly Part D premium.

Can you change Part D plans in the middle of the year?

You may qualify for a special enrollment period to change your Part D plan in certain situations at other times during the year: If you receive financial assistance from the Part D Extra Help program, you can change Part D plans as often as once each calendar quarter during the first three quarters of the year.

How Do I Sign up for Medicare Part D?

Medicare Part D plans are sold by private insurance companies, and plan availability and benefits can vary based on where you live.

When Can I Sign Up for Medicare Part D?

There are three times during which you may be able to sign up for a Medicare Part D plan .

Who Is Eligible for Medicare Part D?

Before enrolling in a Medicare Part D plan, you should check to make sure you are eligible.

How Much Does It Cost for Medicare Part D?

According to data from the Centers for Medicare & Medicaid Services (CMS), the average premium for a standalone Medicare Part D plan (PDP) in 2022 is $48 per month. 1

How do I Apply for Medicare Extra Help?

Some beneficiaries with limited financial resources may qualify for the Medicare Extra Help program. This program helps PDP enrollees pay for their plan premiums, coinsurance, deductibles and prescription costs.

How Else Can You Get Drug Coverage Through Medicare?

A Part D plan is not the only way to secure Medicare coverage for prescription drugs.

Can I Sign Up for Medicare Part D and a Medicare Supplement Plan?

You can have both a Medicare Part D prescription drug plan and a Medicare Supplement Insurance (Medigap) plan at the same time.

How long after you sign up for Part A do you have to sign up for Part B?

You get Part A automatically. If you want Part B, you need to sign up for it. If you don’t sign up for Part B within 3 months after your Part A starts, you might have to wait to sign up and pay a monthly late enrollment penalty.

How long do you have to sign up for Part A?

You get Part A automatically. If you want Part B, you need to sign up for it. If you don’t sign up for Part B within 3 months of turning 65, you might have to wait to sign up and pay a monthly late enrollment penalty.

How long before Medicare card is sent out?

We’ll mail you a welcome package with your Medicare card 3 months before your Medicare coverage starts.

How to contact railroad retirement board?

If you or your spouse worked for a railroad, call the Railroad Retirement Board at 1-877-772-5772.

How to get prescription drug coverage

Find out how to get Medicare drug coverage. Learn about Medicare drug plans (Part D), Medicare Advantage Plans, more. Get the right Medicare drug plan for you.

What Medicare Part D drug plans cover

Overview of what Medicare drug plans cover. Learn about formularies, tiers of coverage, name brand and generic drug coverage. Official Medicare site.

How Part D works with other insurance

Learn about how Medicare Part D (drug coverage) works with other coverage, like employer or union health coverage.

Check when to sign up

Answer a few questions to find out when you can sign up for Part A and Part B based on your situation.

When coverage starts

The date your Part A and Part B coverage will start depends on when you sign up.

What happens if you don't sign up for Medicare Part D?

What Are the Implications of Not Signing up for Part D When You Are First Eligible? First and foremost, Medicare has a “late enrollment penalty” for not signing up for Part D when you are first eligible. For many people, this initial eligibility is when you turn 65 and start Medicare. In this situation, you have an initial election period ...

What is Medicare Part D?

Medicare Part D is the part of Medicare that covers prescription drugs. “Original” Medicare (Part A and Part B) does not provide any coverage for prescription drugs. All prescription drug coverage for Medicare beneficiaries is provided through Medicare Part D ( How to Compare Part D Plans ). So, the question we often get from people turning 65 ...

What is the penalty for Medicare Part D late enrollment?

If you wait longer, the penalty will be higher. The penalty is 1% per month that you don’t have a plan.

How much is the penalty for not having a Medicare plan?

The penalty is 1% per month that you don’t have a plan. The 1% per month is multiplied by the “national base beneficiary premium” – for 2018, this is $35.02. For example, if you turned 65 in April of 2015, have no other drug coverage, and enrolled in a Part D plan to start 1/1/18, your penalty would start after your initial election period expired ...

How much is Part D insurance?

As you can see in the example above, the Part D penalty can be significant. With Part D premiums (for 2018) starting at around $15 in most states, most people find it beneficial to have at least minimal Part D coverage when they start with Medicare, even if their medication needs are non-existent. If you are someone who does use prescription drugs, ...

How long does Medicare Part D last?

In this situation, you have an initial election period to choose a Part D plan that lasts for seven months – the month you turn 65 plus three months on each side of the turning 65 month.

How long do you have to sign up for a Part D plan?

In this situation, you have two months after the group coverage ends to sign up for a Part D plan.

How long do you have to sign up for Medicare?

In the year that you turn 65, you have seven months to sign up for Medicare Part A (if you have to pay for it) and Part B. You also have seven months to sign up for Part D unless you have other prescription drug coverage considered acceptable by Medicare (“creditable” prescription drug coverage). The initial enrollment period begins three months before you turn 65 and ends three months after, including the month of your birthday.

How long do you have to enroll in Medicare Advantage?

3 You have eight months from the time your employment ends or your coverage ends (whichever comes first) to enroll in Part B. 10 You have two months after the month your coverage ends to join Part D or a Medicare Advantage plan.

What is a Medigap plan?

Medigap Plans: These plans are supplemental insurance sold by private insurance companies that can help fill gaps in Medicare coverage like copays, coinsurance (the amount you may have to pay toward a claim), and any deductibles. You must have Parts A and B to buy a Medigap plan. 6

What happens if you miss your Medicare enrollment deadline?

If you miss your enrollment deadline, you may face penalties for signing up late— especially if you don’t have employer-provided coverage or drug coverage that Medicare considers comparable to its own.

What happens if you go without prescription coverage?

If you go without creditable prescription drug coverage for 63 consecutive days, you may owe a late enrollment penalty. The penalty is permanently added to your Part D premium. 12

How many parts does Medicare have?

Before diving into how Medicare works with your existing health coverage, it’s helpful to understand how it works on its own. Medicare has four main parts: A, B, C, and D. You can also purchase Medicare supplement insurance, known as Medigap.

What happens if you don't sign up for Part A?

If like most people, you qualify for premium-free Part A, there’s no late enrollment penalty should you not sign up during your initial enrollment period. If you don’t qualify, your monthly premium may increase up to 10%, to be paid for twice the number of years you didn’t sign up. 8 If you don’t sign up for Part B and you don’t have employer-provided health insurance, you could face an even stiffer penalty: a premium increase up to 10% for as long as you have Part B. 9

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