Medicare Part D in Georgia

Medicare Part D in Georgia is a separate health insurance option for eligible beneficiaries in order to receive additional coverages. Medicare Part D plans essentially cover prescription drugs or overall drug coverages for eligible applicants. If Medicare petitioners are receiving coverage, then they can choose to enroll in Medicare Plan D for additional prescription drug benefits. Medicare Plan C and Medicare Part D are considered Medicare Advantage Plans, which are separate from the Original Medicare, Plan A and Plan B. Since Plan D Medicare is considered an add-on and not necessarily critical like the Original Medicare plans, applicants should know as much about the program as possible prior to enrolling. Medicare Plan D is a choice, which means that beneficiaries should know in advance the Medicare Part D cost breakdown, as out-of-pocket expenses will be on a month-to-month basis. For helpful information regarding coverages through Part D Medicare as well as rules for Medicare Part D, continue reading the sections below.

What is Medicare Plan D in Georgia?

Georgia Medicare Part D adds a level of prescription drug coverage to an already existing Original Medicare plan. Medicare D can be chosen as an option by beneficiaries already enrolled in a Part A and Part B plan option if they meet the Medicare requirements. Before an applicant learns how to enroll in Medicare Part D plans, he or she should first understand how Part D coverages would work with other drug coverages available. For instance, if a beneficiary already has prescription drug coverage through an employer or through a Medicare Supplement Insurance policy, then he or she would not need to enroll in Part D Medicare coverages. All applicants should compare their existing Medicare coverage options first, before choosing the Medicare Plan D coverage.

Learn more about the differences between the Medicare coverage options in our in-depth guide.

How to Enroll in Georgia Medicare Part D Coverage

Enrolling in a Georgia Medicare Part D coverage program must be done manually. Rather than automatically being enrolled in coverage like Part A and Part B, Plan D coverages will need to be chosen by the enrollee as long as Medicare eligibility requirements are met. In order to enroll in a Medicare Part D drug program, beneficiaries can enroll in the following ways:

  • Online through the Medicare website
  • Completing the paper enrollment form
  • Calling the plan provider
  • Calling the Medicare office directly

Enrolling in Medicare Part D coverages mean that potential petitioners need to provide the Medicare number and the date that the Original Medicare benefits began. This information can be found directly on the Medicare card provided.

What to Know Before You Enroll in Medicare Part D in Georgia

Most of the Georgia Medicare Advantage Plans include Medicare Part D coverage or prescription drug coverage. Eligible applicants are able to join the Medicare Plan D program separately if their current Original Medicare Plan cannot offer drug coverage similar to a Medicare Medical Savings Account plan or if their Medicare plan chooses not to offer drug coverage. In these cases, approved applicants can enroll themselves in Plan D Medicare coverage. It is important for all applicants to know that Medicare Part D is an optional program and not required as part of the Original Medicare plan. However, it is a smart idea for beneficiaries to enroll in Medicare Part D plans if they require a significant amount of prescriptions medications or if their prescription drugs are a hefty out-of-pocket expense.

Applicants will be enrolled in Part D for Medicare for one calendar year once approved. If a beneficiary joins a Medicare Part D plan while his or her Medicare Advantage Plan already includes prescription drug coverage, then he or she will be unenrolled from Original Medicare coverage.

What is the Medicare Part D cost in Georgia?

The overall Georgia Medicare Part D costs can depend on a variety of reasons. The actual drug plan for Medicare Part D will change depending on the drugs the beneficiary needs, the plan he or she chooses, if the pharmacy is within the plan’s network, if the drugs used are on the plan’s list of covered prescriptions or if the beneficiary receives any additional help paying for Medicare Part D costs. The costs for Medicare Part D will be broken down into:

  • Premiums
  • Annual deductibles
  • Copayments or coinsurance
  • Coverage gap costs
  • Costs for Extra Help
  • Costs for late enrollment penalty

What does Extra Help mean in terms of Georgia Medicare Plan D coverage?

Medicare Plan D coverages can provide assistance toward prescription medications, but sometimes not cover the entire prescription cost. In these cases, Medicare Part D offers additional help called Extra Help, which can help a beneficiary cover more of the out-of-pocket expense. For beneficiaries who meet certain income and resource requirements within the Medicare program, Medicare will assist in covering more of the costs. Most of the approved Part D Medicare applicants pay only a portion of their Medicare drug plan premiums as well as deductibles. Applicants must meet the annual income limit (for single and married couples) in order to qualify for the Extra Help program. If applicants do not qualify for Part D Extra Help, then they can contact the Medicare office for more information regarding other helpful programs. Applicants can reapply for Extra Help Plan D Medicare at any time if income or resources change. To find out more regarding Medicare Part D cost and coverages, download our free, comprehensive guide today.

What Health Services Are Available in Georgia?

From Obamacare health insurance plans to Medicaid and Medicare, there are various types of health coverage available in Georgia. Each type of insurance can be accessed through a different application method. To learn about the easiest ways to apply for affordable health care in GA, download our comprehensive guide on health services.

Who Is Eligible for Affordable Health Services in Georgia?

Affordable and free health services are often limited to Georgia residents who meet all established eligibility requirements. Income, age and household size are often key factors taken into consideration when determining an applicant’s qualifications. Discover if you qualify for free or reduced-cost health insurance by reviewing the in-depth information on all program eligibility requirements within our comprehensive guide.