We found the 22 best Medicare Part D Plans in Delaware for 2023.
- The average A premium is an amount that an insurance policyholder must pay for coverage. Premiums are typically paid on a monthly basis. In the federal Medicare program, there are four different types of premiums. is $46.85 per month, however the lowest premium is just $7.60.
- The average drug plan A deductible is an amount a beneficiary must pay for their health care expenses before the health insurance policy begins to pay its share. is $401 per year, but 3 plans have a zero-dollar deductible.
- Medicare rated 0% of all plans available in Delaware 4 stars or higher.
- There are 8 basic benefit plans and 14 enhanced benefit plans.
- A total of 5 plans offer full Social Security's Low-Income Subsidy (LIS) program helps Medicare beneficiaries pay for their Medicare Part D prescription drugs by paying some of the costs. Also known as "Extra Help", beneficiaries who qualify for LIS receive premium... (LIS) for those who qualify.
- There are 4 plans that have additional coverage in the coverage gap phase (aka, "donut hole").
We also ranked the best Medicare Advantage plans with Part D in Delaware for 2023.
Delaware Medicare Part D Plans
|Plan Name||Premium||Deductible||Benefit Type||LIS||Gap
|AARP MedicareRx Preferred||$112.00||$0||Enhanced||No||Yes||Yes|
|AARP MedicareRx Saver Plus||$44.90||$505||Basic||No||No||No|
|AARP MedicareRx Walgreens||$28.30||$350||Enhanced||No||No||No|
|Cigna Extra Rx||$56.90||$100||Enhanced||No||Yes||Yes|
|Cigna Saver Rx||$12.90||$505||Enhanced||No||No||No|
|Cigna Secure Rx||$35.30||$505||Basic||Yes||No||No|
|Clear Spring Health Premier Rx||$19.50||$505||Enhanced||No||No||No|
|Clear Spring Health Value Rx||$31.50||$505||Basic||Yes||No||No|
|Humana Basic Rx Plan||$39.10||$505||Basic||Yes||No||No|
|Humana Premier Rx Plan||$86.00||$300||Enhanced||No||Yes||Yes|
|Humana Walmart Value Rx Plan||$39.00||$505||Enhanced||No||No||No|
|Mutual of Omaha Rx Essential||$20.90||$505||Enhanced||No||No||No|
|Mutual of Omaha Rx Plus||$90.10||$505||Basic||No||No||No|
|Mutual of Omaha Rx Premier||$89.20||$505||Enhanced||No||No||Yes|
|Wellcare Medicare Rx Value Plus||$71.30||$0||Enhanced||No||No||No|
|Wellcare Value Script||$10.10||$505||Enhanced||No||No||Yes|
The Four Phases of Every Delaware Medicare Part D Plan
Part D prescription drug plans help Delaware's Medicare beneficiaries pay for their prescriptions. If you're new to Medicare, you may not be familiar with how Medicare Part D Out-of-Pocket Costs for Medicare are the remaining costs that are not covered by the beneficiary's health insurance plan. These costs can come from the beneficiary's monthly premiums, deductibles, coinsurance, and copayments. work. So, let's start with the four cost-sharing phases.
Phase 1 is the Deductible
A Medicare Part D plan's deductible is the amount you pay out-of-pocket before the initial coverage phase begins and the plan begins paying its share. So, if you enroll in a plan with a $225 deductible, you'll spend that much at the pharmacy for your prescriptions. After that amount, you will pay the A copayment, also known as a copay, is a set dollar amount you are required to pay for a medical service. amount only until you reach the A period of time in which you pay higher cost-sharing for prescription drugs until you spend enough to qualify for catastrophic coverage.. Most Medicare Part D plans are an option Medicare beneficiaries can use to get prescription drug coverage. Part D plans provide cost-sharing on covered medications in four different phases: deductible, initial coverage, coverage gap, and catastrophic. Each... have a deductible, however, many plans exclude Tier 1 drugs from the deductible, which gives you first-dollar coverage on most lower-cost medications.
NOTE: The maximum Part D plan deductible in 2023 is $505.
Phase 2 is the Initial Coverage Limit
The Part D ICL (Initial Coverage Limit) for 2023 is $4,660. During the ICL phase, your Part D plan will cover the majority of your prescription costs. If your prescription costs exceed $4,660 you go into the coverage gap phase ("donut hole")
The Coverage Gap is the Third Phase
After your gross drug costs have reached $4,660, you will enter the Coverage Gap phase. This is where you will pay 25% of your medication's retail cost. While the price of A generic drug is a prescription medication that has the same active ingredient formula as a brand-name drug. Generic drugs usually cost less than brand-name drugs. might not be much different, what you pay for brand-name drugs will be higher (because you're paying 25% of the full price). This will continue until you reach $7,400 in True Out Of Pocket Costs (TrOOP).
Some plans offer additional gap coverage, so look for it on the plan information pages.
The Fourth Phase is Catastrophic Coverage
After you have spent $7,400 in true out-of-pocket costs on your medications, you get out of the coverage gap phase and you automatically receive "catastrophic coverage". In this phase, you will only have to pay a small percentage of Coinsurance is a percentage of the total you are required to pay for a medical service. or payment on covered drugs for the rest of the year.
The out-of-pocket costs that help you get catastrophic coverage include:
- Your plan's deductible;
- What you paid during the Once you have met your yearly deductible, you will pay a copayment or coinsurance for each covered drug until you reach the initial coverage limit. You will then enter your plan’s coverage gap (aka, “donut... period;
- Most of the full cost of brand-name drugs (and the manufacturer’s discount) purchased in the coverage gap;
- The amount paid by others, including family members, most charities, and other persons on your behalf; and
- The amount paid by State Pharmaceutical Assistance Programs (SPAPs), AIDS Drug Assistance Programs, and the Indian Health Service.
Choose Your Part D Plan with Care
Don't make a decision on your choice of Part D Medicare plans based on the premium and deductible alone. It's critical that you verify that your medications are covered. You find this information, and the co-payment tiers, in the A formulary is a list of prescription drugs covered by a prescription drug plan or another insurance plan offering prescription drug benefits. Medications not on a plan's formulary are generally not covered.. On each PDP page (above) we post links to the formulary and pharmacy web pages, and the phone numbers to contact the plan.
IMPORTANT: Identifying the best Medicare Part D Plans for you takes a bit of research. What's best for you is personal and must consider multiple factors, including your regular prescriptions, your health, and your finances.
Did you Know Most Medicare Advantage Plans Include Prescription Benefits?
Your Medicare benefits are flexible, and there's more than one way to get prescription drug coverage. If you want to keep your Original Medicare is private fee-for-service health insurance for people on Medicare. It has two parts. Part A is hospital coverage. Part B is medical coverage., you can enroll in one of the stand-alone prescription drug plans available in Delaware. The other way to get Part D coverage is to enroll in one of the many Medicare Advantage Plans available in Delaware that include Part D benefits.
Using Supplemental Medicare Insurance with Part D
Medicare does not pay for all of your hospitalization and medical bills. In fact, Original Medicare only covers about 80 percent of your major medical costs. We keep an up-to-date directory of Delaware Medigap Plans, also called Medicare Supplements are additional insurance policies that Medicare beneficiaries can purchase to cover the gaps in their Original Medicare (Medicare Part A and Medicare Part B) health insurance coverage., with the tools you need to find the best price and coverage. Medicare Part D plans are fully compatible with Delaware Medigap plans.
Delaware Medicaid and Your Medicare Part D
If you meet the requirements for both Medicare and Medicaid (aka, "dual eligible" or "Medi-Medi") in Delaware, you will automatically receive a Medicare Prescription Drug Plan, as well as Extra Help from Social Security. If you qualify for Extra Help, the program will cover most of the costs of your prescriptions. Even if you qualify, the dual eligible option may not suit your needs. In this case, enroll in the prescription drug plan of your choice. If you receive Medicaid is a public health insurance program that provides health care coverage to low-income families and individuals in the United States. now, call your local Medicaid office for assistance with your dual eligible benefits.
Citations & References
- Medicare.gov, "Drug coverage (part D)", Last Accessed September 21, 2022
- Medicare.gov, "How Part D works with other insurance", Last Accessed July 14, 2022
- Medicare.gov, "Medicare costs at a glance", Last Accessed September 11, 2022
- Medicare.gov, "Are prescription drugs covered in Medicare Advantage plans?", Last Accessed June 6, 2022
- SSA.gov, "Extra Help with Medicare Prescription Drug Plan Costs", Last Accessed June 1, 2022
- CMS.gov, "Landscape Source Files", Last Accessed October 18, 2022
- CMS.gov, "Medicare Part C & D Performance", Last Accessed October 15, 2022
This Medicare Part D plan state information page was last updated on .