We found 21 Medicare Part D Plans in Delaware.
- 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 $42.53 per month, however the lowest premium is just $7.10.
- 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 $385 per year, but 3 plans have a zero-dollar deductible.
- Medicare rated 24% of all plans available in Delaware 4 stars or higher.
- There are 8 basic benefit plans and 13 enhanced benefit plans.
- A total of 6 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 2 plans that have additional coverage in the coverage gap phase (aka, "donut hole").
Delaware Medicare Part D Plans
|AARP MedicareRx Preferred||$100.60||$0||Enhanced||No||No||Yes|
|AARP MedicareRx Saver Plus||$40.70||$480||Basic||No||No||No|
|AARP MedicareRx Walgreens||$29.30||$310||Enhanced||No||No||No|
|Cigna Essential Rx||$31.20||$480||Enhanced||No||No||No|
|Cigna Extra Rx||$58.00||$100||Enhanced||No||Yes||Yes|
|Cigna Secure Rx||$33.30||$480||Basic||Yes||No||No|
|Clear Spring Health Premier Rx||$17.20||$480||Enhanced||No||No||No|
|Clear Spring Health Value Rx||$29.40||$480||Basic||Yes||No||No|
|Humana Basic Rx Plan||$35.00||$480||Basic||Yes||No||No|
|Humana Premier Rx Plan||$78.90||$480||Enhanced||No||No||Yes|
|Humana Walmart Value Rx Plan||$22.70||$480||Enhanced||No||No||No|
|Mutual of Omaha Rx Plus||$92.10||$480||Basic||No||No||No|
|Mutual of Omaha Rx Premier||$35.50||$480||Enhanced||No||No||Yes|
|Wellcare Medicare Rx Value Plus||$68.90||$0||Enhanced||No||No||No|
|Wellcare Value Script||$12.90||$480||Enhanced||No||No||Yes|
Every 2022 Part D Plan in Delaware Has 4 Cost Phases
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... are designed to help Medicare beneficiaries pay for their prescription drugs. Some of the cost-sharing concepts of these plans are foreign to new Medicare beneficiaries, so let's look at the four phases.
The Deductible Phase
Prior to a plan paying any of your prescription costs, you are required to pay the annual deductible. So, if you enroll in a 2022 plan with a $400 deductible, you'll spend $400 out-of-pocket before coverage begins. Most Part D plans have a deductible, but some plans exclude Tier 1 (generics), offering immediate coverage on low-cost medications.
The 2nd Phase is the Initial Coverage Limit (ICL)
For 2022, the Part D Initial Coverage Limit (ICL) is $4.430. Your Part D plan will pay the bulk of your prescription cost during the ICL phase. If your costs exceed $4,430, then you will be in the coverage gap phase (aka "doughnut hole")
The Third Phase is a Coverage Gap
After your 2022 gross drug costs have reached $4,330, you will enter the A period of time in which you pay higher cost-sharing for prescription drugs until you spend enough to qualify for catastrophic coverage. 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 $7,050 in True Out Of Pocket Costs (TrOOP).
Some plans offer additional gap coverage, so look for it on the plan information pages.
Phase 4 is Catastrophic Coverage
All Part D plans offer catastrophic coverage once you have paid $7,050 out-of-pocket for covered drugs. This amount includes the cost of covered drugs as well as some additional costs. In the catastrophic coverage phase, your A copayment, also known as a copay, is a set dollar amount you are required to pay for a medical service. or Coinsurance is a percentage of the total you are required to pay for a medical service. will be significantly lower for the remainder of the year.
The 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. 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.
The Lowest Premium May Not Be the Lowest Overall Cost
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.
VITAL: Identifying the best Medicare Part D Plans requires research. What works the best for you is all about your regular prescriptions (if any), your health, and what you can afford.
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.
Combining a Supplement and Medicare Part D Benefits
Are you thinking about supplemental Medicare insurance that can offer you more coverage? It's a smart move. Original Medicare only covers about 80 percent of your major medical bills, leaving you to cover the rest. We make it easy to find the lowest rates on Delaware Medicare Supplements, also known as Medigap plans. The choice is yours because all Part D plans are compatible with the full range of Delaware 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..
Getting Medicare Part D with Delaware Medicaid
Delaware beneficiaries who qualify for both Medicare and Medicaid (aka, "dual eligible" or "Medi-Medi") may be enrolled in a Delaware Medicare Prescription Drug Plan automatically, as well as Social Security's Extra Help program. The Extra Help program pays for most of your prescriptions, but only if you meet the strict eligibility requirements. If the dual eligible option does not meet your needs, you have the option to enroll in a Delaware Part D plan that does. If you are already receiving Medicaid is a public health insurance program that provides health care coverage to low-income families and individuals in the United States., contact your local Medicaid office for assistance in the transition to Medicare.
Citations & References
- Medicare.gov, "Your Guide to Medicare Prescription Drug Coverage booklet", Last Accessed June 3, 2022
- Medicare.gov, "What Medicare Part D drug plans cover", Last Accessed May 1, 2022
- Medicare.gov, "Catastrophic coverage", Last Accessed June 13, 2022
- Medicare.gov, "Are prescription drugs covered in Medicare Advantage plans?", Last Accessed June 5, 2022
- SSA.gov, "Extra Help with Medicare Prescription Drug Plan Costs", Last Accessed June 1, 2022
- CMS.gov, "Landscape Source Files", Last Accessed October 26, 2021
- CMS.gov, "Medicare Part C & D Performance", Last Accessed October 15, 2021
This Medicare Part D plan state information page was last updated on .