We found 23 Medicare Part D Plans in Georgia.
- 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 $46.05 per month, however the lowest premium is just $6.90.
- 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 $368 per year, but 4 plans have a zero-dollar deductible.
- Medicare rated 30% of all plans available in Georgia 4 stars or higher.
- There are 9 basic benefit plans and 14 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").
Georgia Medicare Part D Plans
|AARP MedicareRx Preferred||$104.20||$0||Enhanced||No||No||Yes|
|AARP MedicareRx Saver Plus||$45.00||$480||Basic||No||No||No|
|AARP MedicareRx Walgreens||$29.30||$310||Enhanced||No||No||No|
|Anthem MediBlue Rx Plus||$88.60||$0||Enhanced||No||No||No|
|Anthem MediBlue Rx Standard||$81.90||$375||Basic||No||No||No|
|Cigna Essential Rx||$36.20||$480||Enhanced||No||No||No|
|Cigna Extra Rx||$65.00||$100||Enhanced||No||Yes||Yes|
|Cigna Secure Rx||$32.40||$480||Basic||Yes||No||No|
|Clear Spring Health Premier Rx||$18.20||$480||Enhanced||No||No||No|
|Clear Spring Health Value Rx||$26.50||$480||Basic||Yes||No||No|
|Humana Basic Rx Plan||$30.90||$480||Basic||Yes||No||No|
|Humana Premier Rx Plan||$81.50||$480||Enhanced||No||No||Yes|
|Humana Walmart Value Rx Plan||$22.70||$480||Enhanced||No||No||No|
|Mutual of Omaha Rx Plus||$89.50||$480||Basic||No||No||No|
|Mutual of Omaha Rx Premier||$35.40||$480||Enhanced||No||No||Yes|
|Wellcare Medicare Rx Value Plus||$69.00||$0||Enhanced||No||No||No|
|Wellcare Value Script||$12.90||$480||Enhanced||No||No||Yes|
Every 2022 Part D Plan in Georgia Has 4 Cost Phases
Part D prescription drug plans help Georgia'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 copay 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.
Phase 2 is the Initial Coverage Limit
The Part D ICL (Initial Coverage Limit) for 2022 is $4.430. During the ICL phase, your Part D plan will cover the majority of your prescription costs. If your prescription costs exceed $4,430 you go into the coverage gap phase ("donut hole")
The Third Phase is a Coverage Gap
After your 2022 gross drug costs have reached $4,330, 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 $7,050 in True Out Of Pocket Costs (TrOOP).
Some plans offer additional gap coverage, so look for it on the plan information pages.
Catastrophic Coverage is the Fourth Phase
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 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 2022 Part D Plan Wisely
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.
Medicare Part D is Included in Most Medicare Advantage Plans
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 Georgia. The other way to get Part D coverage is to enroll in one of the many Medicare Advantage Plans available in Georgia that include Part D benefits.
Using Medicare Supplemental Insurance with Part D
With Original Medicare you are responsible for paying about 20 percent of all hospital and medical bills. Without additional protection, even a brief hospital stay can cost you thousands out-of-pocket. That's why we maintain a complete directory of Georgia Medicare Supplement Insurance, also known as Medigap. We make it easy to find the best rates on the coverage you want. All 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. sold in Georgia plans are 100% compatible with Medicare Part D plans.
Getting Medicare Part D with Georgia Medicaid
Georgia beneficiaries who qualify for both Medicare and Medicaid (aka, "dual eligible" or "Medi-Medi") may be enrolled in a Georgia 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 Georgia 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, "How Part D works with other insurance", Last Accessed May 14, 2022
- Medicare.gov, "Medicare costs at a glance", Last Accessed June 11, 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 .