We found the 24 best Medicare Part D Plans in Maine 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 $49.06 per month, however the lowest premium is just $4.20.
- 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 $389 per year, but 4 plans have a zero-dollar deductible.
- Medicare rated 0% of all plans available in Maine 4 stars or higher.
- There are 9 basic benefit plans and 15 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 Maine for 2023.
Maine Medicare Part D Plans
|Plan Name||Premium||Deductible||Benefit Type||LIS||Gap
|AARP MedicareRx Preferred||$104.50||$0||Enhanced||No||Yes||Yes|
|AARP MedicareRx Saver Plus||$42.70||$505||Basic||No||No||No|
|AARP MedicareRx Walgreens||$28.30||$350||Enhanced||No||No||No|
|Anthem MediBlue Rx Plus||$68.70||$0||Enhanced||No||No||No|
|Anthem MediBlue Rx Standard||$82.50||$505||Basic||No||No||No|
|Cigna Extra Rx||$71.60||$100||Enhanced||No||Yes||Yes|
|Cigna Saver Rx||$12.10||$505||Enhanced||No||No||No|
|Cigna Secure Rx||$29.60||$505||Basic||Yes||No||No|
|Clear Spring Health Premier Rx||$18.60||$505||Enhanced||No||No||No|
|Clear Spring Health Value Rx||$25.50||$505||Basic||Yes||No||No|
|Humana Basic Rx Plan||$31.20||$505||Basic||Yes||No||No|
|Humana Premier Rx Plan||$92.90||$300||Enhanced||No||Yes||Yes|
|Humana Walmart Value Rx Plan||$37.10||$505||Enhanced||No||No||No|
|Mutual of Omaha Rx Essential||$19.50||$505||Enhanced||No||No||No|
|Mutual of Omaha Rx Plus||$100.90||$505||Basic||No||No||No|
|Mutual of Omaha Rx Premier||$86.00||$505||Enhanced||No||No||Yes|
|Wellcare Medicare Rx Value Plus||$71.40||$0||Enhanced||No||No||No|
|Wellcare Value Script||$11.10||$505||Enhanced||No||No||Yes|
Maine Medicare Part D Plans Have Four Phases
Part D prescription drug plans help Maine'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.
The Deductible is the First 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 2023 plan with a $400 deductible, you'll spend $400 out-of-pocket before coverage begins. Most Medicare Part D plans have a deductible, but some plans exclude Tier 1 (generics), offering immediate coverage on low-cost medications.
NOTE: $505 is the maximum deductible a plan can have in 2023.
Phase 2 is the Initial Coverage Limit
For 2023, the Part D Initial Coverage Limit (ICL) is $4,660. Your Part D plan will pay the bulk of your prescription cost during the ICL phase. If your costs exceed $4,660, then you will be in the coverage gap phase (aka "doughnut hole")
Phase 3 is the Coverage Gap
After your gross drug costs have reached $4,660, 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 $7,400 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
Once you've spent $7,400 out-of-pocket you are out of the coverage gap phase and will receive catastrophic coverage. This happens automatically and ensures that you only pay a small amount for all covered drugs 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 Part D Plan Wisely
Evaluate Part D Medicare plans wisely. If you have a regular prescription or two, we suggest that you verify that the plan you want offers your medication(s) at a good price. You find this information 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.. We post links to the formulary and pharmacy web pages, as well as the plan's phone number, on each of the PDP pages listed above.
CRITICAL: The best Medicare Part D Plans for you can only be determined by factoring in what you can afford, your regular prescriptions, and your health. A bit of time spent on research will pay off in the long run.
Get Your Prescriptions and More with a Medicare Advantage Plan
Medicare realizes that one type of plan does not suit everyone. That's why there are two ways to get help with your prescription drug costs. All of the 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... available in Maine work with 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.. That's one way to get coverage. But maybe you'd like even more benefits. That's where Maine Medicare Advantage Plans come in. Most offer Part D coverage.
Medicare Part D and Medicare Supplements Work Together
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 Maine 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 Maine Medigap plans.
Medicare Part D for Dual Eligible People in Maine
In Maine, if you are eligible for both Medicare and Medicaid (aka, "dual eligible" or "Medi-Medi") you will automatically be enrolled in a Maine Medicare Prescription Drug Plan and the Social Security Extra Help program. Extra Help pays for most of the costs of your prescriptions if you meet the eligibility requirements. You may also enroll in a plan of your own choosing that better meets your needs. If you qualified for Medicaid is a public health insurance program that provides health care coverage to low-income families and individuals in the United States. before you were eligible for Medicare, contact your local Medicaid office.
Citations & References
- Medicare.gov, "How Medicare Prescription Drug Coverage Works with a Medicare Advantage Plan or Medicare Cost Plan", Last Accessed September 28, 2022
- Benefits.gov, "Medicare Prescription Drug Plans", Last Accessed September 1, 2022
- Medicare.gov, "Medicare costs at a glance", Last Accessed September 11, 2022
- Medicare.gov, "What's Medicare Supplement Insurance (Medigap)?", Last Accessed June 7, 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 .