Medicare Prescription Drug Plans in Connecticut
2022 Medicare Prescription Drug Plan Changes in Connecticut
There are more Connecticut Medicare Part D Plans (PDPs) in 2022 than in previous years. The bad news is that the maximum deductibleA deductible is an amount a beneficiary must pay for their health care expenses before the health insurance policy begins to pay its share. is now up to $480 per year, an increase of $35 over last year. However, the Initial Coverage LimitOnce 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... increased to a new high of $4,430. The following discussion will help you find the best Medicare prescription drug plan available in Connecticut at a price you can afford.
The Maximum Deductible on 2022 Medicare Part D Plans
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 $480 deductible, you'll spend $480 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 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")
Will You Fall Into The 2022 Donut Hole?
After your 2022 gross drug costs have reached $4,330, you will enter the Coverage GapA 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 generic drugsA 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.
The Lowest Premium May Not Be the Lowest Overall Cost
Choose from the available Part D Medicare plans carefully, and don't settle on a Part D plan until you know that your most expensive medications are covered at a price you can afford. This information is available in the plan's formularyA 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.. You'll find links to the formulary information, pharmacy information, and the customer service phone number on each PDP page (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 Connecticut Medicare Advantage Plan
Your Medicare benefits are flexible, and there's more than one way to get prescription drug coverage. If you want to keep your Original MedicareOriginal 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 Medicare Prescription Drug PlansMedicare 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... listed above. The other way to get Part D is by enrolling in one of the Connecticut Medicare Advantage Plans that include prescription coverage.
Medicare Part D and Supplements Work Together
Medicare does not pay for all of your hospitalization and doctor bills. Even with the new healthcare law fully in place, your Original Medicare only pays about 80 percent of your Connecticut healthcare bills. We keep an up-to-date catalog of Connecticut Medigap Plans, also call a Medicare SupplementMedicare 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. The Medicare PartD plans above are fully compatible with Connecticut supplemental insurance.
Connecticut Medicaid and Your Medicare Part D
Connecticut seniors who qualify for both Medicare and MedicaidMedicaid is a public health insurance program that provides health care coverage to low-income families and individuals in the United States. (aka, dual eligible or Medi-Medi) may be enrolled in a Connecticut Medicare Prescription Drug Plan automatically, as well as Social Security's Extra Help program. The Extra HelpSocial 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... 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 Connecticut Part D plan that does. If you are already receiving Medicaid, contact your local Medicaid office for assistance in the transition to Medicare.
Frequently Asked Questions About Connecticut Medicare Part D Plans
We evaluated all of the 2022 Medicare Part D plan options in Connecticut and came up with the following top plans based on their value and overall customer satisfaction:
The average cost of a Medicare Part D plan in 2022 is about $32. Be aware, though, that this figure is slightly different depending on where you live. The good news is that basic plans start near $20 per month. To check out your options in Connecticut, browse to this page.
All Connecticut Medicare Part D plans, including premiumA 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. , deductible, and copayA copayment, also known as a copay, is a set dollar amount you are required to pay for a medical service. information is available on this page. You will also find the 5-star rating that CMS has given each plan.
PDP Eligibility and Availability
You are eligible to enroll in a Connecticut PDP plan if:
- You are a resident of the state,
- You are enrolled in Medicare Part AMedicare Part A is hospital coverage for Medicare beneficiaries. It covers inpatient care in hospitals and skilled nursing facilities. It also covers limited home healthcare services and hospice care. and Medicare Part BMedicare Part B is medical coverage for people with Original Medicare benefits. It covers doctor visits, preventative care, tests, durable medical equipment, and supplies. Medicare Part B pays 80 percent of most medically necessary healthcare services., and
- You are age 65+ or have Medicare due to a qualifying disability.
All plans on this page are available to beneficiaries in Hartford, Bridgeport, Stamford, Norwalk, New Haven, Milford, Danbury, Bristol, Meriden, West Haven, and all rural areas of Connecticut.
Related: Compare 2022 Medicare Part D Plans in Connecticut
Citations & References
medicare.gov- https://www.medicare.gov/plan-compare/
- What Medicare Part D drug plans cover | Medicare https://www.medicare.gov/drug-coverage-part-d/what-medicare-part-d-drug-plans...
- Medicare.gov: the official U.S. government site for Medicare | Medicare https://www.medicare.gov/
- https://www.cms.gov/Medicare/Prescription-Drug-Coverage/PrescriptionDrugCovGe...
- CMS 1696 | CMS http://www.cms.gov/Medicare/CMS-Forms/CMS-Forms/CMS-Forms-Items/CMS012207.htm...
- MACRA: MIPS & APMs | CMS https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instrumen...
- An Overview of the Medicare Part D Prescription Drug Benefit | KFF https://www.kff.org/medicare/fact-sheet/an-overview-of-the-medicare-part-d-pr...
- Medicare Part D: A First Look at Prescription Drug Plans in 2020 – Issue Brie... https://www.kff.org/report-section/medicare-part-d-a-first-look-at-prescripti...
- 10 Things to Know About Medicare Part D Coverage and Costs in 2019 | KFF https://www.kff.org/medicare/issue-brief/10-things-to-know-about-medicare-par...
- Home | State Health Insurance Assistance Programs https://www.shiptacenter.org/
The Medicare Part D information in this directory originates from CMS Landscape Source Files, is maintained by David Bynon and was last updated on .