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Medicare Part D
 » 
Georgia

Medicare Prescription Drug Plans in Georgia

On this page we help consumers: Find and compare the best 2022 Medicare Prescription Drug Plans available in Georgia. Compare premiums, deductibles, copays, gap coverage, and prescription costs.

Georgia Medicare Part D Plans

Plan Name Monthly
Premium
Part D
Deduct.
LIS Plan
Type
Rating
Humana Walmart Value Rx Plan $22.70 $480 N Enhanced
☆☆☆☆☆
AARP MedicareRx Walgreens $29.30 $310 N Enhanced
☆☆☆☆☆
Humana Basic Rx Plan $30.90 $480 Y Basic
☆☆☆☆☆
AARP MedicareRx Saver Plus $45.00 $480 N Basic
☆☆☆☆☆
Humana Premier Rx Plan $81.50 $480 N Enhanced
☆☆☆☆☆
Anthem MediBlue Rx Standard $81.90 $375 N Basic
☆☆☆☆☆
Anthem MediBlue Rx Plus $88.60 $0 N Enhanced
☆☆☆☆☆
SilverScript SmartRx $6.90 $480 N Enhanced
☆☆☆☆☆
Wellcare Value Script $12.90 $480 N Enhanced
☆☆☆☆☆
Wellcare Classic $29.10 $480 Y Basic
☆☆☆☆☆
SilverScript Choice $29.40 $480 Y Basic
☆☆☆☆☆
Cigna Secure Rx $32.40 $480 Y Basic
☆☆☆☆☆
Mutual of Omaha Rx Premier $35.40 $480 N Enhanced
☆☆☆☆☆
Cigna Essential Rx $36.20 $480 N Enhanced
☆☆☆☆☆
SilverScript Plus $62.40 $0 N Enhanced
☆☆☆☆☆
Cigna Extra Rx $65.00 $100 N Enhanced
☆☆☆☆☆
Wellcare Medicare Rx Value Plus $69.00 $0 N Enhanced
☆☆☆☆☆
Mutual of Omaha Rx Plus $89.50 $480 N Basic
☆☆☆☆☆
AARP MedicareRx Preferred $104.20 $0 N Enhanced
☆☆☆☆☆
Elixir RxPlus $29.40 $480 N Enhanced
☆☆☆☆☆
Elixir RxSecure $32.70 $480 Y Basic
☆☆☆☆☆
Clear Spring Health Premier Rx $18.20 $480 N Enhanced
☆☆☆☆☆
Clear Spring Health Value Rx $26.50 $480 Y Basic
☆☆☆☆☆
If you qualify for Medicare but don't know where to start, we have licensed Medicare advisors[1] at 1-855-728-0510 (TTY 711) who can answer your questions and help enroll you in Medicare Advantage, Medicare Supplement Insurance, and Part D prescription drug plans. There's no obligation.

Georgia Medicare Part D 2022 Updates

There are more Georgia Medicare Part D Plans (PDPs) in 2022 than in previous years. The bad news is that the maximum deductible 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 Georgia 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.

2022 Medicare Part D Initial Coverage Limit (ICL)

The 2022 Initial Coverage Limit (ICL) is $4,430. The ICL phase is when your Part D plan begins to pay the bulk of the costs. If your prescription costs exceed $4,430, 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 (aka, "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 Gap 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.

Choose Your Part D Plan with Care

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).

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 with Most Georgia 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 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 Georgia Medicare Advantage Plans that include prescription coverage.

Medicare Part D and Supplements Work Together

The new healthcare law did not change the coverage you get from Medicare for major medical. You are still responsible for paying the remaining 20 percent of all hospital and doctor bills. Even a brief hospital stay can cost you thousands. That's why we maintain a complete catalog of Georgia Medicare Supplement Insurance, also known as MedigapMedicare 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.. We make it easy to find the best price on the plan you want. All Medigap plans are 100% compatible with the Medicare Part D plans listed above.

Getting Medicare Part D with Georgia Medicaid

In Georgia, if you are eligible 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) you will automatically be enrolled in a Georgia Medicare Prescription Drug Plan and the Social Security Extra Help program. 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... 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 before you were eligible for Medicare, contact your local Medicaid office.

Frequently Asked Questions About Georgia Medicare Part D Plans

What is the best Medicare Part D plan for 2022?

Best plan is based on your regular prescriptions, cost, the pharmacy you use, and customer care provided by the plan. We recommend comparing these plans:

  1. Humana Walmart Value Rx Plan
  2. AARP MedicareRx Walgreens
  3. Humana Basic Rx Plan
  4. AARP MedicareRx Saver Plus
  5. Humana Premier Rx Plan

How much are Medicare prescription drug plans?

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 Georgia, browse to this page.

How do I find a Medicare Part D plan in Georgia?

You can find all of the 2022 Medicare Part D plan information for Georgia right here. You can compare plans, including monthly premiumsA 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. , deductiblesA deductible is an amount a beneficiary must pay for their health care expenses before the health insurance policy begins to pay its share., copaysA copayment, also known as a copay, is a set dollar amount you are required to pay for a medical service., and 5-star ratings.

PDP Eligibility and Availability

You are eligible to enroll in a Georgia 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 Atlanta, Roswell, Augusta, Columbus, Savannah, Macon, Albany, Johns Creek, Warner Robins, Alpharetta, Marietta, Valdosta, Smyrna, and all rural areas of Georgia.

Related: Compare 2022 Medicare Part D Plans in Georgia

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/
cms.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...
kff.org
  • 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...
shiptacenter.org
  • 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 February 9, 2022.

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