We reviewed the 24 top Medicare Part D Plans in Tennessee for 2024. Here's what we found:
- The average premium is $63.07 per month, however the lowest premium is just $0.50.
- The average drug plan deductible is $388 per year, but 4 plans have a zero-dollar deductible.
- Medicare rated 0% of all plans available in Tennessee 4 stars or higher.
- There are 9 basic benefit plans and 15 enhanced benefit plans.
- A total of 5 plans offer full low-income subsidy (LIS) for those who qualify.
- There are 5 plans that have additional coverage in the coverage gap phase (aka, "donut hole").
- 2024 Medicare Prescription Drug Plans (PDP) will be published in early October. Sign-up to be notified.
We also ranked the best Medicare Advantage plans with Part D in Tennessee for 2024.
Tennessee Medicare Part D Plans
|Plan Name||Premium||Deductible||Benefit Type||LIS||Gap
|AARP Medicare Rx Basic from UHC||$35.60||$545||Basic||Yes||No|
|AARP Medicare Rx Preferred from UHC||$102.30||$0||Enhanced||No||No|
|AARP Medicare Rx Walgreens from UHC||$59.60||$410||Enhanced||No||Yes|
|BlueRx Enhanced Plus||$153.70||$0||Enhanced||No||No|
|Cigna Extra Rx||$83.40||$145||Enhanced||No||Yes|
|Cigna Saver Rx||$20.70||$545||Enhanced||No||No|
|Cigna Secure Rx||$56.80||$545||Basic||No||No|
|Clear Spring Health Value Rx||$23.70||$545||Basic||Yes||No|
|Farm Bureau Essential Rx||$37.10||$545||Basic||Yes||No|
|Farm Bureau Select Rx||$76.70||$0||Enhanced||No||No|
|Humana Basic Rx Plan||$40.40||$545||Basic||Yes||No|
|Humana Premier Rx Plan||$96.70||$300||Enhanced||No||Yes|
|Humana Walmart Value Rx Plan||$40.10||$545||Enhanced||No||Yes|
|Mutual of Omaha Rx Essential||$23.60||$545||Enhanced||No||No|
|Mutual of Omaha Rx Plus||$116.90||$545||Basic||No||No|
|Mutual of Omaha Rx Premier||$73.00||$349||Enhanced||No||No|
|Wellcare Medicare Rx Value Plus||$78.90||$0||Enhanced||No||No|
|Wellcare Value Script||$0.50||$545||Enhanced||No||No|
Please note that 2024 Medicare Part D plan information for Tennessee beneficiaries will not be available until early October.
Sign-Up for 2024 Medicare Part D Plan Notification
Every Part D Plan in Tennessee Has 4 Cost Phases
Part D prescription drug plans help Tennessee'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 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 coverage gap. Most Medicare prescription drug plans have a deductible, however, many plans exclude Tier 1 drugs from the deductible, which gives you first-dollar coverage on most lower-cost medications.
NOTE: The maximum Part D plan deductible in 2024 is $505.
Phase 2 is the Initial Coverage Limit
The 2024 Initial Coverage Limit (ICL) is $4,660. The ICL phase is when your Part D plan begins to pay the bulk of the costs. If your prescription costs exceed $4,660, you will enter the Coverage Gap phase (aka, "donut hole").
The Coverage Gap is the Third Phase
After your gross drug costs have reached $4,660, 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 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.
The Fourth Phase is Catastrophic Coverage
After you have spent $7,400 in true out-of-pocket costs on your medications, you get out of the coverage gap phase and you automatically receive "catastrophic coverage". In this phase, you will only have to pay a small percentage of coinsurance or payment on covered drugs for the rest of the year.
The out-of-pocket costs that help you get catastrophic coverage include:
- Your plan's deductible;
- What you paid during the initial coverage limit 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 formulary. 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, you can enroll in one of the stand-alone prescription drug plans available in Tennessee. The other way to get Part D coverage is to enroll in one of the many Medicare Advantage Plans available in Tennessee that include Part D benefits.
Using Supplemental Medicare Insurance with Part D
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 Tennessee Medigap Plans, also called Medicare Supplements, with the tools you need to find the best price and coverage. Medicare Part D plans are fully compatible with Tennessee Medigap plans.
Medicare Part D for Dual Eligible People in Tennessee
In Tennessee, if you are eligible for both Medicare and Medicaid (aka, "dual eligible" or "Medi-Medi") you will automatically be enrolled in a Tennessee 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 before you were eligible for Medicare, contact your local Medicaid office.
Medicare Advantage and Part D plans and benefits offered by the following carriers: Aetna Medicare, Anthem Blue Cross Blue Shield, Aspire Health Plan, Dean Health Plan, Devoted Health, GlobalHealth, Health Care Service Corporation, Cigna Healthcare, Humana, Molina Healthcare, Mutual of Omaha, Premera Blue Cross, Medica Central Health Plan, SCAN Health Plan, Scott and White Health Plan now part of Baylor Scott & White Health, UnitedHealthcare(R), and Wellcare.
Citations & References
- Medicare.gov, "How to get prescription drug coverage", Last Accessed September 3, 2022
- Medicare.gov, "How Part D works with other insurance", Last Accessed July 14, 2022
- Medicare.gov, "Medicare costs at a glance", Last Accessed September 11, 2022
- Medicare.gov, "Are prescription drugs covered in Medicare Advantage plans?", Last Accessed June 6, 2022
- SSA.gov, "Extra Help with Medicare Prescription Drug Plan Costs", Last Accessed June 1, 2022
- CMS.gov, "Landscape Source Files", Last Accessed January 15, 2023
- CMS.gov, "Medicare Part C & D Performance", Last Accessed January 15, 2023