Central Arkansas Medicare Part D Drug Plans
in Little Rock, North Little Rock, & Maumelle, Arkansas
Medicare Part D Drug Plans
Medicare Part D, the prescription drug benefit, is the part of Medicare that covers most outpatient prescription drugs. Part D is offered through private companies either as a stand-alone plan for those enrolled in Original Medicare or as a set of benefits included with your Medicare Advantage Plan
What does Medicare Part D drug plans cover?
All plans must cover a wide range of prescription drugs that people with Medicare take, including most drugs in certain protected classes," like drugs to treat cancer or HIV/AIDS. A plan's list of covered drugs is called a "formulary." Each plan has its own formulary. Many plans place drugs into different levels, called "tiers," on their formularies. Drugs in each tier have a different cost. For example, a drug in a lower tier will generally cost you less than a drug in a higher tier.
Starting January 1, 2021, if you take insulin, you may be able to get Medicare drug coverage that offers savings on your insulin. You could pay no
more than $35 for a 30-day supply.
Medicare Part D 2022 Prescription Drug Benefit Low-Income Subsidy Parameters
| Category | Eligible for Both Medicare and Medicaid (Dual Eligible) | Eligible for Medicare and Medicare Savings Programs (QMB, SLMB, QI) or SSI | Eligible for Medicare Only | |
|---|---|---|---|---|
| Income Eligibility | 100% FPL | >100% FPL | ð135% FPL | <150% FPL |
| Resource Limits | Limited by the rules of the qualifying program | Limited by the rules of the qualifying program | $9,900 (individual) $15,600 (married) | $15,600 (individual) $30,950 (married |
| Premium Subsidy | 100% | 100% | 100% | 25-75% |
| Deductible | $0 | $0 | $0 | $99.00 |
| Co-payment/ Co-insurance | $1.35 Generic $4.00 Brand $0 if institutionalized* | $3.95 Generic $9.20 Brand $0 if institutionalized* | $3.95 Generic $9.85 Brand | 15% up to Out-of- Pocket Threshold |
| Maximum Catastrophic Co-payment | $0 | $0 | $0 | $3.70 Generic $9.20 Brand |
Note: All resource limits in this chart include the $1,500 per person burial exclusion.
*Institutionalized, or those who would be institutionalized if not receiving home- and community-based services
Think you qualify for Medicare Part D Drug Plans but do not know where to start? Go to Contact Us and fill out a form. Fred Hughes will contact you back within 24 hours or sooner. Let Me help you get the extra help you need.
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Disclaimer: NOT CONNECTED WITH OR ENDORSED BY THE U.S. GOVERNMENT OR THE FEDERAL MEDICARE PROGRAM.
We do not offer every plan available in your area. Currently, we represent 10 organizations that offer 82 products in your area. Please contact Medicare.gov, 1-800- MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options.