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Medicare prescription drug coverage (Part D) is available to everyone with Medicare. However, Medicare Part D benefits are only available through private plans approved by Medicare – like KelseyCare Advantage.

There are two ways to get Medicare prescription drug coverage: 

Medicare Prescription Drug Plans. These plans (sometimes called "PDPs") add drug coverage to original Medicare, some Medicare Cost plans, some Medicare Private Fee for-Service (PFFS) plans, and Medicare Medical Savings Account (MSA) plans.
 
OR
 

Medicare Advantage Plans (like an HMO or PPO).

You get all of your Part A and Part B coverage, as well as prescription drug coverage (Part D), through these plans. Medicare Advantage plans with prescription drug coverage are sometimes called "MAPDs."
 
Even if you don’t take a lot of prescription drugs now, you should still consider joining a Medicare drug plan. If you decide not to join a Medicare drug plan when you are first eligible, and you don’t have other creditable prescription drug coverage, you will likely pay a late enrollment penalty  (higher premiums) if you choose to join later.
 
If you have limited income and resources, you may qualify for extra help from Medicare to pay for prescription drug coverage. You may also be able to get help from the state of Texas.
To see if you qualify for getting Extra Help, call: 
  • 1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048, 24 hours a day, 7 days a week; 
  • The Social Security Office at 1-800-772-1213, between 7 am to 7 pm, Monday through Friday. TTY users should call 1-800-325-0778; or 
  • Your State Medicaid Office.

Important Facts About Prescription Drug Coverage
  • When you are eligible for Medicare, you may join a plan that offers Part D prescription drug coverage. You are not automatically enrolled in Part D.
  • You can join, switch or drop a Medicare prescription drug plan when you’re first eligible for Medicare, if you get Medicare due to disability, or anytime if you qualify for Extra Help.​​​
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