Medicare beneficiaries need to enroll in a Part D (prescription drug plan) when they enroll in original Medicare. If they don't, they may face a penalty, regardless of whether they use prescription drugs or not. The idea is that at some point, they may require prescription drugs, so enrolling when they enroll in Parts A and B is crucial. Additional certification is required to sell Part D plans, and training information is available on our News page for each specific carrier.
Ways to lower your clients' costs in the drug coverage gap (doughnut hole):
- Consider having them switch to generics or other lower-cost drugs, if possible.
- Have them choose a plan that offers additional coverage during the gap.
- Pharmaceutical companies offer assistance programs for certain drugs. Check to see if their state offers an assistance program through Medicare.gov. Both Medicare and Social Security have a program to offer assistance to those with limited incomes.
- National charitable groups such as National Patient Advocate Foundation or National Organization for Rare Disorders also offer assistance.
- Your senior clients may be eligible for discounts on medications and other healthcare costs. Completing a benefits checkup will let them know.
If you're not AHIP certified, our Part D Instruction Manual gives you the step by step process (with screen shots) on how to assist your clients with ordering their Part D prescriptions on Medicare.gov.