Medicare Part D- what is Initial Coverage and how does it work?

Etini Willie

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Medicare part D is the Medicare's prescription drug benefit. It is the part of Medicare that provides drug coverage for patients. It is provided by private third-party insurance companies. There are four stages of Medicare part D. In an earlier post, I explained the deductible stage of the part D plan which is first stage.

The second stage of the Medicare part B plan is the Initial Coverage Stage. In this stage, you would partner with the insurance company to pay for drugs. This basically means that you would pay a part and the insurance company would pay a part. The amount you pay is dependent on the tier that the drug fall into. The co-pay amount listed for that drug is the part of the cost of the drug that a Medicare insurance holder pays for. For instance, if a co-pay for a particular tier of drug in an insurance plan is $5, and when you get to the pharmacy, the drug is sold for $20, just pay your $5 and present your Medicare part D insurance proof and you would be given the drug. The remainder of the cost would be gotten from the part d insurance provider.
 
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