Medicare Plan D Costs

Type1Lou
By Type1Lou Latest Reply 2018-09-22 16:01:55 -0500
Started 2018-09-18 11:45:27 -0500

With Medicare's new enrollment season beginning, I want to alert people that it is sometimes cheaper to obtain generic drugs without using their Medicare Part D and incurring the co-pays charged by their Plan D. I have Silver Scripts Choice Plan D (the cheaper of the 2 Silver Scripts plans offered in Florida). My monthly Plan D premium is currently $26.40. My generic thyroid drug, levothyroxine, is a Tier 2 drug under this plan and would cost me $44.46 for 90-days IF I obtained it using my plan and a Silver Script Preferred Mail-order pharmacy. I am getting the very same drug without using my insurance through Walmart's Pharmacy for $10 for 90 days, saving me $34.46 every 90 days or $103.38 per year. Please review your options rather than unneccessarily enriching insurers. By the way, The other, more expensive Silver Scripts Plus plan at $71.40/month ($45/mo more than Choice Plan) for 2018 has levothyroxine in their formulary as a Tier 1 with $0 copay if I got it via preferred mail-order pharmacy. I will still enroll with Silver Scripts Choice for 2019 at $28 per month since I must have a Plan D and it has no deductible. It is the most cost-effective plan for me. Review your prescription needs, drug formularies and co-pays to be sure you are making the right decision when opting for a Plan D.


4 replies

haoleboy
haoleboy 2018-09-18 13:18:17 -0500 Report

I am 6 months away from Medicare and have a lot of concerns. Currently, I am covered by Medi-Cal (California Medicaid). right now I get 100% coverage of all medical services and prescriptions.

Type1Lou
Type1Lou 2018-09-19 16:45:05 -0500 Report

I found navigating through Medicare to be daunting…from denials of my test strips initially to finding that I am paying for a prescription drug plan but that they would charge me more for some drugs than I can pay without insurance. I became eligible in 2014 and have learned a lot about how to submit my claims in order to obtain coverage for my claims. I hope your Medicare journey is smoother than mine has been.

haoleboy
haoleboy 2018-09-20 10:11:27 -0500 Report

yeah. the paperwork part bothers me too. I lack the concentration to stay focused for more than a few minutes, so …

Type1Lou
Type1Lou 2018-09-22 16:01:55 -0500 Report

There might be some local agency that may be able to offer some assistance. If I can help in any way, (although I'm far from an expert) I'm more than happy to share what I've learned and what has worked for me…so far.

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