What drug coverage do PDPs and MAPDs have in common?
Lower-cost prescriptions - A PDP and an MAPD both provide Medicare drug coverage for a certain group of out-patient prescription drugs where you should pay less for your prescriptions - and avoid the late-enrollment premium penalty should you ever wish to have drug coverage in the future.
Large list of covered drugs - Both Medicare drug plans have a formulary or drug list that shows what brand and generic prescriptions are covered by the plan (formularies will vary between plans and can have anywhere between 2,000 to 4,000+ drugs).
Large network of pharmacies - Both a Medicare PDP and an MAPD have a network of 50,000 to 60,000+ pharmacies where you can use the drug benefit.
Cost-sharing for drugs - Both drug plans have different cost-sharing for drugs on different levels or formulary "tiers" (for example, you may have a $30 copay for a Tier 3 brand-name drug, a $2 copay for a Tier 1 generic drug, and pay 25% of retail for a Tier 4 Specialty Drug)
Same rules and procedures - Both PDP and MAPDs plans are governed by similar rules and provide you with similar rights. You can also move from one type of plan to another without noticing much change in how your drug plan functions.
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Lower-cost prescriptions - A PDP and an MAPD both provide Medicare drug coverage for a certain group of out-patient prescription drugs where you should pay less for your prescriptions - and avoid the late-enrollment premium penalty should you ever wish to have drug coverage in the future.
Large list of covered drugs - Both Medicare drug plans have a formulary or drug list that shows what brand and generic prescriptions are covered by the plan (formularies will vary between plans and can have anywhere between 2,000 to 4,000+ drugs).
Large network of pharmacies - Both a Medicare PDP and an MAPD have a network of 50,000 to 60,000+ pharmacies where you can use the drug benefit.
Cost-sharing for drugs - Both drug plans have different cost-sharing for drugs on different levels or formulary "tiers" (for example, you may have a $30 copay for a Tier 3 brand-name drug, a $2 copay for a Tier 1 generic drug, and pay 25% of retail for a Tier 4 Specialty Drug)
Same rules and procedures - Both PDP and MAPDs plans are governed by similar rules and provide you with similar rights. You can also move from one type of plan to another without noticing much change in how your drug plan functions.
How do I choose between a stand-alone Medicare Part D prescription drug plan (PDP) and a Medicare Advantage plan that includes prescription drug coverage (MAPD)?
How do I choose between a stand-alone Medicare Part D prescription drug plan (PDP) and a Medicare Advantage plan that includes prescription drug coverage (MAPD)?
