People With Medicare

I have a Medicare Advantage Plan.

There are two types of Medicare Advantage plans:

  • Medicare Advantage-Prescription Drug plans (MA-PD) cover prescription drugs.
  • Medicare Advantage plans (MA) don’t cover prescription drugs.

This page tells you what your options are related to drug coverage if you have a Medicare Advantage plan.

I have a Medicare Advantage-Prescription Drug (MA-PD) plan, and I want to switch to another MA-PD plan.

Simply enroll in the new MA-PD plan.

I want to switch to a different Medicare Advantage plan that doesn’t have drug coverage (an MA plan).

If you do this, you won’t have drug coverage. Generally, you won’t be able to enroll in a stand-alone Medicare Prescription Drug Plan. If you change your mind and want to get Medicare Prescription Drug Coverage later on, you will have to pay a higher premium (see Penalty for Enrolling Later. )

I want to switch to Original Medicare Part A or B.

To do this, you need to leave your Medicare Advantage plan and join a separate Medicare Prescription Drug Plan.

I’m in a Medicare Cost Plan or Private Fee for Service Plan without drug coverage, but I want drug coverage.

To get drug coverage, you will need to join a stand-alone Medicare Prescription Drug Plan for drug coverage, in addition to your existing plan.

I’m in a Medicare Advantage plan, and I want to sign up for a stand-alone Medicare Prescription Drug Plan.

IMPORTANT: If you sign up for a stand-alone Medicare Prescription Drug Plan, you will lose your Medicare Advantage Plan. You will automatically be dropped from that plan. If that happens, you will still have Medicare Parts A and B for your health insurance, but you will have to pay all the costs for Parts A and B yourself. You would get your drug coverage from the Medicare Prescription Drug Plan you joined.

CAUTION:

  • Be careful about anything you sign.
  • Keep a copy of anything you sign or mail in.
  • If you aren't sure what a form is for, call your Medicare Advantage plan, your local State Health Insurance Assistance Program (SHIP) or Medicare at 1-800 MEDICARE (1-800-633-4227). TTY users, call 1-877-486-2048.  Lines at 1-800-MEDICARE are open 24 hours a day, seven days a week.

Continue
Preparing

The material on the Medicare.gov site may make more sense if you read this information first:

These sections explain terms such as deductibles, cost-sharing, coverage gap and other information you will find on the Medicare site.

 

When you
are ready

Find and compare specific plans on the Medicare site. Enroll in a plan when you are ready.

Find out if you qualify for Extra Help with Costs

 

Print these instructions for using the Medicare.gov Plan Finder

 

Information on this web site was compiled from approved materials of the Centers for Medicare and Medicaid Services.