Medicare Part D Explained (2022)

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Medicare Part D Explained
How Medicare part D works. This is the prescription drug portion of my Medicare Explained video series which includes my videos titled Medicare Explained, Medicare Supplement Plans Explained, Medicare Advantage Plans Explained and How To Sign-Up for Medicare. You will find all those free educational videos, plus dozens more when you subscribe to my channel. Or, you can just type in #MedigapSeminars in your YouTube or Google search bar.
Understanding the Medicare Part D Prescription Drug plan is important because it is one of the areas of Medicare where you, the consumer can make some of the most expensive mistakes in Medicare. I am going to help you avoid those mistakes in this video.

There are four different ways you can be prescribed a medication. How your medication is prescribed and administered will determine which part of Medicare is responsible for payment.
First, you can be prescribed medication when you are an inpatient in a hospital.
Second, you can be prescribed medication that is administered by a medical professional at a medical facility.
Third is a concept called Brown Bagging and White Bagging prescriptions.
The fourth way to be prescribed medication is when your doctor writes a script and you pick up that prescription at a pharmacy or via mail order and then self-administer the prescription. This could be a pill, a self-injectable pen, an ointment an inhaler and so on. You pick up the prescription and administer it yourself. Prescriptions of this nature are covered under your Medicare Part D prescription drug plan.

Part D Plan Characteristics
The first thing you need to know about Medicare Part D prescription drug plans is that all Medicare Part D plans end on December 31 of each and every year. These are one-year, calendar year plans. Whenever you get a plan your commitment to the insurance company and the benefits they promised in the policy are just until December 31.
The second thing to understand about Medicare Part D plans is that every plan is different. They are the exact opposite of a Medicare supplement plan. As you may already know depending on where you are in your research, the benefits of a Medicare supplement plan are standardized to be identical from one insurance company to another and can never change. It is not that way with Part D prescription drug plans.
Medicare Part D plans are regulated to meet certain minimum requirements. For example, they all must cover a minimum of two drugs from every category. That means at least two high blood pressure medications and at least two statins for cholesterol and so on. In addition, they must cover all or substantially all the available prescriptions from six protected classes. The protected classes are immunosuppressants, antidepressants, antipsychotics, anticonvulsants, antiretrovirals and antineoplastics, which are medications used treat cancer and more commonly referred to as a chemotherapy or anticancer prescriptions. (antineoplastics)

Enrollment Periods
Next, we are going to cover enrollment periods.
Understanding the enrollment period is critically important because you cannot just enroll in a Medicare Part D prescription drug plan whenever you want. Missing an enrollment period is one of the most common mistakes made with Medicare Part D. This is because many people are focused on their Medicare supplement and don’t realize that the Medicare supplement and Medicare Part D enrollment periods are completely different.
Let’s take a closer look and hopefully make some sense out of these rules.
It is easiest to understand enrollment periods for Medicare Part D prescription Drug plans when you categorize them.
First there is an Initial Enrollment Period. This is your first enrollment period when you are first eligible for Medicare. For most of us that is the period when we are just turning 65.
A second group of enrollment periods are Annual Enrollment Periods. These happen every year, year-in and year out. They are based on a calendar year period.
Last, but not least are Special Enrollment Periods. A Special Enrollment period is triggered by an event. It can be an event you initiated or an event that was forced on you and is involuntary. That creates a Special Enrollment Period.

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I am a licensed health and life broker. After many videos on Medicare, I have found that this one has been the best to view. It is informative without trying to sell you a particular insurance plan

robminearo
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I have been doing a considerable amount of research on Medicare Supplements and the Part D Prescription Plans. This can be daunting if you rely on the Government website or booklet, not with intent but lacking so many variables. This video along with the many videos on the entire Medicare process have been indescribably helpful. I will note, I am not a one source researcher and have read or viewed so many publications/videos that I can say with close certainty this/his videos are informative, fact on and unbiased - more so, understable, true and unbiased. Much appreciated, THANKS!

TM-yniu
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I'm a plan N. I love to save money as long as the quality is decent

janicefrantz
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You just saved me! I am 67 yrs. old and was just laid off from my job. I thought I could use COBRA for 8 months. I didn't realize the special enrollment period for the drug plan was different than the supplement plans. I need VERY expensive drugs and I would have lost my drug coverage for 6 months. This saved me about $50, 000! Thank you so much!

fullmoon
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Finally a source of information on Medicare that I can understand.

jdorman
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I'm so glad I discovered you today! You're the Mr. Rogers of Medicare, making the chaos and craziness navigable. Thank you!

Judd
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Thanks very much for helping me to better understand the quagmire that Medicare is. So many pitfalls await us.

JenniferALynn
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Whether you currently are a Medicare D recipient or are looking to renew I highly recommend watching Matthew's video's and guidance. i was fortunate to find him 2 years ago when I turned 65 . This whole Medicare and supplemental process is so complicated and overwhelming. Mathew explains things in a such simple and understandable manner. God bless you Matthew and pls. continue to do the good work.

sandrawolff
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Matthew, I am 5 years away from enrolling in Medicare but started watching your videos so I could learn more and prepare. Your videos on Medicare and Supplemental Plans are so informative. I will be sharing with friends and relatives. Thank you so much!!!!

lusmas
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Wow..A wealth of knowledge! Thank you Mr.C!!! These informative videos, are EXACTLY, Why I have Chosen You, and Your Team, To be My Agents... You are Helping me, and others, to Navigate, through these, vast & previously UnCharted Waters, that I'm in, as I approach this Daunting Medicare Leviathan! Again, Thank You! You Shine a Light, into the Darkness, and keep us from Shipwrecking, on the Rocks...Amazing...

kfsowner
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I am only half through listening to the information provided here. And I am very impressed.
This is by far THE BEST channel I have seen on YouTube regarding MEDICARE.
Thank you 🙏

sjsj
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Every Medicare D recipient should access this video every year before choosing a Part D drug plan. Video provides best explanation of details that anyone can access. Thank you for the detailed explanation every step of the way.

lindacook
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You sure make this easier to understand. You have a fine speaking voice, easy to listen to.

clubmike
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This video, as well as the other 3 dozen videos I have watched; are very easy to understand, and he takes the frustration and confusion out of your Medicare choices.

terrycarter
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My wife and I have been working with this group as we enter Medicare. A wealth of information provide at no cost and helpful filtering of the many plans to suit our need. Kudos! Matthew and team.

davidvevans
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As a person who is training to work in the medical field, I find your videos so enlightening on critically understanding Medicare to make the best choice for consumers!

jenvu
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I’ve spent this evening watching your videos, and it’s well worth it. I’ve been on Medicare for years, and it’s been an annual hassle to get my brand Rx approved. So this year, I decided to get different plans, but didn’t understand the root of my problems. Medigap finally explained it all. I want to send an email to your organization for advices. Good job. Thanks.

christozoid
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Thank you so much for your comprehensive explanation of Part D coverage: you were very thorough and clear in detail. I especially appreciate that you spoke at a comfortable pace. I have watched several of your videos and found them to be very informative.

ruthlantigua
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Man, am I ever glad I watched this! Thank you.

funkywagnalls
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I will be 64 in December and have been looking at many videos on Medicare and part D. your video was very informative. I would like to add that you have a nice calm way off explaining the plan. I enjoyed watching till the end.

joycesewald