Does Medicare Advantage Cover Prescriptions?

Medicare Advantage plans often cover prescription drug coverage, though not all plans include this benefit. Keep reading to learn more about Medicare Advantage plans and the coverage you can expect. 

What Is Medicare Advantage?

Medicare Advantage (Part C) is the private insurance option offered by Medicare-approved carriers. Through Part C of the Medicare program, beneficiaries will be able to obtain the same coverage provided by Part A and Part B (Original Medicare). However, before you can join a Medicare Advantage plan, you must first be enrolled in Original Medicare.

Medicare Advantage Benefits

Medicare Advantage plans often have additional benefits that aren’t available to Original Medicare members. For example, many plans have prescription drug coverage included directly in the plan. If you are enrolled in Original Medicare, you must purchase a separate Part D prescription drug plan to get this form of coverage. 

There are other extra benefits offered by Medicare Advantage plans too. For instance, you can find dental, hearing, and vision coverage featured in many plans. Likewise, some plans also offer perks like meal delivery or nurse helplines. Make sure you shop around because the different benefits you can find really are helpful. 

Does Medicare Advantage Cover Prescriptions?

Yes, if you choose a Medicare Advantage plan with prescription drug coverage, your plan will cover your prescriptions. Most Medicare Advantage plans feature prescription drug coverage, and if you have a plan that doesn’t cover drugs, you can change plans during a suitable enrollment period. 

Two of the most common Medicare Advantage plans that provide prescription drug coverage include Preferred Provider Organization (PPO) plans and Health Maintenance Organization (HMO) plans. In many cases, these plans will provide coverage for prescriptions. However, every plan is different. To be sure that you will be joining a Medicare Advantage plan that provides all the coverage you need under a single plan, you can work with an experienced agent at Dale Frank Financial who will help you compare all of your options!

Keep in mind that if these plans are available in your area, you must enroll in one that provides prescription drug coverage if that’s the type of coverage you’re looking for. You will not be able to join a standalone Part D plan if you enroll in an HMO or PPO that does not offer prescription coverage.

Private Fee-for-Service (PFFS) plans are another type of Medicare Advantage plan that may offer prescription drug coverage. However, if it does not, you will be able to join a standalone Part D plan. 

Medicare Advantage Special Needs Plans (SNPs) are also required to provide prescription drug coverage.

Find A Medicare Advantage Plan With Prescription Drug Coverage

If you need to enroll in a Medicare Advantage plan with drug coverage, get help from an insurance professional. The agents at Dale Frank Financial will help you navigate the insurance marketplace. Just give us a call at (413) 665-8324 to get started with a free quote on plans in your area!

*Disclosure: Dale Frank Financial offers insurance products but is not affiliated with Medicare or the U.S. government. Insurance product guarantees are backed by the financial strength and claims-paying ability of the issuing company.


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