​If you have a Medicare Advantage or Medicare Prescription plan - the benefit details change each year. 

​Let’s talk about Prescription plans. These are also called Medicare Part D or PDP or Rx drug plans.

These plans help consumers with the cost of prescription medicines. Medicare approves a wide variety of prescriptions for each type of illness. The insurance companies use this list to decide what medications they will cover.

Medicare sets the framework on how plans cover these medications. For plan year 2023, the insurance companies may charge a deductible of no more than $505.

Then the initial benefit amount is $4,660.  Important – this is the combined amount of what YOU pay for medications and what price the insurance has bought these medications from the manufacturers. If your Rx use is over this amount – then there is another level of cost sharing where you will pay only 25% of the cost of brand name medications and 25% of generics.

Finally if your out of pocket costs is greater than $7,400 - Then the insurance plan pays 95% of the cost or you pay no more than $4.15 genetics or $10.35 brand name.

​During September and early October – your current insurance plan will be sending you details about next years plan.

Annual Notice of Change! – We call this the A-NOC letter. It will detail the Rx tiers, its formulary and the premium for 2023.

Wow – this is a lot – but it will get easier. And that’s where we can help.

Overall- if your medications have NOT changed in the last year, your current plan may still be the best value. Especially if you take only a few low cost genetics or no medications at all.

But if you do take several meds - especially brand name - or your prescriptions have changed during this last year, we do need to review your options for this next year.

Please look for an email with instructions to connect your Medicare.gov account to our new secure software  ​“Medicare Center".

This will allow us to see your actual prescriptions filled through your current plan and then compare ALL the plans available for 2023.

If you prefer - call our office or email your current list of medications. Or go to our page Enroll for 2023 and enter your medications here.

​Anyway that is most convenient for you. This will give us the information we need to help find you the most effective coverage for 2023.

We appreciate the opportunity to serve you,
Dave Trout
Jessica Cody
Jeremy Sheridan
Robert Pugh
David Hanson
​Idelle Davids

Many Thanks