Medicare Part D

Turning 65 years old and signing up for Medicare? For many, open enrollment can be confusing and frustrating.


We have resources available to help guide you through this process. Contact our staff and we can help point you in the right direction.

Need help with your current plan? Open enrollment is from October 15 to December 7. 

Here are the important things you need to know about Medicare Part D changes coming January 1, 2021.

Insulin will cost less

The great news is that patients who are part of participating Medicare Part D plans will only pay $35 out-of-pocket per 30 day supply of insulin. Not too bad for those who are on the right plan. This should save an average of $440 per year in copays.

Deductibles are going to increase

Standard initial deductibles are increasing by $10 to reach a total of $445. Once you meet this deductible, you will only pay 25% of covered copays up to your coverage limit. Some plans may offer a $0 deductible. We need to find the right plan for you.

Initial Coverage Limits will go up

Great news! On certain plans, you will get an extra $110 in your prescription costs before you hit your “Donut Hole” or coverage gap.


Part D total out of pocket will increase by $200

True out-of-pocket expenses, the amount that determines when Catastrophic Coverage begins and the Donut Hole ends, are increasing to $6550 in 2021. After that you still will have a co-pay for covered drugs. Your amount will depend on your plan.


Catastrophic Copays will increase

Depending on your plan your generics will increase to $3.70 for a 30-day supply and $9.20 for brand.

So, don’t wait — ask one of our staff members for help today.