Are Medicare drug plans worth it?

Asked by: Prof. Samantha Veum DDS  |  Last update: June 29, 2025
Score: 4.5/5 (39 votes)

No, Medicare Part D isn't a requirement. However, many people find that enrolling in a Part D plan is worth the investment. Your health can be unpredictable, so while you may not need many (or any) prescription drugs now, you may need them in the future.

Is Medicare Part D really necessary?

You may not need it if you have drug coverage from elsewhere that's “creditable” — meaning Medicare considers it to be of the same or better value than Part D. This coverage could come from an employer or union, retiree benefits, COBRA, Tricare or the Veterans Affairs health program.

Does everyone have to pay $170 a month for Medicare?

Most people pay no premiums for Part A. For Medicare Part B in 2025, most beneficiaries will pay $185 per month. Certain factors may require you to pay more or less than the standard Medicare Part B premium in 2025.

What is the penalty for not having a Medicare drug plan?

The Part D late enrollment penalty is calculated by multiplying 1% times the “national base beneficiary premium” ($36.78 in 2025) times the number of full, uncovered months you were eligible to join Medicare drug coverage but didn't (and didn't have other creditable prescription drug coverage).

How much does the average person pay for Medicare Part D?

The average estimated monthly Part D plan premium in 2025 is $46.50. Other factors can affect the cost of Part D including monthly premium, yearly deductible and copayments. High-income earners may pay a surcharge known as the “income-related monthly adjustment amount” (IRMAA).

GoodRX vs. Medicare Part D | Which Should You Get?

29 related questions found

Is GoodRx better than Medicare Part D?

Consider using a GoodRx coupon instead of Medicare in the following situations: Your medication isn't covered by your Medicare plan. The medication costs less with a GoodRx coupon than with your Medicare copay. You don't expect to reach your annual deductible.

What happens if I refuse Medicare Part D?

If you don't sign up for a Part D plan when you are first eligible to do so, and you decide later you want to sign up, you will be required to pay a late enrollment penalty equal to 1% of the national average premium amount for every month you didn't have coverage as good as the standard Part D benefit.

Can I drop my employer health insurance and go on Medicare Part B?

Once you stop working (or lose your health insurance, if that happens first) you have an 8-month Special Enrollment Period (SEP) when you can sign up for Medicare (or add Part B to existing Part A coverage).

Is Medicare Part B free at age 65?

Medicare Part A (hospital insurance) is free for almost everyone. You have to pay a monthly premium for Medicare Part B (medical insurance). If you already have other health insurance when you become eligible for Medicare, you may wonder if it's worth the monthly premium costs to sign up for Part B.

What is the most popular Part D drug plan?

The best Medicare Part D provider is Aetna. It has top ratings from the Centers for Medicare & Medicaid Services and affordable premiums. Other great providers include Wellcare and UnitedHealthcare.

How much money can you have in the bank if you're on Medicare?

eligibility for Medi-Cal. For new Medi-Cal applications only, current asset limits are $130,000 for one person and $65,000 for each additional household member, up to 10. Starting on January 1, 2024, Medi-Cal applications will no longer ask for asset information.

Why is Social Security no longer paying Medicare Part B?

There could be several reasons why Social Security stopped withholding your Medicare Part B premium. One common reason is that your income has exceeded the threshold for premium assistance. Another reason could be that there was a mistake or error in your records.

What are disadvantages of Medicare Part D?

Disadvantages of Medicare Part D Prescription Drug plans include: Need to anticipate your prescription drug needs for the year: Part D plans differ in the types of drugs they cover. Knowing your medical situation can help you select a plan that is right for you and covers the prescription drugs you expect to need.

What is the $2000 limit for Medicare Part D?

Thanks to the Inflation Reduction Act, in 2025 annual out-of-pocket costs will be capped at $2,000 for people with Medicare Part D.

Is Medicare Part D mandatory for seniors?

Enrollment in Part D is generally voluntary, however, some people are required to be enrolled, and others should not enroll. People who have Medicare and who receive assistance under certain federal programs (Medicaid, Medicare Savings Programs, SSI or the Part D Low Income Subsidy) are required to enroll.

Why would you decline Medicare Part B?

Some people do not take Part B during their Initial Enrollment Period (IEP) because they have primary insurance from their current employer or their spouse's current employer. The IEP is the first time you can sign up for Medicare.

What are the top 5 medicare supplement plans?

💬 From our Nerds: What are the top five Medicare supplement plans? "Based on NerdWallet's Medigap rubric, I picked five best Medicare Supplement Insurance companies for 2025: AARP/UnitedHealthcare, Mutual of Omaha, State Farm, Anthem and Blue Cross Blue Shield.

How many doctor visits does Medicare cover for seniors?

Medicare does not limit the number of times a person can consult their doctor, but it may limit how often they can have a particular test and access other services. Individuals can contact Medicare directly at 800-MEDICARE (800-633-4227) to discuss physician coverage in further detail.

Can I work full time while on Medicare?

Can I have Medicare and employer coverage? Many people ask, "Can I sign up for Medicare and still work full time?" The answer is, yes you can.

Does Medicare cover dental?

In most cases, Medicare doesn't cover dental services like routine cleanings, fillings, tooth extractions, or items like dentures.

Is there a penalty for not signing up for Medicare Part A at 65?

Part A late enrollment penalty

If you have to buy Part A, and you don't buy it when you're first eligible for Medicare, your monthly premium may go up 10%. You'll have to pay the penalty for twice the number of years you didn't sign up.

Why would someone not have Medicare Part D?

Medicare Part D is voluntary. In some circumstances you may not need it if you are receiving “creditable” prescription drug coverage elsewhere such as an employer or union, retiree benefits, COBRA or the Veterans Affairs health program — all of which must by law tell you whether it is creditable.

How do I get my Part D penalty waived?

You should complete the appeal form you received from your plan, attach any evidence you have, and mail everything to:
  1. C2C Innovative Solutions Toll free fax: (833) 946-1912.
  2. Part D LEP Reconsiderations Customer Service: 833-919-0198.
  3. PO Box 44165.

Can I refuse to pay for Medicare Part B?

You do not have to pay for Medicare Part B to keep Medi-Cal. Stopping Medicare Part B coverage is generally not recommended. If you want to talk to someone about stopping Medicare Part B, call the SSA at 1-800-772-1213. NOTE: A few things could happen if you do not pay your Medicare Part B premium.