Which Medicare part is also known as the prescription drug plan?

Asked by: Arvel Hane  |  Last update: November 12, 2025
Score: 4.7/5 (49 votes)

Medicare Part D is a voluntary outpatient prescription drug benefit for people with Medicare provided through private plans that contract with the federal government.

What is Medicare prescription drug plan called?

Medicare drug coverage (also known as Medicare Part D) helps pay for the brand-name and generic drugs you need. It's offered to everyone with Medicare by insurance companies and other private companies approved by Medicare.

What is Medicare Part B also known as?

Medicare Parts A and B, also known as Original Medicare, are provided by the government. Part A is your hospital care. It covers things like inpatient care, home health and hospice care. Part B is your medical care. It covers things like doctors visits, outpatient care and home health care, medical equipment, and more.

What is part C and Part D of Medicare?

There are four parts of Medicare: Part A, Part B, Part C, and Part D. Part A provides inpatient/hospital coverage. Part B provides outpatient/medical coverage. Part C offers an alternate way to receive your Medicare benefits (see below for more information). Part D provides prescription drug coverage.

Is PDP the same as Part D?

During the Medicare open enrollment period from October 15 to December 7 each year, people with Medicare can enroll in a plan that provides Part D prescription drug coverage, either a stand-alone prescription drug plan (PDP) for people in traditional Medicare, or a Medicare Advantage plan that covers all Medicare ...

How Medicare Drug Coverage Changes Will Impact You in 2025

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What is a PDP plan?

A prescription drug plan (PDP) is a stand-alone plan that offers Medicare prescription drug coverage (Part D) through a private insurance company. PDPs work with Original Medicare, Medical Savings Account (MSA) plans, Cost Plans, and Private Fee-For-Service (PFFS) plans without drug coverage.

Is Medicare Part D worth it?

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.

What does Medicare Part C pay for?

Medicare Advantage (Part C) has more coverage for routine healthcare that you use every day. Medicare Advantage plans may include: Routine dental care including X-rays, exams, and dentures. Vision care including glasses and contacts.

Do I need Part D if I have an advantage plan?

Most Medicare Advantage Plans include Medicare drug coverage (Part D). In certain types of plans that don't include Medicare drug coverage (like Medical Savings Account Plans and some Private Fee-for-Service Plans), you can join a separate Medicare drug plan.

What is Medicare Part N?

Plan N offers all the benefits of Medicare Supplement Plans A and B as well as low copayments and low monthly premiums. Depending on the state where you live, you could get 6% off your monthly premium if you enroll online. (Discount not available in CA, CT, OH and PA.)

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 is the best Medicare plan that covers everything for seniors?

Original Medicare with Medigap likely offers the most comprehensive coverage, but it may also be the most costly. A person can consider their income and how much they are able to spend before choosing a Medicare plan. Original Medicare with Medigap also offers a lot of flexibility when choosing a doctor or specialist.

What are the 6 things Medicare doesn't cover?

Some of the items and services Medicare doesn't cover include:
  • Eye exams (for prescription eyeglasses)
  • Long-term care.
  • Cosmetic surgery.
  • Massage therapy.
  • Routine physical exams.
  • Hearing aids and exams for fitting them.

What is the maximum out-of-pocket for Medicare Part D in 2024?

Whether you're taking only brand-name drugs or a mix of brand-name and generic drugs, most people who reach the catastrophic coverage phase in 2024 will pay between $3,300 and $3,800 in out-of-pocket costs. In 2024, Mr. Alvarez takes $200,000 in Medicare Part D covered brand-name drugs.

How to drop Medicare Part D?

To disenroll from a Medicare drug plan during Open Enrollment, you can do one of these: Call us at 1-800-MEDICARE. Mail or fax a signed written notice to the plan telling them you want to disenroll.

What is extra help with Medicare prescription drug plan?

The Extra Help program helps people with limited income and resources lower or cut Part D costs. Medicare Part D provides drug coverage. The Extra Help program helps with the cost of your prescription drugs, like deductibles and copays. You can apply for Extra Help any time before or after you enroll in Part D.

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.

Can I drop my Medicare Advantage Plan and go back to original Medicare?

If you joined a Medicare Advantage Plan during your Initial Enrollment Period, you can change to another Medicare Advantage Plan (with or without drug coverage) or go back to Original Medicare (with or without a drug plan) within the first 3 months you have Medicare Part A & Part B.

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.

What is the biggest disadvantage of the Medicare Advantage plan?

Medicare Advantage Plan Pros And Cons

One disadvantage is that some Medicare Advantage plans may offer fewer options when it comes to doctors and hospitals, as they may have smaller plan networks than Original Medicare.

Is Medicare Part C ever free?

The cost of Medicare Part C plans (also known as Medicare Advantage plans) varies depending on where you live and the plan you choose. Some plans have $0 monthly premiums. You still have to pay your Part A and Part B monthly premiums.

Why are people leaving Medicare Advantage plans?

Key takeaways: People leave Medicare Advantage plans because out-of-pocket costs vary between plans, network restrictions can cause frustration, prior authorization requests can delay care, and it can be difficult to use the additional benefits they provide.

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.

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).

Can I buy a stand-alone prescription drug plan?

These are standalone plans that can be purchased through private insurance companies. PDPs provide coverage for prescription drugs and medications and may also cover some vaccines too. Original Medicare (Parts A & B) doesn't provide prescription drug coverage.