Civil monetary penalties against payers for improperly delaying or denying coverage, hitting members with higher cost sharing ...

About 68.5 million Americans are currently enrolled in some type of Medicare plan, with about 90% of enrollees being over age 65, according to the Centers for Medicare & Medicaid Services.

Prescription volume for specialty medications, not price hikes, largely seems to be the main factor in the ongoing huge ...

Pfizer faces a $1 billion sales hit in 2025 from IRA reforms, flat EPS and revenue forecasts, and long-term risks tied to patent expirations.

AARP offers various types of Medicare Part D plans in partnership with UnitedHealthcare.

Will this type of plan be the same as enrolling in a Medicare Part D plan? Please explain what I should do as I am on a fixed budget and cannot afford a Medicare penalty. Thanks, Toni, for your help!

You can sign up for Medicare Part D during set periods throughout the year. Learn when to sign up for drug coverage and what happens if you miss the enrollment period.

Medicare Part D plans typically divide their formularies (drug lists) into tiers. This can help reduce costs by showing which prescriptions cost the least. Learn more here.

In 2024, you reach the donut hole stage when your total drug costs reach $5,030. That includes what you and your plan have paid for your medications. All Medicare prescription drug plans, including ...

Afterwards, in the catastrophic phase, CMS will provide 40% reinsurance for Selected Drugs. Inclusion and Substitution of Selected Drugs on Part D Formularies.

Medicare Part D covers prescription medications. Costs vary depending on certain coverage phases, including catastrophic coverage. As of January 1, 2025, the Medicare Part D phase, known as the ...

Keep in mind that each Medicare Part D plan and Medicare Advantage plan that includes prescription drug coverage has its own formulary.