A formulary is a list of the drugs your Medicare Part D plan covers. Most formularies are organized into tiers. Lower tiers usually include less expensive drugs, while pricier drugs go on higher tiers. The formulary tier can determine your copay, coinsurance and/or deductible. Medicare Part ...
Some plans offer an HMO point-of-service (HMO-POS) option that allows additional out-of-network flexibility in exchange for a higher copay or coinsurance. Prescription drugs are usually covered in HMO plans. In most cases (aside from annual screenings, such as mammograms), you’ll have to...
Tier 5, or the Specialty Tier, has the highest copay. It contains very high cost brand and generic drugs, which may require special handling and/or close monitoring.Who’s Eligible for Part D Insurance? You are eligible for a Medicare Part D plan if: You are 65 years of age or older...