Are your prescriptions covered?

To see if your prescriptions are covered by our Medicare Advantage plans, review our prescription drug formularies. You can look up your prescription by drug category or drug name. Instructions are included in the formulary for your convenience.

*All plans except Select Rx Assist.

The Medicare Prescription Payment Plan

New for 2025: The Medicare Prescription Payment Plan is a payment option that works with your Medicare Advantage prescription drug coverage. It can help you manage your out-of-pocket drug costs by spreading them across monthly payments that vary throughout the year (January-December). All plans offer this payment option, and participation is voluntary.

How it works

If you select this payment option, each month you'll continue to pay your plan premium (if you have one), and you'll get a bill from your health or drug plan to pay for your prescription drugs (instead of paying the pharmacy). There's no additional cost to opt in to the Medicare Prescription Payment Plan. There are no fees or interest charges incurred. This payment option may help you manage your monthly expenses, but it doesn't save you money or lower your drug costs.

Election requests received after Jan. 1, 2025, are effectuated within 24 hours. For example, an application received on Jan. 15, 2025, is effectuated by Jan. 16, 2025, and the effective date of Medicare Prescription Payment Plan election is also Jan. 16, 2025. If your election request is not processed within 24 hours of submission, the effective date for the Medicare Prescription Payment Plan will be retroactive, beginning 24 hours after your election request was received. Any out-of-pocket costs you paid during that timeframe will be reimbursed to you and will appear in your monthly bill under the program within 45 calendar days.

If you have an urgent request to opt in to the Medicare Prescription Payment Plan, you may submit your request within 72 hours after the date and time your prescription was filled. The effective date will begin on the date your prescription was filled.

Is this option right for you?

It depends on your situation. This payment option might help you manage your monthly expenses, but it doesn't save you money or lower your drug costs. You're most likely to benefit from participating in the Medicare Prescription Payment Plan if you have high drug costs earlier in the calendar year. Although you can start participating in this payment option at any time in the year, starting earlier in the year (like before September), gives you more months to spread out your drug costs.

Go to Medicare.gov/prescription-payment-plan/will-this-help-me and answer a few questions to find out if you're likely to benefit from this payment option and learn about ways to help with Medicare costs.

For examples of how Medicare Prescription Payment Plan monthly costs are calculated, visit Medicare.gov/prescription-payment-plan/using-payment-option.

This option might NOT be the best choice for you if:

• Your yearly drug costs are low.
• Your drug costs are the same each month.
• You're considering signing up for the payment option late in the calendar year (after September).
• You don't want to change how you pay for your drugs.
• You get or are eligible for Extra Help from Medicare.
• You get or are eligible for a Medicare Savings Program.
• You get help paying for your drugs from other organizations, like a State Pharmaceutical Assistance Program (SPAP), a coupon program or other health coverage.

Paying your Medicare Prescription Payment Plan bills

After your election request for the Medicare Prescription Payment Plan has been approved, you'll get a letter with information about how to pay your bill. Each month, you will receive a bill with the amount you owe for your prescriptions, when it's due and information on how to make a payment. This is a different bill than what you will receive for your monthly premiums (if you have one).

It's important to pay your bill each month. If you miss a payment, you will receive a reminder. If you don't pay your bill by the date listed in that reminder, you'll be removed from the Medicare Prescription Payment Plan. You're still required to pay the amount you owe, but you won't pay any interest or fees, even if your payment is late. You can choose to pay that amount all at once or be billed monthly. If you're removed from the Medicare Prescription Payment Plan, you'll still be enrolled in your Medicare health plan.