Medicare Part D is a voluntary prescription drug benefit under the Medicare program. Anyone with Medicare Part A or Part B may enroll for Part D benefits. If you have a Medicare card, you are eligible for Part D.
Some people must enroll in Medicare Part D. People who receive Medicaid benefits or VPharm prescription drug assistance from the State of Vermont must enroll in Medicare Part D.
Do I Need Part D Coverage?
If you have Medicaid or get assistance from Vermont through VPharm, you must enroll in Medicare Part D.
If you already have prescription drug coverage, you may not need Medicare Part D. The plan you have now must be at least as good as Part D coverage. Your current plan should have sent you a letter telling you if its coverage is as good as Part D. Coverage that is as good as Part D coverage is called "creditable coverage."
If you did not receive this letter, or if you received it but no longer have it, call your plan and ask them if they are "creditable coverage." Ask your plan to send you a letter saying that your plan is creditable. If your current prescription drug coverage is creditable, you do not need Part D coverage.
Call the State Health Insurance Assistance Program (SHIP) at 1-800-642-5119 or the Health Care Advocate (HCA) HelpLine at 1-800-917-7787 for more information.
Help with Medicare Part D Problems
If you are having coverage problems or need assistance getting coverage from a plan, call the Health Care Advocate HelpLine at 1-800-917-7787. To speak with an advocate, call during business hours (8:30 am - 4:30 pm, Monday - Friday, except holidays) or call anytime and leave a message. You can also request help by filling out our Online Help Request form.
You can also get general information about Medicare Part D by calling 1-800-MEDICARE (1-800-633-4227) or by going to the Medicare website. The local Social Security Office should also have information about Medicare Part D.
The Medicare Rights Center has a comprehensive explanation of the Medicare Part D benefit.