{"id":53979,"date":"2022-09-27T22:56:10","date_gmt":"2022-09-28T02:56:10","guid":{"rendered":"https:\/\/www.singlecare.com\/blog\/?p=53979"},"modified":"2025-01-08T13:58:23","modified_gmt":"2025-01-08T18:58:23","slug":"medicare-part-d-vs-medicare-advantage","status":"publish","type":"post","link":"https:\/\/www.singlecare.com\/blog\/medicare-part-d-vs-medicare-advantage\/","title":{"rendered":"Medicare Part D vs. Medicare Advantage"},"content":{"rendered":"<p>Medicare can be confusing to understand. You have <a href=\"https:\/\/www.singlecare.com\/blog\/medicare-parts\/\">four parts of Medicare<\/a> designated with letters, and they\u2019re called Medicare Parts A, B, C, and D. We\u2019re going to focus on Medicare Part C and Medicare Part D.<\/p>\n<p><span style=\"font-weight: 400;\">Medicare Advantage (Part C) is an alternative way of receiving Medicare coverage that combines the benefits of Original Medicare and Medicare Part D (prescription drug coverage) into a single privately run plan. These plans are sometimes attractive to Medicare beneficiaries because of their potential for extra benefits and often lower costs.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Medicare Part D offers prescription drug coverage through privately run drug plans. These optional plans provide Medicare beneficiaries with Original Medicare with prescription drug coverage.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">We\u2019ll discuss what they have in common and how they are different. Then, we\u2019ll break down how the individual coverage types work. Finally, we\u2019ll cover how to save money when using Medicare Part C and Medicare Part D.<\/span><\/p>\n<h2 id=\"what-do-medicare-part-d-vs-medicare-advantage-have-in-common\"><span style=\"font-weight: 400;\">What do Medicare Part D vs. Medicare Advantage have in common?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Medicare Advantage plans include the inpatient and outpatient benefits covered under Medicare Part A and Medicare Part B. In most cases, these private Medicare Advantage plans also include your Medicare prescription drug coverage and additional extra benefits, such as dental and vision coverage, that Original Medicare doesn\u2019t cover.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Medicare Part D, on the other hand, is stand-alone Medicare prescription drug coverage and is only available to consumers with Original Medicare.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Medicare Advantage and Medicare Part D have a few things in common:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">They\u2019re contracted and administered by private insurance companies.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">They\u2019re regulated by the <\/span><a href=\"https:\/\/www.cms.gov\/Medicare\/Prescription-Drug-Coverage\/PrescriptionDrugCovContra\/RxContracting_FormularyGuidance\"><span style=\"font-weight: 400;\">Centers for Medicare &amp; Medicaid Services<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">They can both cover prescription drugs.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">They follow the Medicare standard model for drug coverage phases.<\/span><\/li>\n<\/ul>\n<h2 id=\"how-do-medicare-advantage-vs-part-d-differ\"><span style=\"font-weight: 400;\">How do Medicare Advantage vs. Part D differ?\u00a0<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Medicare Advantage plans include hospital and medical coverage and can have drug coverage, and Medicare Part D only covers prescription drugs and may cover vaccines and immunizations.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Medicare Part D plans will typically have separate costs in addition to the ones you are already paying for Parts A and B.\u00a0<\/span><\/p>\n<p><a href=\"https:\/\/www.singlecare.com\/blog\/what-is-medicare-advantage\/\"><span style=\"font-weight: 400;\">Medicare Advantage plans<\/span><\/a><span style=\"font-weight: 400;\"> will typically include drug coverage. In most cases, you can\u2019t add a Part D plan to a Part C plan.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Enrollment in a Medicare Advantage plan requires you to continue participation in the Medicare program, and this means you must have active Medicare Part A and Medicare Part B coverage. In addition to any additional coverage, you must continue to pay your Medicare Part B monthly premium.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Enrollment in Medicare Part D only requires that you are enrolled in Medicare Part A or B, which means you could have only Part A or Part B and still be able to enroll.\u00a0<\/span><\/p>\n<h2 id=\"how-to-choose-between-medicare-part-d-vs-medicare-part-c\"><span style=\"font-weight: 400;\">How to choose between Medicare Part D vs. Medicare Part C<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">There isn\u2019t a right or best plan since everyone has different needs, wants, and concerns. However, there may be a significant amount to consider when deciding which route is the best for you.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Most beneficiaries will choose one of two directions. Either they decide to enroll in a Medicare Advantage plan or stay with their <\/span><a href=\"http:\/\/singlecare.com\/blog\/what-is-original-medicare\"><span style=\"font-weight: 400;\">Original Medicare<\/span><\/a><span style=\"font-weight: 400;\"> enrollment and a stand-alone Part D drug plan. Some beneficiaries may have secondary coverage, such as Medicaid, which will impact their decision.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">A few factors that you can consider are:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Am I healthy?<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">How often do I go to a healthcare provider?<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">How many prescription drugs do I take?<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Are your prescriptions brand names or generics?<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Do you travel?<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Are you okay with staying in-network and needing referrals for a specialist?<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">If you\u2019re not in a situation where you can enroll in a Medicare Supplement plan for healthcare and a Part D plan for prescriptions, then a Medicare Advantage plan could be a good option for complete Medicare insurance.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The prescription drug coverage under both Part C and Part D is divided into four phases outlined by the Centers for Medicare &amp; Medicaid Services:\u00a0<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Deductible phase: <\/b><span style=\"font-weight: 400;\">You pay the total amount of the prescription until the deductible is met.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Initial coverage phase: <\/b><span style=\"font-weight: 400;\">Your plan will help you pay for covered prescription drugs. The plan pays some cost, and you pay a copay or coinsurance.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Catastrophic coverage phase: <\/b><span style=\"font-weight: 400;\">After you\u2019ve spent a certain amount on covered drugs, you pay no further cost-sharing.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">In addition to the coverage phases, your drug costs are determined by the drug tier or category assigned.<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Tier 1\u2014Preferred generics<\/b><span style=\"font-weight: 400;\">: These drugs typically have the lowest copays.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Tier 2\u2014Non-preferred generics:<\/b><span style=\"font-weight: 400;\"> These prescriptions are the second lowest cost.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Tier 3\u2014Preferred brand: <\/b><span style=\"font-weight: 400;\">Tier 3 drugs are common brand-name drugs.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Tier 4\u2014Non-preferred brand:<\/b><span style=\"font-weight: 400;\"> Tier 4 prescriptions typically are high-cost brand-name drugs.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Tier 5\u2014Specialty tier:<\/b><span style=\"font-weight: 400;\"> Specialty drugs are typically set as a coinsurance amount. These are uncommon drugs that sometimes involve compounding.<\/span><\/li>\n<\/ul>\n<h3 id=\"part-c-coverage\"><span style=\"font-weight: 400;\">Part C coverage\u00a0<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">All Medicare Advantage plans, except for Private Fee-for-Service (PFFS) plans, require prescription drug coverage. The plans must cover Medicare benefits at least as well as Original Medicare and are required to limit out-of-pocket costs for the year.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">In addition to having comprehensive coverage combined into one low-cost plan, these plans also boast additional plan extras that Original Medicare doesn\u2019t cover. These plan extras may include:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Dental coverage<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Dentures<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Eyeglasses<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Routine Eye Exams<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Gym Memberships<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Health Food allowances<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Over-the-counter allowances to buy items such as toothpaste and <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/aspirin\"><span style=\"font-weight: 400;\">aspirin<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Utility bill assistance<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Not all plans will cover all of these benefits; thus, if a particular service is needed, it is important to consult a licensed insurance agent. They can go over the benefits and plan extras available to help you make an informed decision about which plan is best for your needs.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Since each plan is different, copays, deductibles, and <a href=\"https:\/\/www.singlecare.com\/blog\/medicare-formulary\/\">formularies<\/a> will differ from plan to plan. However, they all follow the Medicare standard drug plan model, and Medicare Advantage plans come in several options.<\/span><\/p>\n<table class=\" singlecare-table\">\n<thead>\n<tr>\n<th>\n<h2 id=\"medicare-advantage-plan-types\"><span class=\"title\">Medicare Advantage Plan Types<\/span><\/h2>\n<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr class=\"header-row\">\n<td><span style=\"font-weight: 400;\">Plan Type<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Coverage<\/span><\/td>\n<\/tr>\n<tr>\n<td><a href=\"https:\/\/www.singlecare.com\/blog\/what-is-a-ppo\/\"><span style=\"font-weight: 400;\">Preferred Provider Organization<\/span><\/a><span style=\"font-weight: 400;\"> (<\/span><span style=\"font-weight: 400;\">PPO)<\/span><\/td>\n<td>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">PPO plans have options with and without drug coverage.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">PPOs<\/span><span style=\"font-weight: 400;\"> will typically not require <\/span><span style=\"font-weight: 400;\">referrals<\/span><span style=\"font-weight: 400;\"> and allow out of network services.\u00a0<\/span><\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<tr>\n<td><a href=\"https:\/\/www.singlecare.com\/blog\/healthcare-define-hmo\/\"><span style=\"font-weight: 400;\">Health Maintenance Organization<\/span><\/a><span style=\"font-weight: 400;\"> (<\/span><span style=\"font-weight: 400;\">HMO)<\/span><\/td>\n<td>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">HMO<\/span><span style=\"font-weight: 400;\"> Plans have options with and without drug coverage.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">HMOs<\/span><span style=\"font-weight: 400;\"> will require <\/span><span style=\"font-weight: 400;\">referrals<\/span><span style=\"font-weight: 400;\"> and authorizations to see specialists and do not cover out-of-network providers.<\/span><\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Private-Fee-For-Service (PFFS)<\/span><\/td>\n<td>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">PFFS plans come with or without drug coverage. If a PFFS doesn\u2019t include drug coverage, a stand-alone <\/span><span style=\"font-weight: 400;\">Part D prescription drug plan<\/span><span style=\"font-weight: 400;\"> can be added.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">PFFS plans allow you to utilize any provider that accepts Medicare. They come in PFFS with networks or without. If using in-network providers, it will work similarly to a <\/span><span style=\"font-weight: 400;\">PPO<\/span><span style=\"font-weight: 400;\">.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">When using non-network providers, they must agree to the terms and conditions of the PFFS before seeing a patient.<\/span><\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Special Needs Plans<\/span><span style=\"font-weight: 400;\"> (<\/span><span style=\"font-weight: 400;\">SNP)<\/span><\/td>\n<td>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">SNPs<\/span><span style=\"font-weight: 400;\"> are designed for people with particular <\/span><span style=\"font-weight: 400;\">health care<\/span><span style=\"font-weight: 400;\"> needs and will always include drug coverage.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">There are three types of <\/span><span style=\"font-weight: 400;\">SNP<\/span><span style=\"font-weight: 400;\"> plans:<\/span>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"2\"><span style=\"font-weight: 400;\">Dual <\/span><span style=\"font-weight: 400;\">SNPs<\/span><span style=\"font-weight: 400;\"> are designed to work with Medicare and <\/span><span style=\"font-weight: 400;\">Medicaid<\/span><span style=\"font-weight: 400;\">. You\u2019re required to maintain the correct level of <\/span><span style=\"font-weight: 400;\">Medicaid<\/span><span style=\"font-weight: 400;\"> to be allowed to <\/span><span style=\"font-weight: 400;\">enroll<\/span><span style=\"font-weight: 400;\"> in the plan.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"2\"><span style=\"font-weight: 400;\">Chronic <\/span><span style=\"font-weight: 400;\">SNPs<\/span><span style=\"font-weight: 400;\"> are for people who have qualifying health conditions.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"2\"><span style=\"font-weight: 400;\">Institutional <\/span><span style=\"font-weight: 400;\">SNPs<\/span><span style=\"font-weight: 400;\"> are formulated for people who are living in an institutionalized setting.<\/span><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><span style=\"font-weight: 400;\">The disadvantage to Medicare Advantage plans is that since private insurance companies run them, the plan administrator, not Medicare, approves and denies Medicare care referrals and procedures. In addition, many Medicare Advantage plans are network-based.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">One advantage of Medicare Part C is the out-of-pocket maximums which limit individual costs. Original Medicare does not have a cap on what you could spend on medical services throughout the year.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Another benefit is that there isn\u2019t a need to enroll and pay for additional insurance coverage to ensure all your needs are covered. Medicare Advantage plans combine parts A, B, and D of Medicare into one (Part C) and may give you additional coverage for services not covered by Medicare.<\/span><\/p>\n<h3 id=\"part-d-coverage\"><span style=\"font-weight: 400;\">Part D coverage\u00a0<\/span><\/h3>\n<p><a href=\"https:\/\/www.singlecare.com\/blog\/what-is-medicare-part-d\/\"><span style=\"font-weight: 400;\">Medicare Part D <\/span><\/a><span style=\"font-weight: 400;\">prescription drug coverage covers prescription drugs as well as some vaccines and immunizations; thus, health coverage will be provided by Original Medicare. You can also add a <\/span><a href=\"http:\/\/singlecare.com\/blog\/what-is-medigap\"><span style=\"font-weight: 400;\">Medigap plan<\/span><\/a><span style=\"font-weight: 400;\"> (Medicare Supplement plan) to help cover healthcare costs. <\/span><\/p>\n<table class=\" singlecare-table\">\n<thead>\n<tr>\n<th>\n<h2 id=\"part-d-plan-enrollment-periods\"><span class=\"title\">Part D plan enrollment periods<\/span><\/h2>\n<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr class=\"header-row\">\n<td><b>Enrollment phase<\/b><\/td>\n<td><b>When can I enroll?<\/b><\/td>\n<td><b>What can I do during the enrollment period?<\/b><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Initial <\/span><span style=\"font-weight: 400;\">Enrollment<\/span><span style=\"font-weight: 400;\"> Period<\/span><\/td>\n<td>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">When you first become eligible for Medicare<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">The 7-month period that:<\/span>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"2\"><span style=\"font-weight: 400;\">Starts 3 months before you turn 65<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"2\"><span style=\"font-weight: 400;\">Includes the month you turn 65<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"2\"><span style=\"font-weight: 400;\">Ends 3 months after the month you turn 65<\/span><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/td>\n<td>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Join a plan<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Medicare coverage will generally begin the first day of the month before you turn 65<\/span><\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Fall Open <\/span><span style=\"font-weight: 400;\">Enrollment<\/span><span style=\"font-weight: 400;\"> Period<\/span><\/td>\n<td>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Annually<\/span><span style=\"font-weight: 400;\">\u00a0from October 15th to December 7th\u00a0<\/span><\/li>\n<\/ul>\n<\/td>\n<td>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Join, switch, or drop a plan<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Changes to your existing plan or new <\/span><span style=\"font-weight: 400;\">enrollment<\/span><span style=\"font-weight: 400;\"> will begin on January 1<\/span><\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Medicare Advantage <\/span><span style=\"font-weight: 400;\">Open Enrollment Period<\/span><\/td>\n<td>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Annually<\/span><span style=\"font-weight: 400;\">\u00a0from January 1st to March 31st\u00a0<\/span><\/li>\n<\/ul>\n<\/td>\n<td>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">If enrolled in a Medicare Advantage Plan, you can switch to a different Medicare Advantage Plan or switch to Original Medicare<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">You are eligible to switch once per Open Enrollment Period<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Your new plan would begin on the 1st day of the following month<\/span><\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Special <\/span><span style=\"font-weight: 400;\">Enrollment<\/span><span style=\"font-weight: 400;\"> Period<\/span><\/td>\n<td>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Triggered by a qualifying life event that allows changes outside of the enrollment period. Some examples of qualifying events:<\/span>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"2\"><span style=\"font-weight: 400;\">Moving out of your plan coverage area<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"2\"><span style=\"font-weight: 400;\">Losing <\/span><span style=\"font-weight: 400;\">Medicaid<\/span><span style=\"font-weight: 400;\"> or Extra Help<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"2\"><span style=\"font-weight: 400;\">Losing or leaving group <\/span><span style=\"font-weight: 400;\">health insurance<\/span><span style=\"font-weight: 400;\"> that covers prescription drugs<\/span><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/td>\n<td>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">The rules about when you can make changes and the type of changes you can make will vary based on the circumstance<\/span><\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><span style=\"font-weight: 400;\">Some beneficiaries don\u2019t take many prescriptions. In this situation, the question arises whether or not there is a need to enroll in drug coverage because it is not required. However, you may be subject to the Part D late enrollment penalty if you decide you need to enroll later unless you have credible coverage or qualify for Extra Help.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">It\u2019s wise always to have prescription drug coverage. Some have meager costs, and enrolling in a Part D plan will help avoid the penalty. The penalty doesn\u2019t reset for most beneficiaries, unless you have creditable coverage or Extra Help, and continues to increase as long as you qualify for Part D coverage but choose not to enroll.<\/span><\/p>\n<h2 id=\"how-to-save-with-medicare-part-d-vs-medicare-advantage\"><span style=\"font-weight: 400;\">How to save with Medicare Part D vs. Medicare Advantage<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Saving money is on the mind of every Medicare beneficiary. Fortunately, some programs allow you to save money and receive help with your Medicare costs.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The Low-Income Subsidy (LIS) program, better known as Extra Help, is federally funded and helps cover prescription drug costs. The <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/medicare-extra-help\/\"><span style=\"font-weight: 400;\">program<\/span><\/a><span style=\"font-weight: 400;\"> pays for premiums, copays, deductibles, and coinsurance.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">You may also qualify for a <\/span><a href=\"https:\/\/www.medicare.gov\/basics\/costs\/help\/medicare-savings-programs\"><span style=\"font-weight: 400;\">Medicare Savings Program<\/span><\/a><span style=\"font-weight: 400;\"> (MSP). MSPs are run by the state and help beneficiaries pay for Part A and Part B premiums.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">If you are looking for help with your prescription drug costs, you can use a free discount card from SingleCare. The discount card is used in place of your Part D coverage and may get you up to 80% off your prescription drugs. You can get your free<\/span><a href=\"https:\/\/www.singlecare.com\/prescription-discount-card\"> <span style=\"font-weight: 400;\">discount card<\/span><\/a><span style=\"font-weight: 400;\"> via email, text, or download.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Medicare can be confusing to understand. You have four parts of Medicare designated with letters, and they\u2019re called Medicare Parts A, B, C, and D. We\u2019re going to focus on Medicare Part C and Medicare Part D. Medicare Advantage (Part C) is an alternative way of receiving Medicare coverage that combines the benefits of Original [&hellip;]<\/p>\n","protected":false},"author":133,"featured_media":53983,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[2],"tags":[608,691,15],"coauthors":[20918],"class_list":["post-53979","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-company","tag-health-insurance","tag-healthcare-costs","tag-medicare","wpautop"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.4 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Medicare Part D vs. Medicare Advantage | SingleCare<\/title>\n<meta name=\"description\" content=\"Medicare Advantage is a complete health insurance plan while Medicare Part D covers prescription drugs. 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