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Formularies and M3P Information

Medicare Formularies and Prescription Payment Option

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

pharmacist

 

The Medicare Prescription Payment Plan is a new 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). Participation is not required.

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.

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 to answer a few questions, and find out if you're likely to benefit from this 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.

How to opt in to the Medicare Prescription Payment Plan

If you would like to participate in the optional Medicare Prescription Payment Plan, you may opt in by:

If you have questions or need help completing the form, call 833.502.3340 24/7. TTY users can call 711.

 

The Medicare Prescription Payment Plan is a new 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). Participation is not required.

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.

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 to answer a few questions, and find out if you're likely to benefit from this 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.

How to opt in to the Medicare Prescription Payment Plan

If you would like to participate in the optional Medicare Prescription Payment Plan, you may opt in by:

If you have questions or need help completing the form, call 833.502.3340 24/7. TTY users can call 711.

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