Health · Chapter 17 · Parts C & D
Medicare Part D: Prescription Drugs
Definition
Voluntary private drug plans (stand-alone with Original, or built into MA). Each has a formulary — ≥2 drugs per class, ALL drugs in 6 protected classes, tiered cost-sharing (generics cheapest → specialty highest). Late enrollment without creditable drug coverage = 1% of the national base premium per uncovered month, for life (triggered by a gap of 63+ days). After any deductible the insured pays up to 25% until the out-of-pocket cap; then catastrophic coverage pays 100%. Costs can be spread via a monthly payment cap.
Easy to confuse with
These are what this term gets tested against — if you can't tell them apart cold, drill the contrast.
Related terms