2019

PLAN
INFORMATION

How To Pick A Medicare Part D Plan

Choosing a Medicare Part D prescription plan is easier when you know what to look for.

Express Scripts Medicare (PDP) has three plans to choose from – Saver, Value and Choice – with a range of premiums, drug coverage, preferred pharmacies and more.

Get total yearly cost estimates based on where you live, the drugs you take and the pharmaies you use.

Find a Plan

Look for a plan that covers your drugs.

  • Express Scripts Medicare plans offer formularies ranging from nearly 2,800 to more than 3,000 brand and generic drugs, including those most commonly prescribed for Medicare members
  • If your drug isn’t covered, our pharmacists can suggest alternatives for you and your doctor to consider

Learn more about covered drugs.

Make sure you have network pharmacies near you, including preferred pharmacies you know.

  • Express Scripts Medicare plans provide you 67,000 network pharmacies nationally and lower prices at preferred pharmacies you know and trust, including CVS Pharmacy® and Walmart (Saver plan), Walgreens (Value and Choice plans), Kroger (all plans) and more*
  • Get the drugs you take regularly delivered right to your door from the Express Scripts PharmacySM*, with free standard shipping (included as part of your plan)
  • Use the Express Scripts® mobile app on your phone or tablet to view your member ID card, check order status, refill and renew prescriptions, locate a pharmacy on the go and more

Learn more about our pharmacy network.

Ensure you have 24/7 access to professionals who support you.

With Express Scripts Medicare, you get more than just a standard Part D plan. You'll have:

  • Specially trained advisors available 24/7 to help you choose the right plan for your needs and to find ways to help you save all year
  • Pharmacists who can answer questions about your medicines – even in the middle of the night
  • Specialist pharmacists, with expertise in the drugs used to treat specific conditions, such as diabetes, high blood pressure and high cholesterol, to help you get the most from your treatment

Learn more about us.

A low premium is a great start, but look for total value.

Just because a plan has a low premium doesn’t mean it offers you better value. Always consider the total yearly cost of each plan, which includes the:

  • Monthly premium
  • Annual deductible
  • Copay/coinsurance for all the prescription drugs you take

Important: Even if you (or someone you care for) are currently enrolled in a plan that provides Medicare prescription drug coverage, it’s always a good idea to reevaluate whether that plan still offers the greatest value based on changing drug needs.

Compare Medicare Star Ratings for plans.

Each year, the Centers for Medicare & Medicaid Services rates Medicare Part D plans on how well they perform in different categories, including customer service, patient safety, and member experience and satisfaction. View Star Ratings Report.

Are you helping someone choose a Medicare Part D plan?

If your parent or someone you care for is joining a Medicare Part D plan, we can help you make an informed decision. Use our online tools to compare plans and enroll. Or speak with one of our Express Scripts Medicare advisors, who are specially trained in Medicare Part D benefits.

It's easy to get started. Just provide answers to these questions:

    Which drugs does the person take?
    Make a list including strength (for example, 10 mg) and dosage (for example, twice daily). For an Express Scripts member with non-Part D coverage, provide the member ID number, and we’ll look up the drugs.

    What is the person’s Medicare ID number?
    The person must be eligible for Medicare Part A and/or be enrolled in Part B.

    Does the person qualify for Extra Help?
    This could affect premium, deductible and copayment amounts.

For more details about Medicare Part D, see About Part D or Common questions. You can also call Medicare at 1.800.MEDICARE (1.800.633.4227), 24 hours a day, 7 days a week. TTY users, call 1.877.486.2048.

 

Need help?

Call 1.866.477.5703 TTY users: 1.800.716.3231
8 a.m. to 8 p.m., 7 days a week, except Thanksgiving and Christmas

*Other pharmacies are available in our network.

This information is not a complete description of benefits. Call 1.866.477.5703 (TTY: 1.800.716.3231) for more information.

Express Scripts Medicare (PDP) is a prescription drug plan with a Medicare contract.
Enrollment in Express Scripts Medicare depends on contract renewal.