2018

PLAN
INFORMATION

How To Pick A Medicare Part D Plan

Selecting a Medicare Part D prescription plan is easier when you know what to look for. With three plans to choose from, Express Scripts Medicare has a wide range of options for drug coverage, premiums, network pharmacies and more.

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

Find a Plan

Look for a plan that covers your drugs.

  • Express Scripts Medicare offers three plans that cover a broad list of brand and generic drugs that includes those most commonly prescribed for Medicare members
  • If your drug isn’t covered, our pharmacists can suggest alternatives that you and your doctor can consider

Learn more about covered drugs.

Make sure your pharmacy's in the network and there’s a preferred pharmacy near you.

  • Choose from our 66,000+ network pharmacies and enjoy lower prices at preferred pharmacies you know and trust, including CVS Pharmacy® (Saver plan), Walgreens (Value and Choice plans), Kroger (all plans) and more*
  • Get the drugs you take regularly delivered right to your door with free standard shipping from the Express Scripts Pharmacy (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.

You should have knowledgeable, caring people to support you. With Express Scripts Medicare, you get more than just a standard drug plan. You'll have 24/7 access to:

  • Specially trained advisors who can help you understand your plan benefits to make the right choices that best meet your needs
  • Pharmacists who can answer questions about your medicines – even in the middle of the night

Learn more about us.



Remember, 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
  • The annual deductible
  • The yearly costs (copayments/coinsurance) for all the medicines you take

Important: Even if you or someone you care for is currently enrolled in a plan that provides Medicare prescription drug coverage, you should reevaluate whether that coverage still offers the greatest value based on current drug needs.

Medicare Star Ratings

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. When comparing plans, look for those with an above-average overall Star Rating so you know you're getting true value for your Medicare dollar. View Star Ratings Report.

Are you helping someone choose a 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 medicines 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 his or her drugs.

    What is his or her 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. Contact the plan for more information. Limitations, copayments, and restrictions may apply. Benefits, premiums and/or copayments/coinsurance may change on January 1 of each year. The formulary and/or pharmacy network may change at any time. You will receive notice when necessary.

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