2017

PLAN
INFORMATION

You have entered the 2017 plan year website. Benefits, formulary, pharmacy network, premium, deductible and/or copayments/coinsurance may change on January 1, 2018. Visit our 2018 website for details.

How To Pick A Medicare Part D Plan

Selecting a Medicare Part D prescription plan is easier when you know what to look for, and Express Scripts Medicare has it all:

Coverage

Convenience

Care and Service

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

Find a plan

Coverage
Look for a plan that covers your drugs.

  • Express Scripts Medicare has 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.

Convenience
Make sure your pharmacy is in the plan ’s network or, even better, that there’s a preferred pharmacy near you.

  • Choose from our 67,000+ network pharmacies and enjoy lower prices at 30,000+ preferred pharmacies, including Walgreens and many independent pharmacies*
  • 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, keep track of your medicines, locate a pharmacy on the go and more  

Learn more about our pharmacy network.

Care and Service
Experience the value of having knowledgeable, caring people to support you. As an Express Scripts Medicare member, 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 all 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 document.

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. You can 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:

  • Make sure you have a list of the medicines that the person takes, including strength (for example, 10 mg) and dosage (for example, twice daily). Note: For current Express Scripts members with non-Medicare coverage, you can provide a member ID number when you call, and we can look up their drugs.
  • You should have his or her Medicare ID number handy (he or she must be eligible for Medicare Part A and/or enrolled in Part B).
  • Find out if the person qualifies for Extra Help with Part D costs, as this will affect premium and copayment amounts.

For answers to other questions 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 should 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.

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