Medicare Part D Prescription Drug Benefit

Medicare is a federal health insurance program for people aged 65 or older, people under age 65 with certain disabilities, and people of all ages with End-Stage Renal Disease or Amyotrophic Lateral Sclerosis. People who are eligible for Medicare have their prescription benefits covered under Medicare Part D. With Medicare part D, almost all of your drug costs are paid for by Medicare not Medicaid. You will pay a small Medicare copayment for each prescription.

If you are eligible for both Medicare and Medicaid, also known as dual eligible, you will automatically be assigned to a Medicare Prescription Drug Plan (Medicaid Part D). If you are dually eligible, Medicaid will still cover select prescription vitamins and certain non-prescription drugs. See the below website:

If you previously were enrolled only in NYS Medicaid and you do not join a Medicare Part D, when you enroll in Medicare, you may lose all your Medicaid benefits. You should contact Medicare at the website or phone numbers listed below to enroll in Part D.

You can also enroll in a plan of your own choice that may better meet your prescription drug needs. Information about other available plans is available from Medicare.

For more information about Medicare, including Part D benefits follow the links below or call:

Important Information for Prescribers and Pharmacists:

If the recipient has both Medicare and New York State Medicaid pharmacy coverage, Medicare Part D pays for most of their prescription drug coverage. However, Medicaid will pay select prescription vitamins and certain non-prescription drugs. (See Drugs covered by Medicaid for Dual Eligible Members.)

Additional Information for Members and Providers

Questions or comments regarding your Medicare Part D benefits should be directed to Medicare as noted above.